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Diabetes Mellitus Type II has been a failure to treat.
Type II diabetes (Adult Onset Diabetes) counts for over 90% of all cases. The epidemic keeps growing as the number of obese Americans reaches an all time high. We should all be deeply concerned about the onslaught of disease prevalence associated with Type II Diabetes and obesity. They are likely to bankrupt our healthcare system. Drug companies and bariatric surgeons see great PROFITS in diabetes and obesity respectively.
The diagnosis of Diabetes can be established if the fasting plasma glucose is 126 mg/dl or greater on two different occasions. The diagnosis is likely if a patient has specific symptoms, extreme thirst (polydipsia), excessive urination (polyuria), weight loss, overwhelming vaginal yeast infection or yeast balanitis and a random glucose that is over 200 mg/dl. A simple screening can be done by checking the urine glucose via a Diastix which is available over-the-counter. There are infrequently some false positives with Diastix, and patients must have public access so that they can check their plasma glucose with the aid of a readily available professional (Pharmacist) or nurse. If the urine shows glucose, it means that the blood level exceeded the renal threshold of 180 mg/dl and the body dumped excess glucose, a protective mechanism, into the urine. Our immune system does not function well when the glucose is over 180 mg/dl.
For Type I Diabetics (Insulin Dependent) diabetics are thin, young and have excessive eating (polyphagia) and dramatic weight loss and many of the same symptoms described above for Type II Diabetes.
What are the best approaches to reign in Diabetes and Obesity and thus reduce morbidity, and mortality? We must address the various factors that contribute to excess in caloric intake. It may be very difficult for patients with anxiety, stress or depression to follow specific caloric restrictions or guidelines. The provider must meet with the family and encourage certain nutritional changes at home. Instead of investing more on of the same or "Me Too Drugs," we must focus on new horizons.
We must consider expanding the dietitian's role and make them readily available for home visits. Psychologists must be recruited in other to help "bad habits" become "healthy habits." The psychological aspects cannot be underestimated. I do recommend that we begin to prescribe a specific diet for our diabetics, be it through Jenny Craig or new private companies rather than "new" and toxic drugs. We as physicians must be able to prescribe a specific diet or intake per day that is managed by allied healthcare professionals who report to the primary care provider.
For instance, if an adult's daily requirement is 2,000 Calories/24 hours, and we reduce his intake to 1,800 Calories/24 hours, then this patient would lose, on average, 3.8 pounds per month or more if an exercise regimen is added. There is a euphoria associated with weight loss and a dysphoria associated with obesity.
The time has come for us to re-invent our approach to Obesity and Diabetes. The drug companies are poised to develop profitable new drugs. We must view this with fear since many of these drugs are toxic as was Rezulin (troglitazone), which was taken off the market because of liver toxicity. Two similar drugs, Avandia (rosiglitazone) and Actos (pioglitazone), should be studied by the clinician before prescribing them. For instance, Avandia may be less hepatotoxic, but it has potentially serious side effects that include "cardiac events," edema, fluid retention (which may exacerbate hypertension).
Clinicians must encourage their patients to become fiscally responsible, comply with treatment and find ways to modify the environment that has made the consumption of food socially acceptable. The best treatment for Type II Diabetes is through diet and exercise. If drugs are to be used, we already have many generics available, the Sulfonylureas like Glipizide, Glyburide and the Biguanides, Metformin (Glucophage).
It has become evident that our private (and public) companies can no longer afford retiree health care, i.e., General Motors. At present, only 33% of companies with more than 200 employees offer retiree health benefits compared to 66% in 1988. The business community, especially small employers, cannot afford to provide health care coverage as envisioned by Senator Clinton.
"The evolving public morality seems to be turning away from the concept of health care as a right, toward treatment of health as a private matter," NEJM, September 20, 2007. Before we let health care become a private matter, we must educate consumers on how to get the most value out of health care. We must all get involved.
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Oversized and with a knack for wise cracks, Wendy turns to yoga to lose weight. In her own style, Wendy finds her "Om". This film is provided by Withoutabox, "The Network for Independents." In operation since 2000, the Company administers the patented International Film Festival Submission System, now connecting more than 80,000 filmmakers to over 1800 film festivals worldwide, including 450 online submission partners. Audience by Withoutabox is the Company&s social networking site for filmmakers, film lovers, and festival-goers, featuring blogs, ratings, reviews, calendars, and ticketing for the Indie scene. Withoutabox&s Distribution Lab assists filmmakers in brining their films to market...
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Are you looking to lose weight fast because you have an upcoming event or just like to look good in her swimsuit? Have you become a walking whale? Sorry, let me try to say this in a less self-esteem destroying way. Would you like to lose a few pounds so you will look and feel better? I've been there and believe me you are not alone. I have had my moments where I desperately needed to knowhow to lose weight fast. I think I've seen them all. Every conceivable diet and exercise program designed to teach people how to lose weight fast they run the gamut from eating nothing but carbs, to nothing but meat, to nothing but veggies and fruit. I chose the fruit and veggie one. It actually seemed to make sense to me.
Oh yeah, and I finally got off my butt and started exercising. Not every guide to how to lose weight fast says it, most of them will, you won't shed any pounds if you don't in the work as far as exercise goes. So I started jogging, lifting weights, stretching it seem like pretty much hit them all, I was doing it. I was highly motivated at first, and it seemed as if of I figured out how to lose weight fast. The pounds seemed to be melting away, until I was within site of my goal. And then, with 10 pounds to lose, I just gave up. Some reason I hit a wall and I could no longer lose any more weight.
I realize that 10 pounds more isn't really that big of a deal. But that ten pounds contained in an ugly little pouch right on my stomach. I mean it looks terrible, hideous even. There has to be some way how to lose weight fast that goes all the way and get the job done. When your goal is to be able to put on a bikini without embarrassment, but you don't quite make it, it can be quite a let down. I mean it is much too soon to give up, but I'm running out of time.
I would estimate that the self proclaimed experts on how to lose weight fast aren't actual health experts at all, and that is a big part of the problem. You see, anyone who knows the human body well will tell you that although you can learn how to lose weight fast, it doesn't necessarily mean it will be a healthy thing. It can be quite dangerous, and many times the weight loss is not sustainable. But still, you to get frustrated and would like to get instant results, and unless I figure out how to lose weight fast right now, I will not get the kind of attention I want there. I know it sounds sad. Perhaps I should really be looking at treating my vanity issues.
Morgan Hamilton offers his findings and insights regarding losing weight. You can get interesting and informative information here at Lose Weight Fast
If you want to slim down fast, then here is a a plan for you. It's a three day metabolic jumpstart, one built on foods that decrease hunger as they increase calorie burn.
People who have tried many other diets have had great success with this plan. It uses thermogenic foods, which boost metabolism up to 20%. Dieters say they can literally feel their metabolism heat up. They also claim to be more satisfied with less food. They say they didn't fail on the other diets, the other diets failed them. This one works.
Here are some the metabolism boosting foods.
Eggs: proteins stimulate the metabolism more than any other nutrient, and eggs are perhaps the most nutrient dense of all proteins.
Salsa - Capsaicin, (what that gives peppers in their heat), stimulates the release of adrenaline, revving metabolism by up to 20%.
Coffee -The amount of caffeine in two cups of coffee cuts hunger by 35% and revs metabolism by about 50 cal.
Steel cut oatmeal - Extra fiber means this hot cereal help flush calories through the intestines unabsorbed. The fiber is so filling, people who have it at breakfast consume 33% less at midday.
Coconut oil - The complex makeup of this organic fat stimulates metabolism as it is broken down, revving up calorie burn by up to 50%.
Cinnamon - Only one half teaspoon of cinnamon makes your body metabolize sugar 20 times quicker, resulting in less hunger and fewer fat storage hormones.
Apple cider vinegar - The acetic acid in vinegar cuts the production of fat storage hormones and so the food you eat makes your appetite feel more satiated.
Seafood - Salmon and tuna.have anti-hunger and anti-craving properties that also boost your metabolic rate, so that you can lose up to 20% more weight.
Nuts. Studies show that eating nuts can make you feel full for up to 60 minutes longer than if you ate the a non fat food with the same amount of calories.
For an additional 32 specific reviews of weight loss diets try visiting http://www.rightfaddiet.com a website that gives you an in depth look at many of the fad diets going around.
To loss weight effectively, it is necessary to take in fewer calories than the body is burning. In order toburn off excess calories, it is essential to exercise regularly. Talking about exercise, it is not necessary to join a gym or participate in aerobic classes to burn up the fats. Calories can be burn by just simply climbing the stairs, cleaning the house, riding a bike, working in the garden or just by walking thirty minutes every day. Calories can also be burnt during sweat-free exercises. It has been proven that people who take a brisk walk for thirty minutes every day burn body fat, improve their physical fitness and lower their blood pressure as much as people who work out at a gym three or four days per week.
Exercise will help to boost energy as well. With the advent of the computer age, people are forced to do less and less physical labor. It is only logical that this would result in more energy being available for other activities. Exercise improves the efficiency of the lungs, the heart and the circulatory system in their ability to take in and deliver oxygen throughout the entire body. This oxygen is the catalyst that burns the fuel, food taken in to produce energy. Consequently, the more oxygen taken in, the more energy is available for other activities.
Oxygen is the vital ingredient that is necessary for survival. Since oxygen cannot be stored, body cells need a continuous supply in order to remain healthy. Exercise increases the body's ability to extract oxygen from the air so that increased amounts of oxygen are available for every organ, tissue and cell in the body. Exercise actually increases the total volume of blood, making more red blood cells available to carry oxygen and nutrition to the tissues and to remove carbon dioxide and waste products from the body's cells. This increased saturation of the tissues with oxygen is also aided by the opening of small blood vessels.
The first step for energy, fitness and real weight loss is by exercising every day. Exercising regularly will help to keep a fresh supply of oxygen surging through the blood vessels to all the body's cells. Exercise and healthy diet comes hand in hand in any successful weight loss program. In order to lose weight successfully, it is necessary to eat healthily and exercise regularly.
Skyjoe. All rights reserved. This article may be freely distributed as long as it remains unaltered inclusive of the active links and the copyright notice. No alteration is allowed without express written permission from the author.
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ALRIGHT PEOPLE! The fifth and final day of the GeeQtv launch! Tasks 21-25 are here for you to see. I had to get this prepped last night so it could be up before I left for work this morning... Because straight away, after work today, I'll be out filming the first episodes of some of the tasks. That's right; GeeQtv is in production RIGHT NOW! All we have to take care of first is introducing the last 5 tasks so you can all see what I have in store for you this year. So HERE WE GO! TASK 21-Party!!! There was a time when I threw elaborate theme parties for my bday each year. But for the last couple I've been slacking off. JUST A BIT. Obviously enough, this year with all that I've been trying to pull off for GeeQtv, I didn't even bother. But next July 30th, The 1 year anniversary of GeeQtv will also be my 26th bday, and I wanna party! It'll be a party not only for my bday but hopefully in celebration of actually completing the 25 tasks I have set forth for myself. Throughout the year I'll be planning and prepping for the biggest bash I can... and you'll all be invited. TASK 22-GO Uhm, it's been over two years since I last left the Island, and I think it's time for a vacation. Work offers me the time off, I might as well make use of it right?! Problem is, I've only ever been to the West coast of the US and the other Hawaiian Islands... I need something new, something exciting, and I'll expect your help with deciding where I'm going to go this year. Anyone got any suggestions?
TASK 23-Shape I need to get in shape. BADLY. For a long time I capped out at 215, and that didn't really bother me. Then earlier this year I went on a diet for about a month until circumstances beyond my control caused me to semi give up. After having lost 25 lbs in about a month... IT ALL CAME BACK, and it brought friends. When I stepped on the scale a few weeks ago and saw I had busted open that cap...It's time to lose it and get me some muscle...
TASK 24-Push I'm not tellin. Let it be a mystery. In fact, I'm going to PUSH this back to later in the year TASK 25-Inspire It has always been a goal in my life to be an inspiration to others. In fact, I've always felt the true purpose of life is to lead by example. So through my actions this year, I hope to inspire others. Obviously enough, this is the one major task I will not be able to judge for myself as to whether or not I pulled it off. That's where you all come in. If my actions inspire you, let me know. Through comments, or video responses... through making your own episodes of GeeQtv starring YOU... Inspiration is a two way street, and he who offers me the knowledge that my actions have inspired him, inspires me to do more.
SO 25 tasks, IN THE BAG...And week one up and over here on GeeQtv... I tell you, there's a lot in store. If you haven't been keeping track, there are 10 tasks on my list which require action 25 times throughout this year. That's over 250 separate episodes, for only 40% of the tasks I have to complete. That's not counting Fear and Dance which should be quite a few episodes on their own... And it's all already underway. If you live on Oahu, keep an eye out for the Orange beanie... if you ask, I'll be glad to put you up on GeeQtv... And don't forget to hit that subscribe button people.
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