Showing posts with label Blood Sugar Control. Show all posts
Showing posts with label Blood Sugar Control. Show all posts

Diabetes is a major health concern, with type 2 accounting for between 85 and 95% of all people with the disease. Type 2 diabetes, then, affects wellness in a big way, but a new pill looks set to change all that. The breakthrough treatment works to slash blood sugar levels and offers hope to the wellbeing millions of diabetes sufferers. And, if you’re thinking we’re talking about a “promising study” or “preliminary finding”, think again: the pill has now been launched in the UK.


 


 


According to wellness writer Jo Willey, ‘The breakthrough treatment is being unveiled at the same time that the drug watchdog has recommended it for use on the NHS. Experts say the drug, canagliflozin, which is taken once a day, is a vital new weapon in the battle against the Type 2 diabetes epidemic and its devastating complications. It reduces blood sugar levels in people for whom diet and lifestyle measures or other blood sugar-lowering medicines do not work well enough, say the manufacturers Janssen. The drug, also called Invokana, blocks the re-absorption of glucose in the kidneys, which is instead passed in the urine.’


 


Professor Anthony Barnett, Emeritus Professor of Medicine at the University of Birmingham, commented, ‘We are seeing a growing number of people with Type 2 diabetes which can have the extremely serious consequences of heart attack, stroke, blindness, kidney failure and amputations. Canagliflozin, which can offer patients significant reductions in blood sugar levels whilst not increasing risks of hypoglycaemia (low blood sugars), represents an important new option in the management of a major UK epidemic.’ The National Institute for Health and Care Excellence (Nice) has given the pill a preliminary positive recommendation, and so the medication could be available within months.


 


In the Nice draft guidance, canagliflozin was said to be “useful” and recommended for use by some NHS patients with Type 2 diabetes when used in combination with other anti-diabetic drugs. Professor Carole Longson, of Nice, pointed out that ‘Type 2 diabetes can be difficult to treat and most people will eventually require a number of drugs, often used simultaneously. Canagliflozin represents a useful addition to the armoury of anti-diabetic drugs available. Nice is pleased to be able to ­recommend its use for some people with Type 2 diabetes.’ Dr Peter Barnes, the medical director at Janssen UK, added, ‘With the relentless increase in Type 2 diabetes, there is an ongoing need for additional treatment options. Not only does canagliflozin provide a new once-a-day oral treatment to help control blood glucose levels, it offers real value to the NHS.’


 


When your wellbeing is affected by type 2 diabetes, this means that your sugar – glucose – levels in your blood have become too high. The chronic disease is associated with 24,000 excess deaths each year, mainly from cardiovascular disease. In the UK, 3.2 million people are diagnosed with diabetes, and type 2 accounts for between 85 and 95% of all people with the disease. Your body develops type 2 diabetes when it can no longer produce insulin, or when the insulin that your body does produced does not work properly.


 


Typically, type 2 diabetes is treated with a healthy diet, increased physical activity and medication, but this doesn’t always prove effective. The National Diabetes Audit found that more than one in three patients with Type 2 diabetes in England and Wales are currently failing to achieve recommended blood glucose levels. Simon O’Neill of Diabetes UK noted, ‘Developing new treatments that give people more choice about how to manage their condition effectively are really important and so we look forward to seeing the results of the Nice consultation.’

Sexual dysfunction is a health concern for any man, but particularly if you have diabetes. Though it commonly occurs in diabetic men and women, sexual dysfunction often goes under-reported and unacknowledged by both patients and physicians, who are reluctant to discuss such personal wellness issues. However, it has been well established that diabetes plays a major role in your sexual functioning, and the good news is that taking care of your blood sugar – as you do to prevent diabetic complications to your kidneys, eyes, nerves, feet and heart – can also help you to lead a normal sex life.


 


There is a vast wealth of research to show how diabetes affects your sexual wellbeing. If you’re a man, the most likely problem you’ll experience is erectile dysfunction (ED), meaning you can’t achieve or maintain an erection. The evidence suggests that 35-75% of diabetic men are affected by ED, which is a big leap from the 26% of the general male population who are likewise afflicted. Plus, your diabetes means you’ll likely gradually develop ED 10-15 years earlier than your non-diabetic counterparts. This is because poor diabetes control causes autonomic neuropathy, which is a major cause of ED, as well as blocking up your arteries with plaque, which impedes blood flow to your penis and, as a result, an erection.


 


If your diabetes is indeed causing sexual problems – which your doctor can confirm – there are preventative measures you can take:


 


1. Improve your blood sugar control


2. Lower your blood pressure


3. Reduce your stress levels


4. Quit smoking


5. Reduce your alcohol intake


 


Your doctor can help you with these five measures, and you can also find great resources online. However, while you’re in the doctor’s office, remember to discuss medications. These can include oral agents or testosterone patches and injections, if your low testosterone levels are the primary cause behind the ED. Another viable option is mechanical therapy, which involves vacuum-assisted erection devices and penile prosthesis, but everyone should consider psychotherapy. ED can take its toll on your mental health, as well as your partner’s, so it’s really beneficial to talk it through with a professional.

Type Two Diabetes Is A Killer But You Can Avoid ItMedical experts have warned Singaporean diabetics that they need to take better care of their wellbeing during Chinese New Year celebrations. Communal feasting is a big part of the holiday, but the sugary foods that this involves could have a damaging impact on diabetics’ wellness.


When you have diabetes, it means that you have excessive levels of sugar (glucose) in your blood due, either because your body cannot produce enough insulin or it is unable to use insulin properly. This makes it difficult for your cells to absorb the glucose they need for fuel, which means you ten to have spikes in your blood glucose levels. Therefore, diabetics have to be extremely careful with how much sugar they have in their diet.


Dr Goh Su-Yen, Head and Senior Consultant, Department of Endocrinology at Singapore General Hospital (SGH), says, ‘Uncontrolled diabetes may cause serious complications and affect your heart, kidney, nerves and eyes. If you are diabetic, watch your blood sugar levels closely during Chinese New Year, especially when you are out visiting.’ This is advisable because Chinese New Year goodies, such as pineapple tarts, kueh bangkit, love letters, and peanut cookies are staples in every household that celebrates the festival, but they are also highly refined carbohydrates and loaded with sugar.


Even if you were to only have a small portion of three or four of these delicacies, you could end up consuming 100g of carbohydrates and sugar. When you think that the average person visits three houses in a day during the festival, you could end up exceeding the Singapore Health Promotion Board’s recommended daily sugar intake limit, by five to seven times over. Even in healthy individuals, the recommended amount of sugar in your diet should be a maximum of 10% of your total calories.


However, regardless of whether your carbohydrates contain starch or sugars, these too will affect your blood sugar levels. This means you need to keep an eye on the total carbohydrates you eat during the day, and take extra care with more refined carbohydrates (such as sugars), because these will release the glucose into your blood stream faster, causing a surge in your blood sugar levels. Kala Adaikan, Principal Dietician at Singapore General Hospital, adds, ‘We should also be mindful of total calorie intake. Excessive calorie intake regardless of source (carbohydrate, protein or fat) will result in unwanted weight gain. It is advisable to limit your intake of these festive goodies.’



 



Celebrating? Handle Your Diabetes during Major Holidays