Monday, March 28, 2011

Catholics,Baptist, Evangelicals etc-is type 2 diabetes a sin

Catholics,Baptist, Evangelicals etc-is type 2 diabetes a sin?
Are people who have this sinning and their illness is caused by their sin,and not due to pathology for Gods glory(when things get fixed to glorify God with new technology etc), because this diabetes is heavily linked to lifestyle choices like being overweight and eating unhealthy sugar filled foods etc and it isnt purely genetical either because people who move to places like America develop it more then their genetic groups who didnt move and remained in the old country. So is diabetes 2 sin? http://en.wikipedia.org/wiki/Diabetes_mellitus_type_2
Religion & Spirituality - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
no
2 :
No, but we are what we eat.
3 :
Many thin people have diabetes 2. I am struggling with pre-diabetes blood sugar levels, despite being in the healthy weight range, and am very careful with my diet and eating patterns. Disease is mostly from living in our Satan-ruled world.
4 :
Behavior, such as gluttony or sloth, which may be factors in developing the condition could be sinful, but not the actual disease itself. ". . . receiving in themselves the recompense which was due to their error." Romans 1: 27 Not to point fingers at anyone; I love food myself.




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Thursday, March 24, 2011

PREGNANCY DIABETES. PLS HELP.

PREGNANCY DIABETES. PLS HELP.?
OGTT RESULTS? Cant understand it.? Patients Fasting Blood Glucose Level : 79.0 mg/dl Blood Glucose after load: at 60 mins = 133.mg/dl at 120 mins = 120.0 mg/dl at 180 mins = 100 mg/dl here is what it says on the result: CRITERIA FOR DIAGNOSTIC INTERPRETATION : Presence of 2 or more of the following abnormal serum glucose values: (1> 95 mg/dl FBS; 2>180mg/dl at 60 min after glucose load; 3>155mg/dl at 120 min after glucose load; 4> 140 mg/dl at 180 min after glucose load0 qualifies for the biochemical diagnosis of Gestational Diabetes Mellitus. Patterns of glucose level abnormality other than the aforementioned criterion indicate Impaired Glucose Tolerance i couldnt understand the result sheet that i received since i havent forwarded the results to my doctor. and i will give it to her on monday. can you explain it to me? thanks a LOT!
Pregnancy - 1 Answers
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1 :
Your fine I just got my results and my fasting was 85 my 60 min was 140.. my doc said im in the clear.




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Sunday, March 20, 2011

Did you know that Diabetes is a risk factor for complications in Gastric Bypass

Did you know that Diabetes is a risk factor for complications in Gastric Bypass?
Spectrum and Risk Factors of Complications After Gastric Bypass This Article •Abstract •PDF •Send to a friend •Save in My Folder •Save to citation manager •Permissions Citing Articles •Citation map •Citing articles on HighWire •Citing articles on ISI (5) •Contact me when this article is cited Related Content •Related article •Similar articles in this journal Topic Collections •Public Health •Obesity •Bariatric Surgery •Gastrointestinal/ Upper Foregut •Alert me on articles by topic Social Bookmarking Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati What's this? Spectrum and Risk Factors of Complications After Gastric Bypass Guilherme M. Campos, MD, PhD; Ruxandra Ciovica, MD; Stanley J. Rogers, MD; Andrew M. Posselt, MD, PhD; Eric Vittinghoff, PhD; Mark Takata, MD; John P. Cello, MD Arch Surg. 2007;142(10):969-975. ABSTRACT Objective To study the spectrum of and risk factors for complications after gastric bypass (GBP). Design Prospective cohort study. Setting Academic tertiary referral center. Patients All morbidly obese patients who underwent open or laparoscopic GBP between January 2003 and December 2006. Main Outcome Measures Complications were stratified by grade: grade I, only bedside procedure; grade II, therapeutic intervention but without lasting disability; grade III, irreversible deficits; and grade IV, death. Data were analyzed using logistic regression to identify independent risk factors of complications after GBP. Predictors investigated were age, race, sex, marital and insurance status, body mass index, obesity-associated comorbidities, American Society of Anesthesiologists Physical Status Class, operating room time, open or laparoscopic approach, and surgeon experience. Results Of the 404 morbidly obese patients who underwent consecutive open (n = 72) or laparoscopic (n = 332) GBP, 74 (18.3%) experienced 107 complications. Grade I and II complications were more frequent after open GBP (grade I, 19.4% after open vs 3.9% after laparoscopic operations, P < .001; grade II, 20.8% after open vs 8.4% after laparoscopic operations, P < .001), and 55% were wound related. Grades III and IV complications occurred in only 4 patients (1%), and frequency was similar for open and laparoscopic cases. Three factors were independently predictive of complications: diabetes mellitus (odds ratio [OR], 1.9; 95% confidence interval [CI], 1.1-3.3; P = .02), early surgeon experience (OR, 2.5; 95% CI, 1.4-4.2; P = .001), and open approach (OR, 3.9; 95% CI, 2.1-7.3; P < .001). Conclusions Complications occurred in 18.3% of patients, but 95% were treated without leading to lasting disability. Presence of diabetes, early surgeon experience, and an open approach are risk factors of complications. There is also 58% increased chance of suicide among GB recipients. NIH complication rate from 20-40% New Jersey study 10% surgery for bowel obstruction Acute Kidney function problems 8.5%
Diabetes - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
I'm not suprised..DM complicates and is a risk factor for many things
2 :
The one response states the truth quite clearly - diabetes is a risk factor for many things. Physicians take into account risk versus benefit. It is a risk for you to drive to work - but the benefit outweighs the risk because the risk is small. With diabetes the benefits of gastric by-pass and gastric lap-banding are tremendous. A reduction in adverse health consequences - most especially cardiovascular events - improved quality of life - and perhaps most importantly a longer life. There are risks and the risks are often difficult to establish with precision. Overall - however - the risks are quite small. Physicians tend to report risks in one of two manners - hazards ratio and absolute numbers. Hazards ratios (or odds ratios) are too often misleading. For example a study might report a hazards ratio of 1.2 meaning that the risk for a diabetic is 1.2 times that of a non-diabetic. That may sound significant but in clinical terms it is small. When studies provide absolute numbers the risk is easier to understand and just how small the risk is may be more easily seen. The increased risk of diabetics undergoing gastric by-pass or gastric lap banding is overall less than 1%. You report a hail-storm of numbers but even physicians are typically not able to determine the statistical analysis of a study - so expecting readers in this forum to make sense of it is not realistic. Multiple medical studies have determined that only about 20% of physicians are able to understand the statistical analysis of any given study. Having taught 'Interpretation of the Medical Literature' and having written a book on this subject I would suggest that the estimate of 20% is high. The 20% figure was obtained by asking physicians if they felt that they were able to understand the literature not actually having them read and comment on articles. You raise too many different statistical techniques to comment on all of them. I am not certain if you are trying to educate readers that gastric by-pass and gastric lap-banding are safe or if you are trying to state the opposite. The medical literature is clear and consistent in its conclusion that the benefits of surgery far out-weight any risks for diabetic questions. If you have specific questions about the statistics that you have reported please email me at johnerussomd@jhu.edu. I wish you the very best of health and may God Bless.
3 :
There have been like a million gastric bypass patients since 1980 and you can only find testimonials from people 1 or 2 years into the mess. This surgery is no good long term, It GIVES YOU MALABSORPTION OF VITAMINS AND MINERALS WHICH INEVITABLY WILL SHORTEN YOUR LIFE, plus all the kidney, bowel obstruction, strictures, seizures out of electrolyte imbalances etc... It's no picnic to have this done I WOULD NOT WISH THIS SURGERY ON MY WORST ENEMY.
4 :
Diabetes complicates everything. Even the smallest cut takes a longer time to heal. That's why it's so important to be "pro-active", be careful about what we eat (hate the word diet) and we must exercise and move.





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Wednesday, March 16, 2011

How many bottles of beer is allowed per week for hypertensive diabetic person

how many bottles of beer is allowed per week for hypertensive diabetic person?
I am hypertensive 130/90 and suffers from diabetes mellitus II 240. Am i allowed to have alcoholic drinks and how many can i take in a week? is wine better? how much am i allowed to have?
Other - Diseases - 7 Answers
Random Answers, Critics, Comments, Opinions :
1 :
you shouldnt have any really, there is so much sugar in beer that every beer you drink is putting more strain on your diabetes. that said we are a long time dead, so maybe 1 or 2 a week as a special treat may do more good psychologically than harm, but check your blood level after the beer and the reading will show approx how well/or not well your body is reacting to the alcohol.
2 :
You have high blood pressure and diabetes. If you drink it will make your sugar soar. That on top of the heart problem makes you a walking heart attack. Dont chance it. Drink pop and be a designated driver. People will love you for it and you will live longer.
3 :
NONE and I would be curious to know what kind of Dr will tell you that you can. Alcohol affects the pancreas which is already compromised. Alcohol also affects the heart muscle as well and since you already have high blood pressure I can't imagine this being a good thing for your heart either. The calories from alcohol will certainly affect your caloric count. You are already struggling so why add the problems of alcohol? Talk with a Diabetic Nutrionist and see what they say.
4 :
If you were just hypertensive I'd say a beer a day actually. Why? Harvard did a study - so did the AHA - and people with heart issues / high blood pressure actually respond quite well to LOW (one beer per day, one shot per day) daily alcohol consumption.. As a matter of fact, so do healthy people. The diabetes thing though.. I would not drink at all. Especially not beer. Beer has too many calories and too much simple carbs in it for a diabetic.. But if you have to drink anything, I would suggest something like a half shot / threefourths shot of vodka (not rum, not tequila, not a liqueur) mixed in a NO-SUGAR drink (like diet soda) twice maybe three times a week. Before I'd make your alcoholic drink a regular thing though, I would test to see how your sugar levels respond to it like the person before suggested. If you respond badly, I'm sorry, tough break.. You asked is wine better? For someone with heart issue yes. For you, with diabetes, again.. SUGAR IS BAD :)
5 :
One standard drink (285 ml of 4.9% alc/vol beer), with a meal/day, and up to 6/week, but choosing to have less is better. Cut out salt and reduce salty foods to a minimum, replace with salt substitute (a mix of potassium chloride and ammonium chloride, from supermarkets, near table salt), and have more sweet & sour, hot 'n spicy, and curries. A little IODISED salt is OK, but no more than 5% of the amount of salt substitute. After a while, you will adapt.(Moderate exercise daily, too). Monitor your blood sugar levels closely, to ensure you can tolerate the alcohol: it may cause spiking in your levels.
6 :
For a non-insulin dependent diabetic, drinking is playing russian roulette with your health. Any alcoholic beverage alters the chemical makeup of your system and will react adversely to any medications you are taking. If you are insulin-dependent, and do not take any other meds ... you might get away with drinking one small cocktail per day... but I don't recommend even that because the cycle of drinking and dosing with insulin to counteract the effects is difficult for your body to overcome. If you have to drink Something, just do juices or non-alcoholic versions of cocktails. Sheesh, even a little orange juice with Seven-Up will work.
7 :
I have read the answers you already have and most seem to offer good advice, however, one thing that none have them have mentioned is how YOU feel... I have been a diabetic for 42 years (I'm 62 now) Diabetic treatments have changed over this period and I have had several changes in my treatment. The most important thing for you to remember is that ALL food and drink that contains carbohydrate is to be considered as part of your diet. So if you were to have beer, whether on a daily, weekly or even yearly basis, you should count the carbohydrate it contains as going towards your total carbohydrate intake for that day. Doing this will help avoid the high blood sugar levels that can occur with heavy intake. You don't say how old you are, so your 130/90 blood pressure is only high if you are fairly young (If mine was 130/90 I'd be dancing for joy!) Any alcohol can raise blood pressure so you do need to be careful if you have been diagnosed as having high blood pressure. It is possible to lower blood pressure by eating wholegrain foods (and avoiding certain others) and by the use of essential oils, such as ylang-ylang which are used in relaxing massage oils and/or bath oils. They are effective and you should be able to buy these wherever you live (if you have problems, e-mail me and I'll let you know where you can buy them) Back to the beer. Most people (doctors included) will tell you to avoid alcohol. It's good advice and you should listen. However, I know that is not always the easiest thing to do and there is a very real human need to feel you are enjoying your life as much as the next (non-diabetic) man. Provided you count the carbohydrate content towards your total diet the carbohydrate should not adversely affect your diabetes. The alcohol will raise your blood pressure but if you keep total (and binge!) quantities low it IS possible to keep healthy and still drink. Moderation is the key. Personally I am quite happy with alcohol-free beer, which tastes pretty much the same as normal beer, and I don't need alcohol to make me happy. As another answerer suggested you are also popular as you are always sober to drive everybody home. I think there is a danger in looking for a 'number per week' total, which would soon become the minimum and eventually get lost in memory. The best person to talk to about this problem is your doctor or diabetic specialist, explain thoroughly why you need to have at least some drink. They are all people, too and they are not (well not ALL) spoilsports who's only wish is to see you miserable. (A little joke here about someone who was told he could live till he was 90 if he didn't drink, smoke, eat fried food, etc., he said 'Who the hell wants to?') Enjoy your life, you may find, after a while, that the strong desire for beer becomes less and if you try the ylang-ylang your hypertension may improve. Good luck, BobSpain





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Saturday, March 12, 2011

Are autoimmune diseases more common in men than women

Are autoimmune diseases more common in men than women?
Multiple Sclerosis, Myasthenia gravis, Graves' Disease, Type 1 Diabetes mellitus, SLE, and Rheumatoid Arthrits. I am not talking about AIDS statistics, AIDS is not an autoimmune disease.
Other - Diseases - 2 Answers
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1 :
I specialize in autoimmune problems as well as eating disorders. Here are the facts: they are about equal in nature for who gets them. Some "diseases" are still in recess as to whether they are really autoimmune disorders or not, like fibromyalgia. Also in the autoimmune disorder category are Celiac sprue and Addison's. Now Addison's is more geared more toward males then females (which I find fascinating.)
2 :
Statically ,they are more common in women, but more and more men are being diagnosed. Though I am female and have several, my father and son both have one autoimmune disease .http://www.nlm.nih.gov/medlineplus/autoimmunediseases.html There are a bit over 100 of these diseases.





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Tuesday, March 8, 2011

How likely is it for me to have diabetes

How likely is it for me to have diabetes?
for most of my childhood, I had a very unhealthy diet. when I got into high school, I began eating healthier....only water, very little sweets, nothing fried. towards the end of high school, I became a vegetarian. I'm twenty years old now, and I'm still a vegetarian and I eat very little dairy (I'm borderline vegan). I also workout. I've been eating extremely healthy latley. there is no diabetes in my family, but I was reading the symptoms of diabetes mellitus and I've had some of those symptoms. such as heart palpitations, tingling in the feet (not all the time, but every once and a while), I've been getting headaches a lot for the past year or so (but I'm doctor said they are tension headaches), I get lightheaded sometimes, and whenever I eat something really sweet my stomach feels weird....although I don't know if that really matters. I almost never get sick. I will catch a cold maybe once or twice a year that will last for a couple of days and then go away.
Diabetes - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
All those symptoms could come from other conditions, not necessarily diabetes. But there's a very simple answer to your question: ask a doctor to order a blood test for you. It's as simple as that. If you have your blood drawn first thing in the morning, on an empty stomach, with having no food, alcohol, or water the previous 12 hours, it will show you your blood glucose reading. If your fasting blood glucose is higher than 125, you have diabetes. Simple as that. If your fasting blood glucose is between 70 and 110 you are normal.
2 :
I don't find it very likely at all that you are diabetic. The symptoms you describe are more probably a deficiency of vitamin D and Vitamin B12. Those are very easy to alleviate. Vitamin D3, 400 caps, 5000 IU at Sam's Club are about $10. B12 would be a little bit more. I appreciate your change in diet. My two oldest granddaughters are vegetarian. Ages 18 and 16. One thing I've tried to emphasize with them is the value of a healthy vegetarian lifestyle. A short, six minute video, by Dr Joel Fuhrman has a chart of the most nutrient dense foods. He says that most vegetarians get most of their calories from grains and oils, and that can't be a healthy diet. They are also symptomatic of aspartame poisoning. If you are using diet foods, eliminate them for 30 days and see if the symptoms go away.
3 :
not likely
4 :
Your symptoms are not at all suggestive of diabetes. Type 1 diabetes typically presents with increased appetite, weight loss despite increased intake, increased thirst, increased urination, and feeling quite ill. Type 2 diabetes typically presents with vague or no symptoms at all. I do not know what you were reading buy palpitations are not associated with diabetes and in fact are quite common in perfectly healthy individuals. Occasional 'tingling' in the feet is of very doubtful significance. Your headaches have been assessed by your physician and the diagnosis was tension or 'muscle' headaches not diabetes. Occasional lightheadedness is common. If you are not accustomed to 'sweets' they may cause you to feel unpleasant. It sounds as if you are quite healthy and that your physician has assessed your circumstance and found no cause for alarm. If I may be of further assistance please let me know. I wish you the very best of health and in all things may God bless.





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Friday, March 4, 2011

Renal biopsy d/t diabetes type 1 mcq

renal biopsy d/t diabetes type 1 mcq?
A 30-year-old woman has had type 1 diabetes mellitus for 15 years. She develops proteinuria and acute renal failure. Which of the following would a renal biopsy most likely show? A. Fusion of podocyte foot processes in otherwise normal-appearing glomeruli B. Hyperplastic arteriolosclerosis C. Linear IgG deposits along the basement membrane D. Ovoid hyaline masses in the periphery of the glomerulus E. Periodic acid-Schiff (PAS)-positive, electron-dense deposits distributed along the epithelial side of the capillary basement membrane i believe it's e, b/c diabetics tend to form schiff base sugars that attach to proteins . i don't seem to think that this is a bad section for a problem....i know plenty of med students who use this...as there are docs, phds, and smart ppl (like myself) who want to study for step 1 but am only in my first semester...some of the questions i don't know since i haven't yet taken patho..BIG SHOCKER I KNOW. calm down and if you don't know the answer, don't answer.
Diabetes - 4 Answers
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1 :
This would be better in some other section. It is scary that nurse and med students use Yahoo Answers to help them study!!!
2 :
A! I bet you use Wikipeda too!
3 :
[PDF] American Diabetes Association Self-Assessment Program http://www.proevalinc.com/medical/diabetes/ADASAP2.pdf
4 :
If you want to make this woman's life better she needs to get a reality check of her sugar levels. Minimum of 6 finger sticks a day to start with. My guess is she does the I feel fine tests and she woofs down donuts when she feels shaky. The body gets used to the higher levels of sugar and when they think they are having a reaction, which is actually a false reaction, they eat. Sending sugar levels up to a dangerous level and leads to larger problems. With out blood tests she has no idea where she really is. If I'm right, she would be better off with a twelve gauge needle. Ask for Mr. Smith or Wesson.






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Tuesday, March 1, 2011

Type I or II Diabetes

Type I or II Diabetes??
Time after carbohydrate meal (minutes) 0306090120 A4.17.97.47.04.0 B11.017.319.617.715.5 Blood glucose in mmoles/L Urine Test Sugar??Ketone Bodies?? ANegative0 B+++1.5 pm/L I know patient B is suffering from diabetes mellitus but is it type I or II and why?? yep have found an insulin result Patient A= 5.5 ng/ml Patient B= 0.22 ng/ml So Patient B is a Type I diabetic. Thanks for your answers.
Diabetes - 3 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Umm ... B may be a type 1. Did "B" take insulin with their meal? What kind? It seems to me that a type 2's insulin would be released more quickly (since their pancreas still produces) so the sugars wouldn't peak that high that fast. Those numbers look like something my daughter would get ... though if she's at 279 at the end of 2 hours then she's not getting enough insulin. This is my totally uneducated opinion :o) I'm not sure you're going to find anyone in this forum that can help you with your homework. --edit-- Mr Peachy, a type 1 does eventually come back down without insulin. The sugar comes out with their urine, that's why there's increased urination and thirst. It just doesn't come down fast enough, and usually not far enough.
2 :
Could be type two since the numbers seem to be coming back down. Not enough info to tell for sure. If the patient were a type one and wasn't treated, it would probably continue upward. The reason is, a type two produces insulin which, despite it not working all that well, will eventually bring the glucose levels down. An untreated type one has no insulin to bring the levels back to normal. Either way, this patient needs help.
3 :
You will need to know this if you are to work with diabetics. You must really understand what you are learning. B is a Type 1 because: -The very high sustained elevated blood glucose readings. -Positive urine ketones -Low insulin levels. Research autoimmune Type 1 diabetes to learn WHY this occurs, and how it is different from Type 2 diabetes.






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