Normal Blood Sugar Level Charts
Source: Uploaded by taulandi on Jan 4, 2010 to YouTube
http://www.all-about-beating-diabetes.com/normal-sugar-blood-level.html
After you notice diabetes symptoms, your next step is to measure your diabetes blood sugar levels. Your doctor will prescribe you HbA1c test.
Children of the Corn Syrup: lecture by Dr. Stephen W. Ponder
Source: Uploaded by delmarcollege on Jun 24, 2009 to YouTube
Dr. Stephen W. Ponder , MD, FAAP, CDE is the director of the Childrens Diabetes and Endocrine Center of South Texas at Driscoll Children‘s Hospital. Dr. Ponder delivered his presentation on children and obesity, “Children of the Corn Syrup,” as part of the Friday Science Lecture Series at Del Mar College on March 7, 2008
The Super Diet For Type 2 Diabetics: The 5 Foods: ABC TV Interview
Source: Uploaded by diabetesengineer on Aug 7, 2009 to YouTube
http://www.deathtodiabetes.com Author of “Death to Diabetes” discusses his Super Meal Diet for Diabetics that helps to achieve blood glucose stabilization and proper insulin levels; shows examples of the Super Meal Model; also discusses who’s smarter: God or man.
The Diabetes Watch
By Martin Tobias
The world is currently in the grip of a diabetes epidemic. A recent major study by Majid Ezzati and colleagues from Imperial College London and Harvard University found that the number of adults with type 2 diabetes increased from an estimated 153 million in 1980 to 347 million in 2008. The number could be 370 million today.
Every region of the world is affected, although the epidemic is growing most rapidly in Oceania and least rapidly in East Asia. Globally, the type 2 diabetes epidemic has been growing in lockstep with rising obesity levels.
This is not surprising – an increase in body fat and a decrease in physical activity are the direct causes of type 2 (as opposed to type 1) diabetes. In fact, much of the health effects of obesity and physical inactivity are mediated through diabetes.
These health effects are serious. Diabetes already is the major cause of kidney failure, blindness, and lower-limb amputation in many countries, and a major cause of heart attacks and strokes.
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Despite this, surveillance of diabetes remains relatively undeveloped throughout the world, even in high-income countries. Public-health surveillance is “the ongoing systematic collection, analysis, interpretation, and dissemination of health data for the purpose of preventing and controlling disease” – in short, information for action.
There is nothing in this definition that restricts surveillance to communicable diseases, yet in practice this has generally been the case. The reasons are not hard to find. Communicable disease outbreaks occur over days to weeks (or at the most, months); the danger is “clear and present”; and prevention and control generally requires intervention by the state – the quarantine of victims, tracing and immunization of contacts, or elimination of environmental sources of the infectious agent.
The situation regarding chronic diseases like diabetes is very different. The epidemic happens silently over years or decades; the danger is either not recognized or not considered avoidable; and action is often seen as the responsibility of the individual (lifestyle modification) or health-care system (pharmaceutical prescription), rather than the state.
Yet effective chronic disease surveillance can save lives. If disease trends are monitored, along with patients’ responses to treatment and the population’s exposure to risk factors, the success or failure of policies designed to prevent or control chronic diseases can be evaluated, resource allocation can be rationally prioritized, and the public can be kept fully informed of the risks that they face.
Recognizing this, in December 2005 the New York City Board of Health mandated the laboratory reporting of test results for glycosylated haemoglobin (HbA1c) – a biomarker for diabetes and a key indicator of blood glucose control – thereby creating the world’s first population-based diabetes registry. Mandatory laboratory reporting of HbA1c results (along with basic demographic data) for a defined population (New York City residents) allowed New York’s Department of Health to monitor trends in diabetes prevalence, assess testing coverage, and examine health-care use and glycemic control of residents living with diabetes.
Beyond these population-based surveillance functions, the registry was able to support patient care by ensuring that individual health-care providers and patients were made aware of elevated or rising HbA1c levels. Both the patient-support function and the surveillance function required use of a unique patient identifier, so that letters could be mailed to patients and tests from the same patient could be linked over time.
In 2009, Thomas Frieden and colleagues from the New York City Board of Health reviewed the registry’s first four years of operation and concluded that it was performing well. Getting all laboratories to report regularly and completely, however, proved challenging and not all health-care providers and patients proved willing to participate.
The Board of Health’s initiative has been widely praised as exemplifying the application of classical communicable-disease surveillance-and-control tools to a chronic disease. Other commentators, however, have criticized the registry for potentially compromising patient confidentiality and privacy, and even for disrupting the relationship between patients and their doctors.
While these criticisms may or may not be justified, it is probably true to say that the New York City diabetes registry, though highly innovative, is at best an interim solution. Rather than relying on laboratory reporting of a single biomarker, an ideal chronic-disease surveillance system would extract all necessary data directly from the patient record.
Any diagnosis of diabetes, or subsequent monitoring of disease progression, requires a medical consultation and hence an entry into the patient record – and so into the practice’s patient-management information system. Logically, the surveillance system should operate by extracting the entire subset of data required for surveillance purposes from each health-care provider’s patient management information system (“front-end capture”).
This data would then be securely transferred (electronically) to a suitable data warehouse. After appropriate cleaning (checking for missing data, correcting coding errors), and cloaking, the data would be available for access and querying. Given appropriate statistical analysis and careful interpretation, useful reports could be generated for surveillance purposes and, if desired, for patient-care support as well (using encrypted unique patient identifiers to preserve confidentiality of personal information).
In view of the rising burden of diabetes and other chronic diseases throughout the world, urgent attention must be devoted to strengthening surveillance systems for non-communicable diseases at all levels – from local practices to global institutions.
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ABOUT Martin Tobias
Martin Tobias is a public health physician in Wellington, New Zealand.
Source: Nation of Change
Controlling Diabetes One Day at A Time
Source: Uploaded by PalomaHomeHealth on Nov 4, 2009 to YouTube
This video is for patients newly diagnosed with type 2 diabetes.The program covers basic information on disease management.It also explains the importance of regular check-ups,controlling sugar,eating healthy portions and exercise.
Better Management Of Diabetes With Diabetesdek
By: Adam s casper
If you have a child or teen that faces problems managing and coping with diabetes the latest edition of the easy to read and informative Pediatric DiabetesDek is now available. It contains useful and up-to-date information about better managing life with diabetes.
The Pediatric DiabetesDek contains reliable and practical how to information about coping with the challenges of living a life affected by type 1 diabetes. The Pediatric DiabetesDek helps families that have a child or teen with type 1 diabetes better understand their special needs. It facilitates standing up to the stress and challenges of such situations.
The Pediatric DiabetesDek contains valuable information that helps family members control the diabetes of their loved one. It is not uncommon for diabetics to suffer from conditions such as ketoacidosis or hypoglycemia. The information available helps you better deal with such potential emergencies.
The Pediatric DiabetesDek provides in-depth information about the various types of diabetes such as type 1, type 2, monogenic, and gestational diabetes. It also tells you how they are connected and why it is important to have all the data possible about such conditions.
You can share correct information with a friend or a family member about the importance of maintaining the right levels of blood glucose and how exercising regularly and eating the right type of food can help them mitigate the risks associated with pediatric diabetes.
The Pediatric DiabetesDek explains in great detail and in lucid language, the various crucial aspects of diabetes management. It describes in detail the role of insulin in diabetes management and other important aspects of using insulin such as an insulin regime, the dosage that needs to be administered for effective treatment as well as the different types of insulin available for treatment of various types of diabetes.
The Pediatric DiabetesDek will also point out some proper foods to eat and the appropriate serving sizes. This useful information will help you help your loved ones manage their weight.
Diabetes is a health condition that requires intense care and proper health management on all fronts. The information provided in the Pediatric DiabetesDek describes how you can provide children and teens with much of the care they need. It helps address crucial issues such as managing depression, and long term health concerns such as stroke and heart related diseases.
Article Source: http://www.articlesnatch.com
About the Author:
Welcome to InfoDek, A Professional pediatric diabetes guide for your family to manage and control diabetes in children and teens. DiabetesDek publications are pocket sized booklets that contains useful advice and information regarding diabetes.
Can Diabetes be Cured?
Types Of Diabetes
There are two types of diabetes: Type 1 diabetes and Type 2 diabetes.
Type 1 diabetes includes individuals dependent upon insulin to prevent ketosis (abnormal accumulation of ketones in the body as a result of a deficiency or inadequate utilization of carbohydrates). A keytone is an organic compound having the group -OH- linked to two hydrocarbon radicals.
This category (Type 1) of diabetes is also known as the insulin-dependent diabetes mellitus (IDDM) subclass and was previously called juvenile-onset diabetes.
Type 2 diabetes deals with non-insulin dependent diabetes mellitus (NIDDM).
These categories of diabetes were conveniently and strategically created by the National Diabetes Data Group of the National Institute of Health. When you see or have the word institute, you should see the connection to the word institution. When you want to perpetuate a thing, you institutionalize it. That’s why the United States is full of institutes (research centers and foundations) for various degenerative diseases.
Diabetes is predicated upon lack of insulin secreted by the cells of the pancreas. Knowing this alone can help us to heal from diabetes. So, what is insulin? Insulin is a naturally occurring hormone secreted by the beta cells of the pancreas in response to increased levels of glucose in the blood. Now look at this truth hidden in the medical definition of insulin. Insulin is naturally occurring. Naturally pertains to Nature! So-called diabetics have deviated.
The following are the components to the disease called diabetes: 1. Insulin (a hormone) 2. Hormonal or endocrine system 3. Pancreas (gland, organ) 4. Digestion, 5. Digestive enzymes 6. Sugar in the blood (blood sugar level) 7. Conversion of sugar into heat and energy.
The major problem with diabetes pertains to the gland called the pancreas, which in so-called diabetics does not secrete insulin. This is a hormone secreted into the bloodstream along with digestive enzymes which regulates blood sugar levels and aids in digestion.
All internal glands that are secretory (function of secreting) in nature have a duct. That duct in so-called diabetics is clogged! Why? Because of the hardened mucus around it! The pancreatic duct is covered with dried and hardened boogers (mucus) that prevents secretion of insulin. So-called diabetics are eating things with sugar (unnatural, man-made sugar to be specific) or things that break down into sugar (i.e. complex carbohydrates). Because the pancreas is unable to secrete insulin into the bloodstream to regulate the sugar in the blood and it is also unable to convert the sugar into energy, the blood sugar levels go very high and the unconverted/unburned sugar converts into FAT. This explains the obesity factor in diabetes. What medical doctor with a college degree can or will elucidate diabetes to the degree as explained above? The word doctor derives from the Latin word docçre which means to teach.
Most medical doctors will never teach you what causes your health problem or pathology and how to fix it for fear of losing a good-paying client. Because the so-called diabetic cannot convert sugar into energy, they convert the sugar into fat causing obesity. This is linked to a nonfunctioning colon that is compacted with excessive fecal matter and waste that causes the colon to protrude, even to the point of now pressing against the already nonfunctioning pancreas. The problem is now exacerbated.
In addition, excess fat in the body greatly hampers bodily circulation, which is why so-called diabetics have poor circulation. The condition of poor circulation prevents blood, oxygen, and minerals from circulating throughout the body, mainly to the extremities (hands and feet), especially in the feet, which causes the legs of so-called diabetics to turn gangrene blue. And what does your beloved and entrusted doctor do for the poor circulation? He/she prescribes pharmaceutical grade drugs! And what do these drugs do? They make the body MORE acidic than it already is. These pharmaceutical drugs, especially the synthetic insulin these doctors prescribe, greatly inhibit circulation, even to the point of thinning the blood (i.e. the drug Coumadin) causing a STROKE!
I know what I’m talking about People because I have dealt with many so-called diabetics and when they began dealing with me, their condition got a lot better and most of them got off of drugs altogether and completely healing from diabetes in a matter of weeks. Yes, for me, it’s that simple! Diabetes is easy to heal. Any disease is easy to heal when you know what the cause of the disease is.
When a so-called diabetic’s circulation is cut-off to the legs and feet and the legs turn swollen blue, what does the doctor suggest for this situation? AMPUTATION! Amputate. n. To cut off (a part of the body), esp. by surgery. [Latin. Amputâre, cut around] SOURCE: American Heritage Dictionary, 4th edition
That’s right! Instead of reviving the so-called diabetic’s leg, the doctor will recommend amputation. Do you know why? Because amputation calls for surgery and surgery is BIG MONEY in America! This is the only reason for amputation. Doctors, most of them, don’t care about “people” – God’s children, who strayed and became sick (law of cause and effect). The motivation of money blinds a doctor’s heart (4th Chakra, seat of love and compassion) and therefore NO allopathic doctor heals or will tell you that he/she healed (or assisted in healing) a person with diabetes or any other disease. Doctors don’t heal or cure! They TREAT symptoms and MANAGE disease. That’s all! Who wants to manage or treat genital herpes, AIDS, diabetes, or cancer instead of healing from it entirely?
Article Source: http://EzineArticles.com/?expert=Djehuty_Ma’at-Ra
Benefits of Goji Berry on Diabetes
by Diabetic Discovery
(submitted 2011-02-27)
Diabetes is a medical condition that affects more than 23 million Americans. Identified by continuous abnormally high levels of glucose in the blood because the body fails to produce sufficient insulin or the body’s cells resist using the insulin produced. This chronic condition has potential life-threatening complications and is believed to have affected humans for centuries. In recent years, many people have turned to alternative medicines and "super-fruits" like Goji berries to treat their conditions.
While there are various forms of diabetes, Type 1 and Type 2 are generally diagnosed the most. Type 1 diabetes is when cells of the pancreas fail to produce an amount of insulin needed to allow blood glucose to enter cells to produce energy. Type 2 diabetes is diagnosed when the cells resist insulin’s action, resulting in too much glucose in the blood (see resources below).
Goji berries, also called wolfberry, are found in the moderate to sub-tropic regions of Asia, including China, Mongolia, and in the Himalayas of Tibet. The origin of the word goji is believed to come from the simplified Mandarin word for the plant. Similar to other nightshade family plants like tomatoes and chili peppers, wolfberry is a flowering plant that produces a berry that tastes like a cross between a raspberry and a cherry. In southern regions of China, goji berry plants are generally more than 3 feet tall, but in northern China, the plants can grow to more than 9 feet.
While they are closely related and both are in the genus Boxthorn (Lycium), Himalayan goji berries (Lycium barbarum) should not be confused with Chinese wolfberry (Lycium chinense). The two species of the wolfberry plant (the names have little to do with the geographies of the species), are both rich in antioxidants and are thought to be beneficial in boosting the immune system and promoting longevity.
A perennial that produces flowers with five petals, the goji berry plant produces an oblong, red-orange berry–containing 10 to 60 tiny seeds–that is normally 1 to 2 centimeters long. Ripening in the northern hemisphere usually occurs from mid-summer to mid-fall.
For more than 6,000 years, herbalists and alchemists have used goji berries to make tonics and teas to boost the immune system, protect the liver from damaging toxins and disease, improve circulation (particularly in the legs), increase fertility, and promote longevity.
Studies have shown that goji berries are rich in antioxidants, specifically carotenoids, which are known to protect the retina of the eye and believed to decrease the risk of developing macular degeneration, a disease associated with complications from diabetes. Goji berries have also been found to help increase circulation and are believed to be beneficial in preventing and treating a number of cardiovascular diseases, including angina and coronary heart disease (see resources below). Studies have also shown that goji berries stimulate the nervous system (responsible for all internal organs) and causes relaxation of arterial walls, allowing them to expand and lower blood pressure.
Goji berries have been proclaimed by proponents of alternative medicine as the "super-fruit" that can decrease the risk of developing diabetes, in addition to treating those who already have it. However, the Food and Drug Administration has yet to verify and approve these claims.
Studies also suggest that goji berries (consumed as tea) may hinder anticoagulant metabolism and may react with certain medications. It important to consult with healthcare providers before consuming anything that may have a negative reaction with other medications.
For more information please contact us at http://www.diabeticdiscovery.com.
About the Author
The Health & Wellness Experts www.diabeticdiscovery.com
Source: GoArticles.com © 2011, All Rights Reserved.
When Your Child is Diagnosed with Diabetes: PARENT’s QUESTIONS
NDEP is a partnership of the National Institutes of Health, the Centers for Disease Control and Prevention, and more than 200 public and private organizations.
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When Your Child Is Diagnosed with DIABETES: PARENTS’ QUESTIONS for the Health Care Team
Parents of children with diabetes often have concerns about the disease, its impact on their family, and how to keep their children safe and healthy. Use these questions to talk with your child’s health care team and learn about your child’s diabetes care needs… at diagnosis and later on as well.
What are the different types of diabetes?

- Which type of diabetes does our child have?
- Will it ever go away?
Overview of Diabetes in Children and Adolescents
What does this mean for other members of our family?
- Does it mean our other children will get diabetes too?
- What about other family members?
Overview of Diabetes in Children and Adolescents

What are my child’s treatment goals?
- How can we help our child meet these goals?
- How often will our child need to visit you each year?
Overview of Diabetes in Children and Adolescents
(See Treatment Goals and Family Support)4 Steps to Control Your Diabetes. For Life
NDEP Teen page
(See Tip Sheets for Kids with Type 2 Diabetes)
What other health care team members can help care for our child’s diabetes?
- How do we contact them?
Overview of Diabetes in Children and Adolescents (See Visiting the Health Care Team)
How can we work together as a family to help our child?
- How can we help our child check blood glucose, take insulin, eat healthy foods, be more active, and learn about diabetes?
- Who can help us work together as a family?
Overview of Diabetes in Children and Adolescents (See Helping Children Manage Diabetes)
What emotional issues might our child and family face?

- Will diabetes affect the way our child behaves?
- When do we start letting our child manage his/her own diabetes care?
- Who can help us cope with these issues?
Tips for Teens with type 2 Diabetes: Dealing with the Ups and Downs of Diabetes
Overview of Diabetes in Children and Adolescents (See Transition to Independence )
Learn about age-related issues and diabetes on the American Diabetes Association website
Learn about reactions to being diagnosed with diabetes on the American Diabetes Association website
Should we tell friends and family about our child’s diabetes?
Who can help us if we don’t have medical insurance?
Insure Kids Now! A national initiative to linking families to low-cost insurance programs

What resources are there to help our child in school?
Helping the Student with Diabetes Succeed: A Guide for School Personnel
Overview of Diabetes in Children and Adolescents (See Diabetes at School)
What research is going on?
Three large nation-wide studies are under way.
The TODAY study wants to find the best ways to care for type 2 diabetes in children and teens and has begun in 13 medical sites. To find out if you can join go to www.TODAYstudy.org.
Type 1 Diabetes TrialNet is a group of studies looking at ways to prevent or to treat type 1 diabetes early. To find out if you can join go to www.diabetestrialnet.org/public.html or call1- 800- HALT- DM1(1-800-425-8361).
The SEARCH for Diabetes in Youth study will help us learn about how type 1 and type 2 diabetes differ, what medical problems arise, the health care children receive, and how diabetes shapes their daily lives. www.searchfordiabetes.org
A lot of other research is going on. To find studies in your area, talk to your health care team and visit the JDRF and ADA (links below).
Additional Resources for Parents and Children
National Diabetes Education Program
www.ndep.nih.gov or call 1-800-438-5383
Juvenile Diabetes Research Foundation International (JDRF)
www.jdrf.org or call 1-800-223-1138
Children with Diabetes
www.childrenwithdiabetes.com
American Diabetes Association (ADA)
www.diabetes.org or call 1-800-DIABETES (1-800-342-2383)
This OnEarth column was written by Laura Fraser. We all know that Americans — leading the way for the rest of the developed world — are getting fatter. We hear about the “obesity epidemic” on the TV news, with footage of people depicted from the waist down shuffling around in XXL sweatpants and carrying supersized sodas. The majority of us are overweight, complaining about how our jeans are getting tighter and wondering why, despite all our efforts to diet and go to the gym, the number on the scale keeps edging higher. For years, the explanation for weight gain was straightforward: it was all about energy balance, or calories-in versus calories-out. This Gluttony and Sloth theory held that obesity simply came from overeating and under-exercising, and the only debate was about dieting — whether it was better to join the low-fat or the low-carb camp. Some scientists explored genetic differences associated with fat, but others said genes couldn’t possibly explain the rate at which Americans were gaining weight: “We just aren’t evolving that fast,” one obesity expert noted. Environmental scientists have long suggested that there were likely external factors at work, but until recently, the traditional obesity-research community rejected such claims. Now it seems thatthe tide is turning: This month’s issue of Obesity Reviews features an extensive look at the accumulating body of research linking the environment with obesity. The idea of our surroundings contributing to weight gain is nothing new, of course. But past discussions about the role of the “environment” focused mostly on the fast-food culture that we live in, where highly processed, highly caloric foods are constantly available, eating times are chaotic, kids run around drinking sugar-saturated sodas all day, no one has time to cook, fruits and vegetables are scarce in low-income urban areas, a venti frappuccino has 760 calories, and muffins are the size of melons. Add to that our changing physical environment — the fact that everyone sits in front of computers every day, instead of working out or working on the farm — and the “calories in” excess of the weight equation seems obvious, and obesity over-determined. But even allowing for such influences, something wasn’t adding up. There are plenty of people out there who eat well and exercise like Gwyneth Paltrow and still feel like their weight is out of control. Then there are those annoying people who eat everything they desire, never work out, and stay thin. There had to be more to it than calories. We know that hormones — the chemical messengers produced by our endocrine system to control things like blood pressure and insulin production — can fatten up animals for slaughter; that some drugs increase your weight; and that a change in hormones at midlife shifts where your fat is distributed. Researchers began to recognize that obesity is much more complicated than calories in and out, and that a lot of other mechanisms involving the hormonal regulatory system are involved in our bodies’ delicate weight balance. Paula Baillie-Hamilton, an expert on metabolism and environmental toxins at Stirling University in Scotland, was among the first to make the link between the obesity epidemic and the increase in the chemicals in our lives. “Overlooked in the obesity debate,” she wrote in 2002 in the Journal of Alternative and Complementary Medicine, “is that the earth’s environment has changed significantly during the last few decades because of the exponential production and usage of synthetic organic and inorganic chemicals.” Exposure to those chemicals, said Baillie-Hamilton, can damage the body’s natural weight-control mechanisms. She calls toxic chemicals that act as endocrine disruptors — mimicking hormones, and blocking or exaggerating our natural hormonal responses — “chemical calories,” and those in question include Bisphenol A, phthalates, PCBs, persistent organic pollutants such as DDE, a breakdown product of the insecticide DDT, and pesticides containing tin compounds called organotins. Many studies have shown that endocrine disruptors have been linked to early puberty, impaired immune function, different types of cancer, birth deformities, and other diseases. Now obesity and metabolism are on that list. Environmental researchers call these chemical calories “obesogens.” Bruce Blumberg, a University of California at Irvine professor of developmental and cell biology, studies the effects of endocrine disruptors on obesity in mice and sees clear differences between those who are exposed to them and those who aren’t. “Pretty much anyone who observes people knows that obesity is way more than eating and exercise,” says Blumberg. Instead, metabolism, appetite, and the number and size of fat cells you have come into play, all of which are affected by hormones, and therefore by hormone disruptors. Blumberg has shown that the organic pollutants tributyltin and triphenyltin derail the hormonal mechanisms that control the weight of mice. He’s found that when pregnant mice are fed a dose of organotins that is equivalent to normal human exposure to those chemicals, their offspring have 10 percent more fat cells than normal mice, the fat cells grow bigger than normal, and they end up, overall, 10 percent fatter than your average mouse. Other compelling research that fat is not just about eating and exercise comes from studies that show that animals that live in human environments get fatter just by virtue of being around people. Researchers at the University of Alabama recently found that chimpanzees, macaques, mice, rats, dogs, cats, and other species that lived in proximity to humans got fatter than animals that didn’t live in an industrialized environment — even when their lab chow and exercise was highly controlled. The authors suggested that endocrine disruptors were one likely culprit in this cross-species obesity epidemic. For her article in the new Obesity Reviews, Jeanett Tang-Peronard, of the Institute of Preventive Medicine in Copenhagen, looked at some 450 studies on endocrine disruptors and obesity and found that nearly all of them showed a correlation between exposure to those chemicals — particularly in utero and in early childhood, when hormonal mechanisms are vulnerable — and an increase in body size. She says that in early life, chemicals seem to alter the epigenetic regulation of certain genes, disrupting the programming of hormonal signaling pathways that affect fat storage, fat distribution, and appetite. (The epigenome governs patterns of gene expression.) This reprogramming could explain how we are indeed evolving so fast. Tang-Peronard says that it is impossible, now, to tease out how much of obesity is caused by chemicals, and how much by energy balance. They’re intertwined, anyway, with imbalances in appetite-regulating hormones like leptin and ghrelin causing us to want to eat more of the available food. “Endocrine disruptors may play a significant role in obesity,” she says. But the research is in its infancy. She also points out that only a few of the tens of thousands of known environmental chemicals have been tested for their association with obesity. “We are only scratching the surface,” she says. What to do about the problem of endocrine disruptors and obesity? It’s hard to say, given that virtually all humans have been exposed. Pediatrician Maida Galvez is involved in the Mt. Sinai “Growing Up Healthy“ study of 330 children in East Harlem, monitoring their exposure to endocrine disruptors and their body weight. “Even if these chemicals play a small role in obesity, it’s a preventable exposure,” she says, explaining that if certain substances can be determined to have deleterious effects, we can avoid them at critical stages of development and ultimately replace them with safer alternatives. For now, Galvez recommends that parents steer clear of Bisphenol-A — present in many plastic water and baby bottles, and in microwavable and dishwasher-safe food containers. (If you find a printed “7″ on the bottom, get rid of it.) She also suggests avoiding shampoos, cosmetics, and soaps containing phthalates — up to 70 percent of “top-selling products,” according to a 2002 report by the Environmental Working Group. (Look for fragrance-free products, which are less likely to contain phthalates, or for anything from the Illumina Organics range or The Body Shop. And, she says, eat fresh fruits and vegetables, instead of foods that are processed and/or packaged in plastic. That’s one point on which traditional obesity researchers and environmental scientists agree: Eat plenty of fresh, organic vegetables. And while you’re at it, get out into the fresh air and get some exercise. Featuring great stories and great solutions, OnEarth magazine is a survival guide for the planet. Source: Organic Consumers Association (OCA)/ OnEarth Magazine YESTERDAY TODAY TOMORROW For more information, contact The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): NIDDKinquiries@nih.gov Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) July 7th, 2011 Obesity is getting bigger in the United States Two-thirds of all adults and about a third of all children and teenagers in the United States are overweight or obese according to a report release Thursday by the Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF). According to “F as in Fat: How Obesity Threatens America’s Future 2011,” adult obesity increased in 16 states during the past year and rates soared to 30% or more in these 12 states: Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia. Four years ago, only one state – Mississippi – had an adult obesity rate of more than 30%. No state showed a decrease in it obesity rate in Thursday’s report. Nine of the 10 states with the highest adult obesity numbers are in the South. Mississippi, for the seventh year in a row, had the highest adult obesity rate at 34.4%. Colorado, at 19.8%, had the lowest, and in fact is the only state in the country with an adult obesity rate under 20%. Twenty years ago no rate was above 15%. The report found rates grew fastest in Alabama, Tennessee and Oklahoma and slowest in Colorado, Connecticut and the District of Columbia. “There was a clear tipping point in our national weight gain over the last twenty years,” said Jeff Levi, Executive director of TFAH. “And we can’t afford to ignore the impact obesity has on our health and corresponding health care spending.” According to the Centers for Disease Control and Prevention, the medical costs associated with obesity are staggering– totaling about $147 billion in 2008. More than 80% of people in this country with type-2 diabetes are overweight and new diagnoses doubled in 10 years, according to Thursday’s report. Overweight and obese people are at risk of developing high blood pressure and high cholesterol, risk factors for cardiovascular disease and stroke. They may also be at greater risk of colon, kidney and esophageal cancer. African Americans, Latinos, those with low incomes and less education had the highest overall rates, topping 30 to 40% in many states. The report found about 33% of adults who made less than $15,000 a year or did not graduate from high school were obese. The researchers found that a lack of access to fresh fruits, vegetables and other healthful foods in some neighborhoods and a dearth of safe community areas for families to walk and for children to play all factor into the obesity epidemic. But there’s more to it. “Portion sizes in restaurants are much larger than they have been, soft drinks at convenience stores are much larger than they have been,” said Dr. James Marks, senior vice president of the Robert Wood Johnson Foundation. “When people have a larger size they will eat more. Snacking has gone up more and more. All of these things contribute.” “We’ve built inactivity into our lifestyles. We’ve designed communities around cars,” said Levi. “Kids are watching TV and sitting around computers. We’ve found plenty of ways to entertain ourselves that don’t include activity.” “The information in this report should spur us all – individuals and policymakers alike – to redouble our efforts to reverse this debilitating and costly epidemic,” said Dr. Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation. “Changing policies is an important way to provide children and families with vital resources and opportunities to make healthier choices easier in their day-to day-lives.” Recommendations include making sure all food and drinks sold in schools meet the most recent Dietary Guidelines for Americans, increasing access to quality and affordable foods, expanding the amount and intensity of physical activity in schools and in out-of-school programs, increasing physical activity by providing communities safe places to walk, bike and play, introducing pricing incentives to help people buy healthier foods and regulating how and where unhealthy foods are marketed to children. Marks says what’s particularly tragic is the increase in type 2 diabetes among younger adults and kids. “Since the 1970s, the rate of obesity has tripled or quadrupled in children,” said Marks. “We’ve got an even larger problem coming in our children.” Source: Saundra Young – CNN Medical Senior Producer Part 2 Source: Uploaded by mediagrrl9 on May 14, 2009 on YouTube Michael Pollan is one of the nations leading writers and thinkers in this country on the issue of food. He is author of several books about food, including The Botany of Desire, The Omnivores Dilemma and his latest, In Defense of Food: An Eaters Manifesto. In light of what he calls the processed food industry’s co-option of sustainability and its vast spending on marketing, Pollan advises to be wary of any food that’s advertised. Diabetes has become an ever increasing problem, and is a worldwide epidemic. There’s an estimated 285 million people living with diabetes. That number is expected to grow to almost 430 million by the year 2030, and affect 7% of the World’s adult population. The majority of those being diagnosed with diabetes live in low income countries. India currently has the largest population of those diagnosed with diabetes. Estimates say there are 40 million people living with diabetes in India alone, followed by China. Africa is expected to have the largest increase of diabetes in the years to come. Diabetes can affect a person at any age, but people between the ages of 40-59 have the highest risk of being diagnosed with the disease. There’s been an increase of diabetes in all nations, for the last 50 years. In spite of warnings from health organizations, the epidemic continues to grow throughout the world. Leaders from around the world still continue to ignore the threat. Complications from diabetes are one of the leading causes of premature death. There are many people that live with Type 2 Diabetes for years before being diagnosed. Living with diabetes for an extended period of time without any treatment will cause many adverse health problems. If diabetes is left untreated, the complications can range from kidney failure to death. Type 2 Diabetes can be prevented in 80-85% of people, if they change their lifestyle. Managing Type 2 Diabetes is as simple as changing your diet and exercising. A good quality of life, can often times reverse Type 2 Diabetes. Type 2 Diabetes is diagnosed among minorities and lower income people more than any other group. Environmental factors, and poor living conditions also play a part in developing Type 2 Diabetes. These groups normally don’t’ have the income or access to healthy foods that can help prevent them from getting the disease. Instead, they have to consume unhealthy processed foods and drinks. Substance abuse can also play a role in contributing to diabetes. If you’re a diabetic, you should never smoke or drink alcohol. Getting plenty of rest and reducing your stress levels will help reduce your chances of developing further diabetes complications. Know and understand the early warning signs and symptoms of diabetes. If you’re at risk for premature diabetes, change your lifestyle and see your doctor. A simple treatment plan and lifestyle change will possibly save you from being diagnosed with diabetes. Diabetes is a deadly disease, and accounts for thousands of deaths each year from complications. Each year, diabetes kills the same amount of people as those who die from HIV/AIDS complications each year. We all should learn more about the causes of diabetes and how food, cigarettes and other factors contribute to diabetes. http://1n2.co Ty Bolton Source: GoArticles.com © 2011, All Rights Reserved. By Marilyn Reid Frequent urination, unquenchable thirst, weakness, fatigue, tingling, numbness of extremities, and sudden weight loss. These are the common symptoms that a person suffering from diabetes experiences. Are you experiencing the same thing? If you are, then it’s high time you pay your doctor a visit and have your blood sugar checked. What is diabetes? Diabetes is a disorder on which the body is not able to regulate the amount of sugar, particularly glucose, in the blood. Glucose plays a vital function in the body as it provides you with the energy to perform daily activities like brisk walking, working, jogging, and many others. It is regulated by the insulin, the hormone produced by the pancreas, and allows it to move from the blood to the muscle, liver, and fat cells to be used for fuel. Now, if a person’s body does not produce enough insulin, also known as type 1 diabetes, or produce enough but does not use it properly, referred to as type 2 diabetes, then he or she should find diabetes treatment at once. What are some natural cures for diabetes? When you are diagnosed with diabetes, perhaps the first thing that comes to your mind is to know what medications to take in order to treat it. Although it’s true that there are prescribed medicines for this disorder, you can always treat it the natural way just by knowing what the natural cures are. Natural cures for diabetes could range from regular exercise, good eating habits, and including raw foods in your diet. Make sure that you get enough physical exercise to burn off the extra energy producing glucose. It can also help prevent complications that may arise from diabetes like poor circulation in the feet and legs and nervous disorders. Good eating habits, on the other hand, means managing what you eat, how much you eat, and when during the course of the day you sit down to eat. People suffering from diabetes should commit to keeping their diet varied and include a large amount of vegetables, fruits, and whole grains and they should see to it that they do not eat too much or too little during every meal. A raw food diet can also do a lot to treat diabetes the natural way. People who have tried a diet of raw and organic foods revealed that it had helped reverse diabetes without the need for pharmaceutical medication. Although it can be difficult to change your diet, especially from cooked meals to raw, the little sacrifice can be worth it in the end as it helps you achieve a healthier you. Diabetes may be a serious disorder but it can be easily managed and treated if done the right way. Regular exercise, good eating habits, and eating raw foods can certainly do a lot. The first two may be easy for you to follow, but the third could be not. Why not learn more about rawfood nutrition and sunfoods from David Wolfe for you to be enlighten further as to what it can do to treat diabetes? For the past 10 years Marilyn Reid has been active as an advocate for Alternative Health Therapies, with an emphasis on healthy living and raw food diets. Marilyn has been fascinated with the work of the Healthy Lifestyle Nutritionist and Guru, David Wolfe and has a blog which keeps up with the latest in the world of Healthy Lifestyles. See more facts about Diabetes. Source:www.isnare.com By: Gaurisharma Commonly used vegetables, Onion and Garlic, scientifically known as Allium Cepa and Allium Sativum respectively, are quite effective in Diabetes herbal cure. These are very helpful in lowering blood sugar levels. They contain ingredients like Allyl Propyl Disulphide (APDS) and Diallyl Disulphide Oxide (allicin) and certain flavonoids, which play a significant role in curing the disease while keeping the blood circulation at a normal level. Onions are a good source of the mineral chromium, needed for glucose metabolism and insulin sensitivity. Onions can fulfill 20 percent of your daily chromium requirement in one cup, and fight against diabetes and heart disease. There are scientific evidences to suggest that APDS, found in Onions, lowers glucose levels by competing with insulin for insulin-inactivating points in the liver. This results in an increase of free insulin. APDS, administered in doses of 125 mg/ kg to fasting humans, was found to cause a marked fall in blood glucose levels and an increase in serum insulin. Allicin doses of 100 mg/kg produced a similar effect. Researches and studies suggest that Onion extract reduces blood sugar levels during oral and intravenous glucose tolerance. The effect improved as the dosage was increased. The effects were similar in both raw and boiled onion extracts. Onions affect the hepatic metabolism of glucose and increase the release of insulin to prevent insulin’s destruction, thereby helping in the herbal treatment of diabetes. Garlic is helpful in preventing any damages to your kidneys, blood vessels, skin and eyes, which are usually caused by diabetes. Garlic slows down the glycation process that happens due to high blood sugar levels. Other additional benefits of the garlic and diabetes interaction are connected to its cardiovascular effects. Heart disease and stroke are among the most terrible diabetes complications when you have uncontrolled diabetes. The additional benefit of the use of garlic and onions are their beneficial cardiovascular effects. They are helpful in lowering lipid levels, inhibit platelet aggregation and are anti-hypertensive. Hence, liberal use of onion and garlic is recommended for diabetes herbal cure. Daily habit of using onion and garlic in your meals will not only help combating the disease but also bring enormous benefits to your health. Divine Wellness is a comprehensive online portal that provides a great deal of information on all kinds of diabetes herbal cure and treatments that can help you cure diabetes naturally. Diabetes herbal treatment is more cost-effective and has fewer side effects and is therefore recommended to people who are looking for an alternative to medicines. Article Source: http://www.articlesnatch.com By RJ Brand Keeping to a healthily balanced diet is important for everybody, and it is even more important for people suffering from any form of diabetes (and pre-diabetes). Foods to eat with type 2 diabetes are basically the same foods as you would serve to anyone following a low fat weight control regime. In short, nothing is forbidden but the amount consumed of certain things needs to be minimized. Most people associate diabetes with a boring and restricted diet. If you have a friend or relative diagnosed with diabetes, the first time you prepare a meal for them can be a bit worrying, but it needn’t be. Don’t forget that the diabetic person will have been taught how to take care of themselves when it comes to matters of diet. As long as you don’t serve food that is too fatty, loaded with sugar or high in carbohydrates, the person with type 2 diabetes will be able to enjoy the meal in safety. The importance of what is eaten by people with type 2 diabetes should not be underestimated; weight control is one of the first things to learn about how to manage diabetes and keeping blood sugar levels balanced is vital. Certain foods are recommended as being particularly beneficial for diabetics: for example, soya beans, chicken and curd, so opt for cooking chicken rather than beef. Starchy or sugary foods raise blood sugar, so they should be avoided; include plenty of non-starchy vegetables in the meal instead of highly processed foods such as white bread or rice. The recommended diet of a diabetic is designed to maintain a steady level of blood glucose (sugar). If the person suffering from type 2 diabetes does not stick to an appropriate diet, their blood sugar levels can fluctuate and the health of the diabetic person will be in jeopardy if the level goes too high or too low. The diabetic person could fall into a coma, and you can die as a result of diabetic coma. Diabetes occurs when the a person’s pancreas fails to produce a hormone called insulin, or fails to produce sufficient quantities of insulin for normal functioning, or the person’s body fail to use insulin properly. The result of any of these factors is that sugar is not absorbed into the body’s cells and instead builds up in the bloodstream. It is well-known that too much sugar can be very dangerous for a diabetic (particularly if they don’t exercise), so it is obviously safer to avoid cakes and pastries, but it should also be borne in mind that some fruits have a higher sugar content than is desirable. As with any low fat diet, certain foods are best avoided altogether, while other foods can be eaten in small portions; the amount of fat consumed is important, and the number of calories must be considered at the same time. When you are first learning about the type of foods to eat with type 2 diabetes, it can seem like a minefield; it is obviously worrying to think about how seriously food can affect a person with type 2 diabetes. The safest way of dealing with catering for diabetic friends or relatives is to invest in a proper diabetic cookbook; this will remove any element of guesswork for you and make mealtimes pleasurable. Source: www.isnare.com For Immediate Release: May 2, 2011 FDA approves new treatment for Type 2 diabetes The U.S. Food and Drug Administration today approved Tradjenta (linagliptin) tablets, used with diet and exercise, to improve blood glucose control in adults with Type 2 diabetes. People with Type 2 diabetes do not produce or respond normally to insulin, a hormone that regulates the amount of glucose in the blood. Over time, high blood glucose levels can increase the risk for serious complications, including heart disease, blindness, and nerve and kidney damage. “This approval provides another treatment option for the millions of Americans with Type 2 diabetes,” said Mary Parks, M.D., director of the Division of Metabolism and Endocrinology Products in the FDA’s Center for Drug Evaluation and Research. “It is effective when used alone or when added to existing treatment regimens.” Type 2 diabetes is the most common form of the disease, affecting between 90 percent and 95 percent of the 24 million people in the United States with diabetes. Tradjenta increases the level of hormones that stimulate the release of insulin after a meal by blocking the enzyme dipeptidyl peptidase-4 or DPP-4, which leads to better blood glucose control. Tradjenta was demonstrated to be safe and effective in eight double-blind, placebo-controlled clinical studies involving about 3,800 patients with Type 2 diabetes. The studies showed improvement in blood glucose control compared with placebo. Tradjenta has been studied as a stand-alone therapy and in combination with other Type 2 diabetes therapies including metformin, glimepiride, and pioglitazone. Tradjenta has not been studied in combination with insulin, and should not be used to treat people with Type 1 diabetes or in those who have increased ketones in their blood or urine (diabetic ketoacidosis). Tradjenta will be dispensed with an FDA-approved Patient Package Insert that explains the drug’s uses and risks. The most common side effects of Tradjenta are upper respiratory infection, stuffy or runny nose, sore throat, muscle pain, and headache. Tradjenta is marketed by Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, Conn., and Indianapolis-based Eli Lilly Co. For more information: Source: FDA – U.S. Food and Drug Administration Proper nutrition is on all of our minds, but how do we make smart choices in today’s world of savvy marketing? Join us for this eye-opening lecture from one of the leading author’s on how the food industry influences our nutrition and health. Marion Nestle, Ph.D., is an author and professor of Nutrition, Food Studies and Public Health at New York University. Series: “UCSD Moores Cancer Center Presents” Source: UCtelevision on YouTubeIs Your Shampoo Making You Fat?
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Type 2 Diabetes: Yesterday, Today & Tomorrow
The National Institute of Diabetes and Digestive and Kidney Diseases www.niddk.nih.gov![]()
Obesity is Getting Bigger in the United States

Michael Pollen’s : “Don’t Buy Any Food You’ve Ever Seen Advertised”. Parts 1 and 2 on Democracy Now 5/14/09
Diabetes: The Worldwide Epidemic
by Ty Bolton (submitted 2011-06-04)
About the Author
Natural Cures For Diabetes –Treat it the Natural Way
Onions And Garlic Are Quite Effective In Diabetes Herbal Cure
Foods to Eat With Type 2 Diabetes – What to Serve a Diabetic Friend
FDA Approves New Treatment for Type 2 Diabetes
FDA NEWS RELEASE
What to Eat: Sensible Choices in an Era of Food Confusion
4 Steps to Control Your Diabetes For Life

NDEP is a partnership of the National Institutes of Health, the Centers for Disease Control and Prevention, and more than 200 public and private organizations.
4 Steps to Control Your Diabetes. For Life.
4 Steps to Control Your Diabetes. For Life.
Also available in these languages:
Cambodian, Chinese, Gujarati, Haitian Creole, Hindi, Hmong, Indonesian, Japanese, Korean, Laotian, Samoan, Spanish, Tagalog, Thai, Tongan, Vietnamese
Related Publications
Take Care of Your Heart. Manage Your Diabetes (in English)
(NDEP-52EN)
This patient education sheet explains the link between diabetes and heart disease. It encourages patients to work with their health care team to set targets and manage their blood glucose, blood pressure, and cholesterol. It includes a record form to track target numbers.
Tips to Help You Stay Healthy
(NDEP-8)
This tip sheet helps people work with their health care team to make a successful diabetes action plan.
In addition to a downloadable file (PDF) of the four-page tip sheet, online only, two-page PDF versions in two-color and black &white formats are available for ease of printing.
Find Similar Publications
To find similar publications based on keywords and/or audience, click the links below:
Diabetes Status: I Have Diabetes
Audiences:General Audience, Asian American and Pacific Islander, Older Adults, Adults
Keywords:A1C, Blood Pressure, Blood Glucose, Cholesterol
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These four steps help people with diabetes understand, monitor, and manage their diabetes to help them stay healthy. This publication is excellent for people newly diagnosed with diabetes or who just want to learn more about controlling the disease.
Publication date: 11/01/2009
Contents
- Introduction
- Step 1: Learn about diabetes.
- Step 2: Know your diabetes ABCs.
- Step 3: Manage your diabetes.
- Step 4: Get routine care.
- My Diabetes Care Record
- Where to get help
This booklet presents four key steps to help you manage your diabetes and live a long and active life.

Diabetes is a serious disease. It affects almost every part of your body. That is why a health care team may help you take care of your diabetes:
- doctor
- dentist
- diabetes educator
- dietitian
- eye doctor
- foot doctor
- mental health counselor
- nurse
- nurse practitioner
- pharmacist
- social worker
- friends and family
You are the most important member of the team.
The
marks in this booklet show actions you can take to manage your diabetes.
Help your health care team make a diabetes care plan that will work for you.
Learn to make wise choices for your diabetes care each day.
Step 1: Learn about diabetes.
Diabetes means that your blood glucose (blood sugar) is too high. There are two main types of diabetes.
Type 1 diabetes – the body does not make insulin. Insulin helps the body use glucose from food for energy. People with type 1 need to take insulin every day.
Type 2 diabetes – the body does not make or use insulin well. People with type 2 often need to take pills or insulin. Type 2 is the most common form of diabetes.
Gestational (jes-TAY-shon-al) diabetes – occurs in some women when they become pregnant. It raises her future risk of developing diabetes, mostly type 2. It may raise her child’s risk of being overweight and developing type 2 diabetes.

Diabetes is serious.
You may have heard people say they have “a touch of diabetes” or that their “sugar is a little high.” These words suggest that diabetes is not a serious disease. That is not correct. Diabetes is serious, but you can learn to manage it!
It’s not easy, but it’s worth it!
All people with diabetes need to make healthy food choices, stay at a healthy weight, and move more every day.
Taking good care of yourself and your diabetes can help you feel better. It may help you avoid health problems caused by diabetes such as:
- heart attack and stroke
- eye problems that can lead to trouble seeing or going blind
- nerve damage that can cause your hands and feet to hurt, tingle, or feel numb. Some people may even lose a foot or a leg.
- kidney problems that can cause your kidneys to stop working
- gum disease and loss of teeth
When your blood glucose is close to normal you are likely to:
- have more energy.
- be less tired and thirsty and urinate less often.
- heal better and have fewer skin, or bladder infections.
- have fewer problems with your eyesight, feet, and gums.
Ask your health care team what type of diabetes you have.
Learn why diabetes is serious.
Learn how caring for your diabetes helps you feel better today and in the future.
Step 2: Know your diabetes ABCs.
Talk to your health care team about how to manage your A1C, Blood pressure, and Cholesterol. This can help lower your chances of having a heart attack, stroke, or other diabetes problems. Here’s what the ABCs of diabetes stand for:
A for the A1C test (A-one-C).
It shows what your blood glucose has been over the last three months. The A1C goal for many people is below 7. High blood glucose can harm your heart and blood vessels, kidneys, feet, and eyes.
B for Blood pressure.
The goal for most people with diabetes is below 130/80.
High blood pressure makes your heart work too hard. It can cause heart attack, stroke, and kidney disease.
C for Cholesterol (ko-LES-ter-ol).
The LDL goal for people with diabetes is below 100.
The HDL goal for men with diabetes is above 40.
The HDL goal for women with diabetes is about 50.

LDL or “bad” cholesterol can build up and clog your blood vessels. It can cause a heart attack or a stroke. HDL or “good” cholesterol helps remove cholesterol from your blood vessels.
Ask your health care team:
- what your A1C, blood pressure, and cholesterol numbers are
- what your A1C*, blood pressure, and cholesterol numbers should be
- what you can do to reach your targets
Write down all your numbers on the record card at the back of this booklet.
*An A1C of less than 7 is the goal for many people but not for everyone. Talk to your health care team about what A1C target is right for you.
Step 3: Manage your diabetes.
Many people avoid the long-term problems of diabetes by taking good care of themselves. Work with your health care team to reach your ABC target. Use this self-care plan.

- Follow your diabetes meal plan.If you do not have one, ask your health care team to help you develop a meal plan.
- Eat healthy foods such as fruits and vegetables, fish, lean meats, chicken or turkey without the skin, dry peas or beans, whole grains, and low-fat or skim milk and cheese.
- Keep fish and lean meat and poultry portions to about 3 ounces (or the size of a deck of cards). Bake, broil, or grill it.
- Eat foods that have less fat and salt.
- Eat foods with more fiber such as whole grain cereals, breads, crackers, rice, or pasta.
- Get 30 to 60 minutes of physical activity on most days of the week. Brisk walking is a great way to move more.
- Stay at a healthy weight by using your meal plan and moving more.
- Ask for help if you feel down. A mental health counselor, support group, member of the clergy, friend, or family member who will listen to your concerns may help you feel better.
- Learn to cope with stress. Stress can raise your blood glucose. While it is hard to remove stress from your life, you can learn to handle it. NDEP’s Diabetes HealthSense provides online access to resources that support people with diabetes in making changes to live well. For more information visit www.YourDiabetesInfo.org/HealthSense.
- Stop smoking. Ask for help to quit. Call 1-800-QUITNOW (1-800-784-8669)
- Take medicines even when you feel good. Ask your doctor if you need aspirin to prevent a heart attack or stroke. Tell your doctor if you cannot afford your medicines or if you have any side effects.
- Check your feet every day for cuts, blisters, red spots, and swelling. Call your health care team right away about any sores that do not go away.
- Brush your teeth and floss every day to avoid problems with your mouth, teeth, or gums
- Check your blood glucose. You may want to test it one or more times a day. Use the card at the back of this booklet to keep a record of your blood glucose numbers. Be sure to show it to your health care team.
- Check your blood pressure if your doctor advises.
- Report any changes in your eyesight to your health care team.
Talk with your health care team about your blood glucose targets. Ask how and when to test your blood glucose and how to use the results to manage your diabetes.
Use this plan as a guide to your self-care.
Discuss how your self-care plan is working for you each time you visit your health care team.
Step 4: Get routine care.
See your health care team at least twice a year to find and treat any problems early.
At each visit be sure you have a:
- blood pressure check
- foot check
- weight check
- review of your self-care plan shown in Step 3
Two times each year have an:
- A1C test – it may be checked more often if it is over 7
Once each year be sure you have a:
- cholesterol test
- triglyceride (try-GLISS-er-ide) test – a type of blood fat
- complete foot exam
- dental exam to check teeth and gums – tell your dentist you have diabetes
- dilated eye exam to check for eye problems
- flu shot
- urine and a blood test to check for kidney problems

At least once get a:
- pneumonia (nu-mo-nya) shot
Ask your health care team about these and other tests you may need. Ask what yours results mean.
Write down the date and time of your next visit.
Use the card at the back of this booklet to keep a record of your diabetes care.
If you have Medicare, ask your health care team if Medicare will cover some of the costs for
- learning about healthy eating and diabetes self-care
- special shoes, if you need them
- medical supplies
- diabetes medicines
My Diabetes Care Record
Record your targets and the date, time, and results of your tests. Take this card with you on your health care visits. Show it to your health care team to remind them of tests you need.
Self Checks of Blood Glucose
Record your targets and the date, time, and results of your checks. Take this card with you on your health care visits. Show it to your health care team.
Self Checks of Blood Glucose card
Where to get help:
Many of these groups offer items in English and Spanish.
National Diabetes Education Program
1-888-693-NDEP (1-888-693-6337)
www.YourDiabetesInfo.org
Diabetes HealthSense
An online library of resource for living well.
www.YourDiabetesInfo.org/HealthSense
National Kidney Disease Education Program
1-866-4-KIDNEY (1-866-454-3639)
www.nkdep.nih.gov
National Institute of Diabetes and Digestive and Kidney Diseases
National Diabetes Information Clearinghouse
1-800-860-8747
www.niddk.nih.gov
American Association of Diabetes Educators
1-800-TEAM-UP4 (1-800-832-6874)
www.diabeteseducator.org
American Diabetes Association
1-800-DIABETES (1-800-342-2383)
www.diabetes.org
American Dietetic Association
1-800-366-1655
www.eatright.org
American Heart Association
1-800-AHA-USA1 (1-800-242-8721)
www.americanheart.org
Centers for Disease Control and Prevention
1-800-CDC-INFO (1-800-232-4636)
www.cdc.gov/diabetes
Centers for Medicare & Medicaid Services
1-800-MEDICARE (1-800-633-4227)
www.medicare.gov/navigation/manage-your-health/preventive-services/diabetes-screening.aspx
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