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How to treat and reduce the blood sugar level?

How to treat and reduce the blood sugar level?

 

High blood sugar level is also called Hyperglycaemia in medical terms. Nowadays, it is a prevalent issue among most individuals, both men, and women who are suffering from diabetes. Basically, it affects those who have type 1 and type 2 diabetes.

Apart from that, high blood sugar levels not only affect people who have diabetes but also affect those who are seriously ill due to stroke or a heart attack. Sometimes this term called Hyperglycaemia is confused with hypoglycemia, in which blood sugar drops down. The problem of high blood sugar level is no doubt very discomforting due to which you might want to know the medication or natural ways to reduce the blood sugar level.

So, before we discuss how to reduce the blood sugar level or best supplements for how to lower blood sugar level, let’s discuss its symptoms: –

  1. Feeling very painful and short-tempered.
  2. Urinary frequency
  3. Tiredness
  4. Unwanted weight loss
  5. Dry mouth
  6. Blurred vision
  7. Easy infections like skin infection, thrush, etc

 

Now let’s talk about the best treatment for diabetes: –

  1. Reduce the intake of carbohydratescarbohydrates- FENFURO

Many researchers have studied and proved that if a diabetic person eats a low carbohydrate and high-protein diet, it reduces blood sugar level. Side by side, you can also take the best supplement to lower blood sugar for the best results after thorough research of the benefits and side effects of each.

 

  1. Always eat low glycemic index foods.

If a diabetic person eats the food after measuring its glycemic index, it will lower down blood sugar level. If the score is below 55 on the glycemic index, the diabetic individual can eat that food.

Such foods include: –

  • Legumes
  • Sweet potatoes
  • Meat
  • Green leafy vegetables
  • Low-fat milk
  • Non-starchy vegetables
  • Various nuts and seeds

 

  1. Don’t eat large meals.

If you want to lower down blood sugar level, then ensure that you control the intake of carbs. Apart from that, eat small meals at one time; spreading out one meal into two-three. According to many doctors, if you eat small meals throughout the day, it will help regulate blood sugar levels up to a great extent.

  1. Exercise regularly

Apart from taking a supplement to help lower blood sugar or the best medicine for diabetes, exercise is another critical way to reduce it. No doubt, it is a practical and effective way to lower blood sugar. It has been proven that exercise helps in stabilizing blood sugar levels for 24 hours.

The reason is when the body does physical activity, then it needs glucose for more energy. As a result, the cells deliver this glucose all over the body.Excercise- Fenfuro

  1. Take insulin

Insulin is the main thing in the human body, which lowers and spikes the blood sugar level. In the case of a high blood sugar level, the body has low insulin. So, if the individual stabilizes the insulin level, then it helps in lowering down sugar level.

To get an immediate effect, you can talk to your doctor about how much time it will take to lower your sugar level.

  1. Drink lots of water

This is another way to lower blood sugar levels. If a diabetic person drinks lots of water from time to time, then it helps in reducing sugar levels.

The bottom line

Ensure that you talk to your doctor before taking the best treatment for diabetes or trying any supplements that raise blood sugar levels—the reason for this is that it can deliver excess side-effects, which can be very serious.

Fenfuro is a fantastic product because it’s equipped with the power of Fenugreek seeds that are dominant in maintaining a healthy blood glucose level. Fenfuro is a beautiful blend of the innovative production process and a rich mixture of flavonoids and saponins. It is a patented and clinically evaluated product.

Fenugreek seeds extract | FENFUROAll these ingredients play a valuable role in Fenfuro that powers it to battle with diabetes. The product is clinically evaluated and has no side-effect. Besides, it’s 100% natural, and beyond doubt, you can trust the power of Fenfuro for treating diabetes the right way.

References:

https://www.healthline.com/nutrition/15-ways-to-lower-blood-sugar#TOC_TITLE_HDR_2

https://www.medicalnewstoday.com/articles/320738#lowering-blood-sugar-levels

https://www.diabetes.co.uk/how-to/bring-down-high-blood-sugar-levels.html

https://www.everydayhealth.com/diabetes/9-tips-lower-blood-sugar-naturally/

 

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Pushing diabetics to take insulin is a medical scam: Fiona Godlee

Pushing diabetics to take insulin is a medical scam: Fiona Godlee
With diabetes becoming such an epidemic in India, we need to look at the root causes and put money there rather than putting people on insulin.

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DRUG-INDUCED DIABETES

DIABETES is a well-known disease these days. It occurs when the sugar or glucose levels rise inside the human body. This rise in blood sugar levels takes place due to abnormal functioning of the cells known as β-cells of pancreas.

Under normal conditions, these cells release insulin on requirement to transfer glucose from blood to the tissues/cells for energy. This transfer balances blood sugar levels. The misconduct of these β-cells disturbs the balance of blood sugar levels and causes diabetes.

The activity of β-cells can be disturbed due to many reasons. One of those reasons is the consumption of some therapeutic agents.

THERAPEUTIC AGENTS can influence the development of diabetes, especially when pre-existing risk factors are present and these may cause glucose control to deteriorate if administered to those with existing diabetes.

It has been found that drug-induced diabetes can develop at the age of 20 years but it is more prone at the age between 40-60 years. The chances of development of drug-induced diabetes are found to be more in females (70%) as compared to males (30%).

ACTION OF DRUGS INDUCING DIABETES

Therapeutic agents causing diabetes may act either by increasing insulin resistance or by affecting the secretion of insulin or both.

 2

  • Grouping of drugs according to the mechanism of inducing diabetes
    • Drugs that cause diabetes by interfering with insulin production & secretion are:
β-receptor antagonist

(used in hypoglycemia)

Tacrolimus

(immunosuppressant used in organ transplant)

Priminil (Vacor)

(used as rodenticide)

Didanosine

(used as anti-retroviral therapy)

Pentamidine

(antimicrobial medication in used in pneumonia)

L-asparaginase

(as anti-cancer agent)

Diphenylhydantoin

(used as anticonvulsant or antilepptic drug)

Opiates

(used as pain reliever)

  • Drugs that cause diabetes by developing insulin resistance:
Glucocorticoids

(to control and treat inflammation)

β-receptor antagonist

(used in hypoglycemia)

Megasterol acetate

(used as anti-cancer drug & appetite stimulant)

Growth hormone

(growth stimulant)

Oral contraceptives

(used to prevent pregnancy)

Protease inhibitors

(used as anti-retroviral therapy)

  • Drugs that act both on insulin secretion and resistance:
Thiazide diuretics

(to control blood pressure)

Diazoxide

(used in treatment of acute hypertension)

Cyclosporine

(immunosuppressant used in organ transplant)

Atypical antipsychotic

(used to treat psychotic conditions)

  • Treatments that induce diabetes by increasing nutrient flux:
Nicotinic acid

(used in dyslipidemia)

Total parenteral nutrition

(used in intravenous feeding of person)

  • Grouping of drugs according to the capability of inducing diabetes

These agents may be divided into widely used medications that are weakly diabetogenic and drugs used for special indications that are more strongly diabetogenic.

  • Weakly diabetogenic medications include antihypertensive agents, statins and oral contraceptive pills.
  • Strongly diabetogenic include steroids, antipsychotics and a range of immunosuppressive agents.
  • There are also a number of known β-cell poisons including the insecticide Vacor, alloxan and streptozotocin which can cause permanent diabetes.

TREATMENT & PREVENTION STRATEGIES

  • Management of drug-induced diabetes is important as the diabetes so developed can convert into permanent diabetes for whole life. To prevent the development of diabetes, the blood glucose levels should be monitored regularly.
  • In cases in which the drug that induced diabetes must be continued, insulin therapy is the most efficacious approach. The diabetics should also try to use the lowest effective dose of therapeutic drug, if possible. Whenever is the possibility, the therapy should be altered.
  • A drug which is supposed to have adverse effect on blood glucose level should be avoided in a patient of diabetes, pre-diabetes or insulin resistance.3

Other diabetes management strategies include:

  • Healthy eating: Lifestyle management is the utmost requirement in the  management of drug-induced diabetes. The sweets and fats should be avoided as much as possible. Fruit juice should also be limited. Meals should not be taken more than 3 times a day. Alcohol intake should also be avoided (not more than 1-2 drinks/day) and blood glucose levels should be monitored before & after drinking.
  • Exercise: In drug-induced diabetes, physical activity
    contributes greatly towards the improvement in health. 30 minutes of moderate activity is recommended on regular basis by physicians. It is also required to check the glucose levels before & after the 4physical activity. The meal should also be planned according to the blood glucose levels checked previously.
  • Fenugreek supplementation: Another approach to tackle the drug-induced diabetes is by the treatment of diabetes along-with the on-going therapeutic drugs. It has been reported by many researchers that fenugreek is effective in the management of diabetes mellitus. In animal studies, the diabetes was induced in the animals with the help of alloxan or streptozotocin. Then, they were treated with fenugreek supplements. After some days of treatment on animals, improvements were noticed. There was improvement in the blood glucose levels on regular consumption of fenugreek supplements.5

In an animal study conducted by Babu KR et al., it was seen that fenugreek extract produced hypoglycemic effect in alloxan-induced diabetic rats after 7-21 days of oral administration. Their histopathological study on the rats showed that the alloxan-damaged β-cells were also restored on treatment with fenugreek extract.

It has been reported by Gaddam A et al. that fenugreek act by controlling the insulin resistance. The hypoglycemic effect of fenugreek was reported by them in their clinical study on both male and female volunteers having diabetes.

In a clinical study conducted by Verma N et al., fenugreek seed extract (Fenfuro™) exhibited anti-diabetic activity in male & female volunteers diagnosed with type 2 diabetes mellitus. On completion of their clinical study, they found reduction in both fasting plasma and post-prandial blood sugar levels in 83% of the study subjects. Fenfuro™ was also safe during & after the study treatment.fenfuro@

According to many reported animal and human studies, fenugreek is safe and effective in the management of diabetes whether induced by drugs or develops itself. Being an herbal supplement, it does not caused any side effect in any animal or human volunteer.

REFERENCES

 

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Hypertension & Diabetes

Blood pressure is the force of blood against your blood vessels as it circulates. This force is necessary to make the blood flow, delivering nutrients and oxygen throughout your body. High blood pressure, also called hypertension, means there is too much pressure in your blood vessels. It may precede the onset of diabetes mellitus (DM). In many of the cases, both hypertension and diabetes mellitus may be diagnosed together. Diabetic population has almost doubled occurrence of hypertension as compared to non-diabetic general population.

Diabetes and high blood pressure are considered as major cardiovascular risk factors, which mean these can lead to coronary artery disease, stroke, left ventricular hypertrophy, and nephropathy. Patients suffering from both diabetes and high blood pressure have greater risk of atherosclerosis.

What are causes of high blood pressure?2

Are you diagnosed with blood pressure & diabetes?

If yes, then monitor yourself regularly

Learn how to measure blood pressure & blood sugar at home, keep record of these.

What are the recommendations for starting anti-hypertensives?

British Hypertension Society, British Hyperlipidaemia Association and British Cardiac Society have jointly suggested the initiations of treatment of hypertension in diabetics when BP is equal to or more than 140/90 mm Hg. According to the WHO Expert Committee Recommendation in Hypertension Control treatment may be instituted at BP 130/85 mm Hg in a patient with diabetic nephropathy

Are lifestyle modifications recommended for Diabetic hypertensives?

Lifestyle modifications are must for diabetic hypertensive patients. These modifications also correct obesity, hyperglycaemia, hyperinsulinaemia, and act as primary prevention against cardiovascular risks. These will reduce blood pressure and control blood glucose levels.

Regular physical activity

It has been observed that regular physical activity has an independent cardioprotective effect.  Regular aerobic exercise can reduce systolic BP by an average of 4 mmHg and diastolic BP by an average of 2.5 mmHg. It is advised to all patients to become physically active, as part of a comprehensive plan to control hypertension and diabetes, regardless of drug treatment. Aim for 30 minutes of moderate-intensity physical activity on most, if not all, days of the week.

3

Quitting smoking

Quitting smoking may not directly reduce BP, but markedly reduces overall cardiovascular risk. The risk of myocardial infarction is 2–6 times higher and the risk of stroke is 3 times higher in people who smoke than in non-smokers.

Quitting smoking also helps in better management of blood glucose and HbA1c levels.4

Dietary Modification

Adequate intake of dietary-fibre, and K+, Ca++, Mg++ from fresh fruit, green vegetables, and dairy products should be ensured. Mg++ is provided by chlorophyll of green leafy vegetables. Anti-obesity diet should not contain more than 1/3rd of total calories from fat. Of the fat calories, 1/3rd should be derived from saturated fat and 2/3 from poly- or monounsaturated fat.

5

Weight reduction

Every 1% reduction in body weight lowers systolic BP by an average of 1 mmHg. Weight reduction by as little as 4.5 kg reduces BP and/or prevents hypertension in a large proportion of overweight people. Weight loss of 10 kg can reduce systolic BP by 6–10 mmHg.

 6 

 

Reducing Alcohol Intake

Reducing alcohol intake may reduce BP in many patients and also contributes in better management of blood sugar levels.

Co-existence of diabetes mellitus and hypertension increases the risk of macro – and micro-vascular complications. Blood pressure should be measured in supine, sitting, and standing postures in a diabetic patient to detect existence of autonomic neuropathy and drug induced postural hypotension. A good BP control (130/80 or below) prevents or retards the progress of both micro and macro-vascular complications. Tight control of blood glucose levels prevents or delays the progress of micro-vascular complications.

It is very important and must of diabetic hypertensive patients to modify their lifestyle to lead a healthy and happy life.

FenfuroTM is a clinically evaluated dietary supplement for effective management of blood glucose levels. It is supported by 6 international patents.

fenfuro@

References

 

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DEALING WITH DIABETIC FOOT

DIABETIC FOOT

  • Any ulcer or infection developed on foot during diabetic condition is termed as diabetic foot. It is one of the long-term complications of diabetes mellitus (rise in blood sugar levels). Ulcers or wounds most commonly occur at the bottom of the toe of the patient.
  • Reasons: Diabetes from very long time causes the damage in the nerves & blood vessels of the body which are the major reason behind diabetic foot.2
    • Nerve damage causes the person to lose feeling in the feet. Due to the loss of feeling, foot is exposed repeatedly to
      trauma or injury. Thus, any cut, blister or sore remains undiscovered. So, these minor foot injuries become ulcers & lead to major infections.
    • Blood vessel damage causes narrowing of the area to flow blood and oxygen throughout feet. Poor circulation of blood and oxygen in the foot area causes the wound healing process to slow down. This further worsens the condition of diabetic foot.
    • Sometimes, long-term diabetes loses normal foot arc in the patients. This causes clawed toes or hammer toes, displacement of fat cushion or foot-bottom deformity which further causes abnormal weight bearing in the foot. This changes the shape of the foot. The normal footwear becomes unable to fit properly and pushes the foot towards injury.3

 

  • People with diabetes can develop many foot problems. Neglecting these problems can cause serious conditions which lead to amputation (removal of limb by surgery).
  • According to the research data, foot ulcers within diabetic individuals are around 15% and become as high as 25%.

(http://www.diabetes.org/living-with-diabetes/complications/foot-complications/?loc=lwd-slabnav)

(https://medlineplus.gov/diabeticfoot.html)

 

PREVENTION & TREATMENT OF DIABETIC FOOT

 

  • The primary criteria for prevention and treatment of diabetic foot include the self-management. Foot care is the prime option for diabetic individuals to avoid the foot injury and minimize the chances of the development of diabetic foot.
  • Self-care activities: To keep the feet healthy in diabetic individuals, following self-care activities are recommended by healthcare personnel:4

 

  • Check your feet everyday for cuts, sores or blisters. You can also use mirror, if necessary.
  • Wash your feet everyday in warm and clean water without soaking for long time. Keep your feet dry after washing and be sure to dry your feet between toes.5
  • Keep the feet soft and smooth. Use cream or lotion to keep them soft after washing. Never use any cream or lotion in-between the toes and fingers because this will lead to infection.6
  • Corns and calluses should not be cut. Keep them smooth by rubbing gently in one direction.
  • Trim the toenails according to the requirement. In case of ingrown toenail, consult doctor. Smooth the nails after trimming. There should not be any toenail left sharp which could cause injury.7
  • Wear shoes & socks all the time. Do not walk barefoot, not even indoors because it may cause minor injury to the feet. Wear those shoes which fit comfortably in your feet.8

 

  • Protect the feet from extreme heat and cold. Put sunscreen lotion on the feet to prevent sunburn. Wear socks whenever you feel cold. Keep the feet away from open fires.
  • Physical activities which are easy on the feet should be chosen. Avoid running & jumping. Wear athletic shoes for exercise that fit well and provide good support.
  • Try to perform activities which will keep the blood flowing in the feet such as put the feet up while sitting, wiggle the toes after intervals, move the ankles up & down and do not cross legs for longer periods of time.
  • Avoid smoking because it can narrow and harden the blood vessels, thus, causes blood vessel damage.
  • Check your blood sugar levels regularly.

(http://www.healthsanaz.com/diabetic-foot-care-posters-df19.html)

(https://www.niddk.nih.gov/health-information/diabetes/preventing-diabetes-problems/keep-feet-healthy)

 

DIABETIC FOOT ASSESSMENT QUESTIONNAIRE

 

The problems given in the following questionnaire in a diabetic individual should be minutely handled because they can lead to diabetic foot:

 

  1. Is there any appearance of corn or calluses?

  9

 

  1. Is there any formation of blister on any part of the foot?

 

 10

  1. Are there any ingrown toenails?

 11

 

  1. Is there any formation of bunion beside the toe?

 

 12 

  

  1. Is there any appearance of plantar wart at the bottom of the feet?

 13

 

  1. Is there any formation of hammer toe?

  14

 

  1. Is there any formation of dry and cracked feet skin in grey or red color?

  15

  1. Is there any appearance of foot toe fungal infection?

  16

 

  1. Is there any mild or severe pain in the feet?

 

 17 

 

“Call or see your doctor right away if you have any of these signs to avoid diabetic foot”

 

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Metformin Contraindications & Benefits from Fenugreek

Manage your Blood glucose levels.

1

METFORMIN

download

 

 

 

 

 

 

 

 

 

Introduction

  • Metformin is the first-line medication for type-2 diabetes to control blood sugar levels. It is also used in the treatment of polycystic ovary syndrome (PCOS).
  • It is an “insulin sensitizer” which means that it works to make the cells in the body more receptive to insulin.
  • When the cells are insulin sensitive, they are able to take more glucose from the blood to be used for energy.

(http://www.diabetesselfmanagement.com/blog/diabetes-medicine-metformin/)

Mechanism of action

  • It lowers the blood sugar levels in type-2 diabetic patients by decreasing the amount of glucose released into the blood stream by the liver. Thus, it lowers the glucose production by liver.
  • In type-2 diabetic patients, the glucose production by liver is 3-times more than a normal individual. Metformin reduces this by one-third.

(Kirpichnikov D et al.: Metformin: an update. Ann Intern Med. 2002; 137(1):25-33)

Contraindications

Metformin is generally well tolerated but it has some side effects such as:

glucophage_contraindications

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

  • Metformin is a widely used anti-diabetic drug. Deterioration of sleep is an important unwanted side effect of metformin. (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354927/)
  • Lactic acidosis: Most serious side effect caused by metformin is lactic acidosis. Lactic acidosis happens when there is not enough oxygen in the body and too much lactic acid builds up in the blood. Dehydration and drinking large amounts of alcohol can bring on lactic acidosis. Metformin also worsens this state of lactic acidosis. Its symptoms include:
    • Muscle pain
    • Numbness in the arms & legs
    • Trouble breathing
    • Stomach pain
    • Feeling very weak or dizzy
    • Slow or uneven heart rate
    • Nausea with vomiting
  • U. S. Food and Drug Administration (FDA) gave safety announcement regarding metformin use by kidney patients. According to FDA, metformin increases the risk of developing a serious and potentially deadly condition called lactic acidosis in kidney patients consuming metformin.

(https://www.drugs.com/metformin.html)

(Kim M J et al.: Metformin-associated lactic acidosis:predisposing, factors and outcome. Endocrinol Metab 2015; 30:78-83)

(http://www.fda.gov/Drugs/DrugSafety/ucm493244.htm)

Other general reported side effects

  • Minor side effects including diarrhea, nausea and abdominal pain.
  • Metformin does not signal the pancreas to release insulin due to which there is a little risk of low blood sugar (hypoglycemia) when taking this drug.
  • Decreased appetite
  • Heart burn

  

Are you on Metformin for a long time, then answering following five questions is very important

ts_150313_elderly_patient_pill_question_mark_800x600

  1. Do you feel muscle pain?

  2. Do you feel numbness in your arms & legs?

  3. Do you feel weakness or dizziness?

  4. Do you have sleep disorder?

  5. Is there change in your diet?

 

If YES Consult Your Doctor

 

FENUGREEK & DIABETES MANAGEMENT

download (1)

  • Research and traditional usage suggests that Fenugreek seeds (Trigonella foenum graecum) are among the best in terms of safety and efficacy. According to the clinical studies, seeds of Fenugreek are a rich source of fiber and have multiple benefits in patients with diabetes.
  • Mechanism: Soluble fiber in fenugreek seeds helps to lower blood sugar by slowing down carbohydrate digestion & absorption and stimulate insulin.
  • Blood sugar: Animal research suggests that fenugreek may also contain a substance that stimulates insulin production and improves blood sugar control. The bioactive components responsible for anti-diabetic activity of fenugreek are soluble fiber, alkaloids and amino acids. Soluble fibers delay the intestinal absorption of ingested sugar. 4-hydroxyisoleucine amino acid acts on pancreas to increase the release of insulin from islets of Langerhans. Thus, the risk of hypoglycemia, as in the case of metformin consumption, never originates while consuming fenugreek.

(http://www.botanical-online.com/english/fenugreek_diabetes.htm)

OTHER HEALTH BENEFITS

(http://www.uofmhealth.org/health-library/hn-2090006)

  • Inflammation, gastrointestinal problems and muscle pain: Abebe W also suggested that fenugreek is indicated for inflammation, gastrointestinal problems and muscle pain. The bioactive components responsible for this activity of fenugreek include alkaloids, saponins, amino acids etc. These bioactive components contribute to the anti-inflammatory and anti-oxidant property of fenugreek.
  • Cholesterol & heart conditions: Incorporation of fenugreek in the regular diet can promote healthy cholesterol levels and play a role in the treatment of heart conditions like atherosclerosis, also known as “hardening of the arteries.”

(http://www.evitamins.com/a/10-best-uses-fenugreek-452)

  • Appetite: In case of metformin consumption, there is decrease in appetite but while consuming fenugreek, the appetite gets balanced because it increases the production of bile by the liver.

(http://www.fenugreekworld.com/fenugreek-and-fennel-seeds-for-increasing-the-appetite-in-kids/)

  • Heartburn: Fenugreek can be an effective remedy for acid reflux orheartburn. Mucilage of fenugreek seeds coat the lining of the stomach and intestine and soothe irritated gastrointestinal tissues.

(http://www.thehealthsite.com/diseases-conditions/15-health-benefits-of-methi/)

  • Vitamins: It is also rich in many vital vitamins that are essential nutrients for optimum health, including thiamin, pyridoxine (vitamin B6), folic acid, riboflavin, niacin, vitamin A, and vitamin-C.
  • Minerals: Fenugreek is an excellent sources of minerals likecopper, potassium, calcium, iron, selenium, zinc, manganese, and magnesium. Potassium is an important component of cell and body fluids that helps control heart rate and blood pressure by countering action on sodium. Iron is essential for red blood cell production and as a co-factor for cytochrome-oxidases enzymes.

 

FenfuroTM is a patented and clinically evaluated product for safe and effective management of blood sugar levels. Fenfuro is a first of its kind, safe nutraceutical derived from fenugreek seeds through a patented process. Through its unique scientific process, FENFURO concentrates the bioactive part of plants into a manageable dose, while removing the inert parts such as cellulose. Also, since a lot of healthy botanicals are not palatable, consuming their concentrate in capsule form in small dosage is a lot easier. FENFURO contains a rich variety of saponins and flavonoids. These substances are known to lower blood lipid level and help in insulin sensitization and glucose regulation. FENFURO is the first dual action insulin sensitizer.

A clinical evaluation of FENFURO was carried out on a total of 154 Type 2 diabetics for a period of 3 months, to determine its efficacy and safety. At the end of three months 83% of the patients reported decrease in fasting sugar levels and89% patients reported decrease in PP sugar levels. The patients also showed significant decrease in HbA1C levels as compared to respective baseline value. 48.8% of patients reported reduction in dosage of anti-diabetic therapy after regularly taking FENFURO.

 

References

  • Wulffele MG, Kooy A, Lehert P, Bets D, Ogterop JC, Borger van der Burg B, Donker AJ, Stehouwer CD.Effects of short-term treatment with metformin on serum concentrations of homocysteine, folate and vitamin B12 in type 2 diabetes mellitus: a randomized, placebo-controlled trial. J Intern Med. November 2003;254(5):455–63
  • Gupta A, Gupta R and Lal B: Effect of Trigonella foenum graecum seeds on glycaemic control and insulin resistance in type 2 diabetes mellitus: A double blind placebo controlled study. J Assoc Physicians India 2001; 49:1057-1061
  • Abebe W: Herbal medication: potential for adverse interactions with analgesic drugs. Journal of Clinical Pharmacy and Therapeutics 2002; 27:391–40.
  • Mahajan R, Gupta K. Revisiting Metformin: Annual Vitamin B12 Supplementation may become Mandatory with Long-Term Metformin Use. J Young Pharm. 2010Oct;2(4):428-9. doi: 10.4103/0975-1483.71621. PubMed PMID: 21264109; PubMedCentral PMCID: PMC3019388.

 

 

 

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MANAGING TYPE 2 DIABETES & ITS NEUROPATHIC COMPLICATIONS, NATURALLY

TYPE II DIABETES

  • Diabetes is a problem with your body that causes blood glucose levels to rise higher than normal. This is also called hyperglycemia. Type 2 diabetes is the most common form of diabetes.
  • Cause of Diabetes: If you have type 2 diabetes your body does not use insulin properly. This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn’t able to keep up and can’t make enough insulin to keep your blood glucose at normal levels.

(http://www.diabetes.org/diabetes-basics/type-2/?referrer=https://www.google.co.in/)2

  • Complications associated with diabetes: Diabetes increases your risk for many serious health problems e. complications such as eye complications (eye damage, vision loss, etc), skin complications (bacterial & fungal infection), kidney failure, cardiovascular diseases (heart problems) and neuropathy (nerve damage from diabetes is called diabetic neuropathy). But, with the correct treatment and recommended lifestyle changes, many people with diabetes are able to prevent or delay the onset of complications.

(http://www.diabetes.org/living-with-diabetes/complications/?loc=lwd-slabnav#sthash.VbOb80Xs.dpuf)

 

DIABETIC NEUROPATHY (NERVE DAMAGE)

  • Diabetic neuropathy is a serious complication, where in long term diabetes causes nerve damage. About half of all people with diabetes have some form of diabetic neuropathy. Most common nerve damage with the loss of feeling and pain occurs in the legs, feet, toes, arms and hands. This damage is painful and can cause peripheral neuropathy (can cause tingling, pain, numbness, or weakness in your feet and hands), autonomic neuropathy (affects those nerves in the body that control body pain).

(http://www.diabetes.org/living-with-diabetes/complications/neuropathy/?referrer=http://www.diabetes.org/living-with-diabetes/complications/?loc=lwd-slabnav#sthash.DnMRcyVr.dpuf)

  • Cause of diabetic neuropathy: Diabetes induced oxidative stress is the major cause of nerve cell damage leading to diabetic neuropathy. This can be handled if food or diet rich in the components which can fight against the oxidative stress e. antioxidants is consumed.
  • Diagnosis with common tests: Diabetic neuropathy can be detected by regular foot exams which are to be done each year in patients with diabetes to test pressure sensation, temperature perception, and vibration perception. Nerve conduction velocity tests are also done which record the speed with which the nerves send messages and Electromyogram which checks how nerves & muscles work together.

Fenugreek effectiveness in diabetic neuropathy

It is established that fenugreek seed extract has anti-diabetic effects through several pathways, such as restoring pancreatic β cell function and inhibiting sucrase and alpha-amylase activities. Beside these properties, Fenugreek is reported to have very strong anti oxidant activity as well as neuro protective activity.

It is reported that constituents of fenugreek  may elevate expression of Nerve growth factors (NGF) and brain derived neurotropic factors (BDNF) resulting is protection of nerves cells from oxidative damage and repair of damaged nerves.

FenfuroTM  is a patented and clinically evaluated product for safe and effective management of blood sugar levels. Fenfuro is a first of its kind, safenutraceutical derived from fenugreek seeds through a patented process. Through its unique scientific process, FENFURO concentrates the bioactive part of plants into a manageable dose, while removing the inert parts such as cellulose. Also, since a lot of healthy botanicals are not palatable, consuming their concentrate in capsule form in small dosage is a lot easier. FENFURO contains a rich variety of saponins and flavonoids. These substances are known to lower blood lipid level and help in insulin sensitization and glucose regulation. FENFURO is the first dual action insulin sensitizer.

A clinical evaluation of FENFURO was carried out on a total of 154 Type 2 diabetics for a period of 3 months, to determine its efficacy and safety. At the end of three months 83% of the patients reported decrease in fasting sugar levels and89% patients reported decrease in PP sugar levels. The patients also showed significant decrease in HbA1C levels as compared to respective baseline value. 48.8% of patients reported reduction in dosage of anti-diabetic therapy after regularly taking FENFURO

 

ARE YOU A DIABETIC?

DO YOU HAVE FOLLOWING SYMPTOMS?

YOU MAY BE SUFFERING FROM DIABETIC NEUROPATHY.

  1. Are your legs and/or feet numb?

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  1. Do you ever have any burning pain in your legs and/or feet?4
  2. Are your feet too sensitive to touch?

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  1. Do you get muscle cramps in your legs and/or feet? 6
  2. Do you ever have any prickling feelings in your legs or feet?

           7

  1. Does it hurt when the bed covers touch your skin?  8
  2. When you get into the tub or shower, are you able to tell the hot water from the cold water?

          9

CONSULT YOUR DOCTOR

References

  • Kumar P, Kale RK, McLean P, Baquer NZ. Antidiabetic and neuroprotective effects of Trigonella foenum-graecum seed powder in diabetic rat brain. Prague Med Rep. 2012;113(1):33-43. PubMed PMID: 22373803 
  • Gaur V, Bodhankar SL, Mohan V, Thakurdesai PA. Neurobehavioral assessment of hydroalcoholic extract of Trigonella foenum-graecum seeds in rodent models of Parkinson’s disease. Pharm Biol. 2013 May;51(5):550-7. doi:10.3109/13880209.2012.747547. Epub 2013 Feb 1. PubMed PMID: 23368940. 
  • Kumar P, Kale RK, Baquer NZ. Antihyperglycemic and protective effects of Trigonella foenum graecum seed powder on biochemical alterations in alloxan diabetic rats. Eur Rev Med Pharmacol Sci. 2012 Jul;16 Suppl 3:18-27. PubMed PMID:22957414. 
  • Jin Y, Shi Y, Zou Y, Miao C, Sun B, Li C. Fenugreek Prevents the Development of STZ-Induced Diabetic Nephropathy in a Rat Model of Diabetes. Evid Based Complement Alternat Med. 2014;2014:259368. doi: 10.1155/2014/259368. Epub 2014 May 8. PubMed PMID: 25057273; PubMed Central PMCID: PMC4099218.

 

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5 Ways to Lower Your A1C

The A1C is a blood test that shows how well your blood sugar management plan is working. Here’s how to reach a healthy A1C number and avoid blood sugar complications.

Taking the A1C Test

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If your blood sugar is well controlled and your blood sugar levels have remained stable, the American Diabetes Association recommends that you have the A1C test two times each year. A1C test results provide insight into how your treatment plan is working or might be modified to better control the condition. Your doctor may want to run the test as often as every three months if your A1C is not within your target range.

What the A1C Results Mean

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The A1C test measures the glucose (blood sugar) in your blood by assessing the amount of what’s called glycated hemoglobin. “Hemoglobin is a protein within red blood cells. As glucose enters the bloodstream, it binds to hemoglobin, or glycates. The more glucose that enters the bloodstream, the higher the amount of glycated hemoglobin,” .

An A1C level below 6 percent is considered normal. An A1C between 6 and 6.5 percent signals pre-diabetes. Type 2 diabetes is diagnosed when the A1C is over 6.5 percent. For many people with type 2 diabetes, the goal is to lower A1C levels to a healthier percentage.

Your A1C goal is specific to you. Several factors come into play such as your age, how advanced your blood glucose is, and any other heath conditions you have. A common A1C goal for people with blood sugar is less than 7 percent. If you can keep your A1C number below your goal, you help to reduce the risk of blood sugar complications, such as nerve damage,eye problems etc.

Making these healthy changes can help you improve your day-to-day blood sugar management and lower your A1C:

•  Move more. Try to get at least 30 minutes of exercise five days a week. This doesn’t have to be formal exercise. Find something you enjoy doing that gets your body moving — take your dog for a walk, play a sport with a friend, or ride a stationary bike indoors or a regular bike outdoors.

•  Eat a balanced diet with proper portion sizes. You can load up on non-starchy vegetables, but be mindful of serving sizes when eating fruits, lean proteins, fats, and complex carbohydrates like bread, potatoes, and other starches. Using a salad plate instead of a full-size dinner plate can help prevent overeating. Avoid processed foods as much as possible and say no to sugary sodas and fruit juice. A blood glucose educator or dietician may be able to help if you’re unsure about a good blood sugar diet.

•  Stick to a schedule. Skipping meals, letting too much time pass between meals, or eating too much or too often can cause your blood sugar levels to fall and rise too much. Your doctor can help you determine the best meal schedule for your lifestyle.

•  Follow your treatment plan. Blood sugar treatment is very individualized. Your doctor will help you determine the steps you need to take to successfully manage your blood sugar. Always talk to your doctor before making any changes.

•  Check your blood sugar as directed. Checking blood sugar on your own is still necessary, even if your doctor is monitoring your A1C levels. Keeping a journal of your blood sugar levels can tell you and your doctor how certain activities affect your blood sugar. It can also help determine an ideal eating schedule and alert you to foods that cause blood sugar spikes.

Understanding your A1C levels is an important part of your overall blood sugar management. If you have any questions about your A1C levels or what they mean, don’t hesitate to ask your doctor.

The A1C is a blood test that shows how well your blood sugar management plan is working. Here’s how to reach a healthy A1C number and avoid blood sugar complications.

Tips for a Lower A1C

 

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Your A1C score is a valuable part of the blood sugar control picture, but it is not the only indicator of your health. Someone who has wide fluctuations in blood sugar levels may have an A1C at goal because the average is good. However, these day-to-day fluctuations can lower your quality of life and increase your risk of complications.Blood sugar can be a tough condition to manage. It takes work, but the time and effort you put into it can result in good control and an improved quality of life.

Use Supplement for Lower A1C: 

FENFURO Regular intake of FENFURO can control the blood sugar level effectively. FENFURO is a first of its kind, safe nutraceutical derived from fenugreek seeds through a patented process.  Through its unique scientific process, FENFURO concentrates the bioactive part of plants into a manageable dose, while removing the inert parts such as cellulose. Also, since a lot of healthy botanicals are not palatable, consuming their concentrate in capsule form in small dosage is a lot easier. FENFURO contains a rich variety of saponins and flavonoids. These substances are known to lower blood lipid level and help in insulin sensitization and glucose regulation. FENFURO is the first dual action insulin sensitizer.

The statement and product have not been evaluated by the FDA to diagnose, treat, cure or prevent any disease.

 

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Top 5 Diet Mistakes For Diabetics

How to avoid common problems of popular diet plans:

You see a lot in the news about the supposed best and worst diet plans. Media folks typically rank diets for taste, amount of weight loss, safety, and nutrition quality. Results vary. But what I want to talk about are the common mistakes I see people making when following popular diet plans. I’m not saying these plans are necessarily bad (or good), but I want to point out some of the unhealthy mistakes people make when they “go on a diet.” Here are some I see frequently in my patients:

1. Saving all your calories or “points” for one large evening meal:

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Often people may skip breakfast and eat a really small lunch so they can have a huge dinner. This is not a good idea because skipping meals can slow down your metabolism and makeweight loss more difficult. For people with diabetes, it’s also problematic because eating one large meal can spike blood sugar. It’s better to eat three similar-sized meals per day.

2. Avoiding milk because it has too many calories or points:

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I see people avoiding milk way too often. People may avoid drinking milk because it has too many “points,” but then substitute other unhealthy, processed foods such as sodas or sports drinks, baked chips, low fat cookies, or other snacks. Ounce for ounce, milk is a very healthy, satisfying “food” packed with calcium, protein, and vitamin D. Most Americans do not get enough dairy. Inadequate calcium intake can lead to bone disease.

3. Eating too much fruit:

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Some diet plans allow fruit as a “free” food. Anyone with diabetes should know that fruit can’t be a free food because it contains a big dose of carbohydrates, which raise blood glucose levels. This is not to say people with diabetes should avoid fruit, but they need to watch their portion size and count carbs. Also, you should avoid dried fruit and fruit juice entirely, because they contain a large, concentrated amount of carbs in a very small portion size.

4. Not balancing diet — eating too much from one food group:

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Sometimes when people start a new diet plan they think they need to be extreme. For example, they might know that protein foods are good choices, so that is all they eat. They may have an egg for breakfast, a turkey burger without a bun for lunch, and a chicken breast with some green beans for dinner. Now these are not “bad” choices, but this diet is not well balanced and is lacking in vitamins, minerals, and fiber. You should include foods from all the other food groups too, such as fresh fruit, milk, yogurt and healthy carbs like sweet potatoes and beans. Eating a well-balanced diet is not only healthy, but is more satisfying too.

5. Binging on weekends:

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Giving yourself the leeway to eat whatever you want on the weekends, as a reward for sticking to a healthy diet the rest of the week can be hazardous to your plan, if your weekend foods are processed or filled with refined flour and sugar. These stay in your body and have toxic effects on your digestive system, and may actually negate the healthy things you do during the entire week. www.fenfuro.com

Use Supplement for blood sugar

FENFURO Regular intake of FENFURO can control the blood sugar level effectively. FENFURO is a first of its kind, safe nutraceutical derived from fenugreek seeds through a patented process.  Through its unique scientific process, FENFURO concentrates the bioactive part of plants into a manageable dose, while removing the inert parts such as cellulose. Also, since a lot of healthy botanicals are not palatable, consuming their concentrate in capsule form in small dosage is a lot easier. FENFURO contains a rich variety of saponins and flavonoids. These substances are known to lower blood lipid level and help in insulin sensitization and glucose regulation. FENFURO is the first dual action insulin sensitizer.

The statement and product have not been evaluated by the FDA to diagnose, treat, cure or prevent any disease.

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What You Need to Know About Type 2 Diabetes

The Facts 

Type 2 Diabetes, the most common form and also referred to as adult onset diabetes, is a problem in which blood glucose levels rise above normal. The pancreas produces more insulin in response however, over time, the pancreas cannot keep up and make enough insulin to keep blood glucose at a normal level otherwise known as insulin resistance. When there is not enough insulin to move sugar into your cells, the body will rely on alternative sources of energy like from your tissues, muscles, and organs.

At first, the symptoms may be mild and easy to dismiss, however type 2 diabetes develops slowly and worsens over time. 

The Symptoms

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Frequent Urination:

Elevated glucose levels force fluids from cells, increasing the amount of fluid delivered to your kidneys. This increases urination and may cause dehydration.

Constant thirst :

As water is leached from your body, your tissues become dehydrated leading to constant thirst, a common symptom of diabetes. 

Fatigue :

Glucose is the human body’s primary source of energy. When cells cannot absorb sugar due to insulin resistance, you may become fatigued or feel exhausted.

Blurred vision :

In the short term, high glucose levels can cause swelling in the lens of the eye leading to blurry vision. This is a temporary problem that can be corrected by getting blood sugar under control. However, if glucose levels remain high over a long period of time, other eye problems can occur.

Recurring Infections and Sores :

Elevated glucose levels slow down the healing process therefore, injuries like cuts and sores stay open longer making you more susceptible to infection.

If you experience any of these symptoms on a regular basis, consult your doctor who may recommend a simple blood draw to test for diabetes. Routine diabetes screening typically begins at age 45 however you may begin earlier if you are overweight, sedentary, have a family history of type 2 diabetes, and are at a higher risk due to high blood pressure, high cholesterol and high triglycerides.

As the disease progresses unchecked, the symptoms will become more severe and potentially life threatening.

High blood sugar levels over a long period of time can produce symptoms including:

    • Yeast infections
    • Slow-healing cuts or sores
    • Dark skin patches 
    • Foot pain
    • Numbness in extremities or neuropathy 

If you’re experiencing two or more of these symptoms, consult your doctor immediately. Without treatment, diabetes can become fatal.

The causes of type 2 diabetes are still under research however, a number of doctors believe the disease is a result of a combination of factors.

The Causes

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Specifically, insulin is a naturally occurring hormone produced by the pancreas and released when you eat. Insulin helps transport sugar from your bloodstream to cells throughout your body where it’s used for energy. When a person is diagnosed with type 2 diabetes, it means that the pancreas can no longer produce insulin efficiently forcing the pancreas to work harder. Over time, this damages cells in the pancreas eventually rendering the pancreas unable to produce insulin at all.

This causes a build-up of glucose in the blood stream leaving the body starved of energy. Though, doctors are unsure of what triggers this series of events.

Cell dysfunction in the pancreas or with cell signaling and regulation may be part of the problem. A genetic predisposition may further be a factor in addition to obesity, which increases the risk of insulin resistance and diabetes.

While more research is needed fully understand the exact causes of type 2 diabetes, we are aware of certain factors that put people at a greater risk of developing the disease.

Risk Factors

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  • Certain factors are out of your control:
  • A family member who has type 2 diabetes puts you at a greater risk.
  • While you can develop the disease at any age, your risk increase as you age, particularly after age 45.
  • African-Americans, Latinos, Asian-Americans, and American Indians are at a higher risk than Caucasians.
  • A condition known as polycystic ovarian syndrome (PCOS) increases the risk in women.

However, you may be able to reduce or even eliminate your chance of developing diabetes by assessing risk factors related to lifestyle:

  • Being overweight means you have higher amounts of fatty tissue which can make your cells more resistant to insulin. In particular, extra fat in the abdomen increases you risk more than extra fat in the hips and thighs. 
  • Your risk increases further if you live a sedentary lifestyle. Regular exercise causes the body to use more glucose for energy and helps your cells respond better to insulin. 
  • Eating high amounts processed food, and foods high in fat, saturated fat, and cholesterol such as meat, dairy and eggs can increase your risk of type 2 diabetes

If you have pre-diabetes or have had gestational diabetes, your risk is also greater.

Figuring how to control blood sugar is paramount especially since a number of serious complications can result from type 2 diabetes.    

 Complications

Diabetes affects virtually every organ in the human body and is life-threatening if left untreated. A number of serious complications include:

  • Bacterial infections, fungal infections and other skin problems.
  • Nerve damage or neuropathy which can cause a loss of sensation or numbness and tingling in your extremities as well as digestive issues such as vomiting, diarrhea, and constipation. 
  • Poor circulation to the feet which slows down the healing process if you have a cut or sore and can lead to infection, gangrene and amputation. 
  • Hearing impairment.
  • Retinal damage or retinopathy and eye damage which can cause deteriorating vision, glaucoma, and cataracts. 
  • Cardiovascular diseases such as high blood pressure, narrowing of the arteries, angina, heart attack or stroke. In particular, women are twice as likely to experience another heart attack after the first one. Additionally, the risk of heart failure quadruples when compared to women without diabetes. 
  • Kidney damage and/or kidney failure. 

Hyperglycemia vs. Hypoglycemia

Hypoglycemia can occur when your blood sugar is low and is often followed by symptoms of shakiness, dizziness, and difficulty speaking. This can usually be remedied with a high sugar “quick-fix” food or drink, such as fruit juice, a soft drink, or a hard candy.

On the other hand, hyperglycemia can occur when blood sugar is high Characterized by frequent urination and increased thirst, exercising and proper nutrition can help regulate your blood sugar level.

How to Treat It

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Type 2 diabetes is a treatable and even preventable disease that affects millions of Americans in the US alone. Only a doctor can test you for diabetes and determine how often you have check your blood glucose levels however, by making some lifestyle changes, you can drastically improve your quality of life.

Nutrition

Include foods rich in fiber and healthy carbohydrates in your diet. Fruits, vegetables, beans, lentils and whole grains help keep your blood sugar levels within a normal range. Medical professionals like Dr. Neal Barnard are using high fiber, low fat plant-based diets as a natural cure for type 2 diabetes. Additionally, eat at regular intervals and until you are satisfied. 

Weight Management

Weight loss and management can significantly improve and even prevent the onset type 2 diabetes therefore, processed food, and foods high in fat, saturated fat and cholesterol such as meat, dairy and eggs are important to keep out of your diet. Reducing your consumption of pure, liquefied fat or refined oils—vegetable oil in particular—will further promote weight loss.

Exercise

Exercise for 30 minutes daily to promote heart health and to help control blood glucose. This is also an effective tool for weight loss and weight management.

Supplements

Add natural supplements to your diet. Fenugreek seed extract is growing in popularity as both a super food and an effective home remedy for diabetes. Studies suggest that fenugreek seed extract contains properties that can lower cholesterol and blood sugar. FENFURO, a group of furostanolic saponins derived from fenugreek seeds, contains a rich variety of saponins and flavonoids, all substances known to lower blood lipid levels and a play valuable role in glucose regulation. For more information, visit www.fenfuro.com.

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Not everyone with type 2 diabetes needs to use insulin. If you do, your pancreas isn’t making enough insulin on its own therefore, it’s crucial that you take insulin as directed. While type 2 diabetes medication is an option, the disease can often be treated and even prevented with a low fat, high fiber plant based diet and regular exercise. 

How to Prevent It

While there is nothing you can do about your genetics, ethnicity or age, the life style changes mentioned in this article can drastically improve your quality of life after being diagnosed with type 2 diabetes and even prevent the disease’s onset. The first step is to consult your doctor who can assess your risk, test your blood for diabetes, and prescribe medications if necessary.

The statement and product mentioned in this article have not been evaluated by the FDA to diagnose, treat, cure or prevent any disease.