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DIABETES MANAGEMENT WITH DIETARY FIBER

DIABETES MELLITUS

  • Diabetes mellitus or diabetes is a condition when there is rise in blood sugar levels in the body. The body becomes unable to use blood sugar (via insulin) for energy. During type 1 diabetes mellitus, pancreas becomes unable to produce insulin due to which glucose remains in the blood instead of transferring to the cells of the body. During type 2 diabetes mellitus, either the pancreas does not produce sufficient amount of insulin or the cells become unresponsive to insulin. In both of the conditions, sugar is not transferred from blood to the cells of the body. Thus, blood sugar levels raise causing diabetes.

(http://www.diabetes.org/diabetes-basics/common-terms/)

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DIABETES MANAGEMENT

  • Epidemiology: India has the largest number of diabetic people. According to WHO, there were 32 million people diagnosed with diabetes in year 2000. It is now estimated that they will rise to 80 million by the year 2030. Thus, there is a critical need for the strategies to prevent the epidemic of diabetes.capture-3
  • Goals for management of diabetes: The goals for managing diabetes in people are to provide:
    • Relief from diabetic symptoms
    • Prevention of complications such as retinopathy, neuropathy, cardiovascular disease, cerebro-vascular disease, etc
    • Prevention of infections
  • The primary prevention criteria for diabetes by any healthcare provider include healthy life style focusing on proper balanced diet, increased physical activity and weight control. Lifestyle modification is the cornerstone for the management of diabetes.
  • For management of diabetes, dietary modifications are required. They aim to achieve and maintain ideal body weight, euglycaemia and desirable lipid profile.

(http://icmr.nic.in/guidelines_diabetes/guide_diabetes.htm)

(http://icmr.nic.in/guidelines_diabetes/section6.pdf)

ROLE OF DIETARY FIBER

  • Dietary fiber: Dietary fiber is the part of plant food, which cannot be digested by human body. Other food components such as fats, proteins & carbohydrates are broken down and absorbed by the human body. But dietary fiber passes intact through the stomach, small intestine, and colon and out of the body.
    • Availability: Dietary fiber is mainly found in the fruits, vegetables, whole grains and legumes. It provides health benefits such as maintaining blood sugar levels, healthy weight and preventing heart disease.
    • Benefits: The high-fiber diet has many benefits such as,
      • Controlling blood sugar levels by slowing the absorption of sugar
      • Achieving healthy weight by lowering blood cholesterol levels
      • Helps to maintain bowel health
      • Decreases chances of constipation

(http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fiber/art-20043983)

  • Diabetes & dietary fiber
    • Dietary fiber is reported to lower blood glucose levels. The daily intake of soluble fiber results in the prevention of diabetes.
    • Mechanism: Soluble fiber help to control blood sugar levels by delaying gastric emptying, holding back the entry of glucose into the bloodstream and lessening the postprandial (post-meal) rise in blood sugar. Because fiber slows the digestion of foods, it helps to inhibit the sudden spike in blood glucose that may occur after a low-fiber meal. Such blood sugar peaks stimulate the pancreas to pump out more insulin. The cholesterol-lowering effect of soluble fiber may also help people with diabetes by reducing heart disease risks.capture-4

(http://www.diabetes.ca/diabetes-and-you/healthy-living-resources/diet-nutrition/fibre#sthash.dXX6pgRZ.dpuf)

  • It has also been proved by the clinical studies that high fiber diet is beneficial to improve glycaemic control, glycosylated hemoglobin and hyperinsulinemia. It has been shown in the study that increases in bile-acid excretion due to dietary fiber intake is responsible for lowering blood glucose levels. The high fiber diet also helped to lower plasma lipid concentrations.

(http://www.nejm.org/doi/full/10.1056/NEJM200005113421903#t=articleTop)

  • Epidemiological studies suggested 29% reduction in the development of diabetes due to the protective effect of high dietary fiber intake. Increase in dietary fiber intake resulted in subsequent improvements in glycaemic control, reduction in the use of oral medication and insulin doses. Thus, dietary fiber consumption without altering the energy intake from carbohydrates, proteins and fats reduces the need for medication in type 1 and type 2 diabetic patients.

(https://www.researchgate.net/profile/Stefanie_Ferreri/publication/24247618_Health_benefits_of_dietary_fiber._Nutr_Rev/links/00b495391040b77454000000.pdf)

  • Fiber-rich diet for diabetics: It is recommended that an adult male need 38g per day of fiber and female need 25g per day of fiber intake to prevent diseased state. Diabetic individuals should follow following high fiber diet to lower blood glucose levels:
    • Skins and seeds of vegetables and fruit
    • Whole grain bread, pasta, cereal, crackers and rice
    • Barley, beans and lentils
    • Canned beans, chickpeas in salads
    • Ground flax seeds to yogurt, cereal
    • Almonds
    • Fenugreek seeds

(http://www.diabetes.ca/diabetes-and-you/healthy-living-resources/diet-nutrition/fibre)

(http://www.webmd.com/diet/guide/fiber-how-much-do-you-need#1)

  • Fenugreek as dietary fiber: Fenugreek seeds are reported to be a rich source of dietary fiber. Gel fiber present in fenugreek seeds contribute towards anti-diabetic property. The fiber content of fenugreek helps to lower blood glucose levels and delay gastric emptying, thereby preventing the rise in blood sugar levels. Fenugreek seeds contain 50.2% fiber which have hypoglycemic and hypolipidemic effect in diabetic patients.
    • In an animal study, fenugreek seeds extract was administered to diabetic rats. Fenugreek seeds significantly reduced serum cholesterol levels in rats. It was very effective to reduce blood sugar levels also.
    • It is reported that consumption of 25g of fenugreek seeds per day exhibit hypoglycemic effect in diabetic patients.
    • Thus, dietary modification with fiber will be helpful to reduce blood sugar levels in diabetic patients.

(http://diabeticbar.com/fenufibers.htm)

(http://fenufibre.com/whatIsFenufibre.html)

 

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 and 89% 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.

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

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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.

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METFORMIN

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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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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  • 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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How the Blood Sugar of Diabetes Affects the Body

Diabetes mellitus leads to persistently elevated blood sugar levels. Over time, high sugar levels damage the body and can lead to the multiple health problems associated with diabetes.

But why are high blood sugars so bad for you? How much sugar in the blood is too much? And what are good sugar levels, anyway? Web MD takes a look at how your sugar level affects diabetes and your health.

Diabetes and Normal Blood Sugar Levels

At present, the diagnosis of diabetes or pre-diabetes is based in an arbitrary cut-off point for a normal blood sugar level. A normal sugar level is currently considered to be less than 100 mg/dL when fasting and less than 140 mg/dL two hours after eating. But in most healthy people, sugar levels are even lower.

3987827b344ebae27c887267a4190913

During the day, blood glucose levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. In some, 60 is normal; in others, 90. Again, anything less than 100 mg/dL while fasting is considered normal by today’s standards.

What’s a low sugar level? It varies widely, too. Many people’s sugar levels won’t ever fall below 60 mg/dL, even with prolonged fasting. When you diet or fast, the liver keeps sugar levels normal by turning fat and muscle into sugar. A few people’s sugar levels may fall somewhat lower. Without taking diabetes medicine, though, or having uncommon medical problems, it’s difficult to drop sugar levels to an unsafe point.

Sugar Levels, Diabetes, and Pre-diabetes

Sugar levels higher than normal mean either diabetes or pre-diabetes is present.

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There are several ways diabetes is diagnosed:

  • The first is known as a fasting plasma glucose test. A person is said to have diabetes if his or her fasting blood sugar level is higher than 126 mg/dL after not eating — fasting — for eight hours.
  • The second method is with an oral glucose tolerance test. After fasting for eight hours, a person is given a special sugary drink. That person is said to have diabetes if two hours after the drink he or she has a sugar level higher than 200.
  • The third way is with a randomly checked blood sugar level. If it is greater than 200, with symptoms of increased urination, thirst, and/or weight loss, that person is said to have diabetes. A fasting sugar level or oral glucose tolerance test will be needed to confirm the diagnosis.

But diabetes is not like a switch that gets turned on and off — healthy one day, diabetic the next. Any sugar levels higher than normal are unhealthy. A blood sugar higher than normal, but not meeting the above criteria for full-blown diabetes, is called prediabetes.

According to the American Diabetes Association, 79 million people in the U.S. have pre-diabetes. People with pre-diabetes are five to six times more likely to develop diabetes over time. Pre-diabetes also increases the risk for cardiovascular disease, although not as much as diabetes does. It’s possible to prevent the progression of pre-diabetes to diabetes, with diet and exercise

Sugar and Your Body

Why are high blood sugar levels bad for you? Glucose is precious fuel for all the cells in your body — when it’s present at normal levels. But persistently high sugar levels behave like a slow-acting poison.

heres-how-eating-sugar-affects-your-body-and-brain

High sugar levels slowly erode the ability of cells in the pancreas to make insulin. The pancreas overcompensates, though, and insulin levels remain overly high. Gradually, the pancreas is permanently damaged.

  1. All the excess sugar is modified in the blood. The elevated sugar in the blood causes changes that lead to atherosclerosis, a hardening of the blood vessels.

Because high sugar levels are everywhere, the body can be damaged anywhere. Damage to blood vessels, in particular, means no area is safe from too much sugar.

High sugar levels and damaged blood vessels cause the multitude of complications that can come with diabetes:

Kidney disease or kidney failure, requiring dialysis

Strokes

Heart attacks

Visual loss or blindness

Immune system suppression, with increased risk for infections

Erectile dysfunction

Nerve damage, called neuropathy, causing tingling, pain or decreased sensation in the feet, legs, and hands

Poor circulation to the legs and feet, with poor wound healing

In extreme cases, because of the poor wound healing, amputation is required.

Keeping sugar levels closer to normal can prevent many of the complications of diabetes. The American Diabetes Association’s goals for glucose control in people with diabetes are sugar levels of 70 to 130 mg/dL before meals, and less than 180 mg/dL after meals.

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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Type 2 Diabetes and Sleep Troubles

Sleep is important for everyone, but it’s especially important when your body experiences changing blood sugar levels and other symptoms of type 2 diabetes. “Sleep deprivation causes changes in the effectiveness of the body’s control of appetite, which can lead to weight gain, higher blood sugar, and increased resistance to insulin,” says Richard Castriotta, MD, director of the division of pulmonary, critical care, and sleep medicine at the University of Texas Health Science Center at Houston. 

Although sleep is very important when you have type 2 diabetes, you may find you can’t sleep when you need it most. One explanation for the problem seems to be the connection between diabetes and sleep apnea. Sleep apnea is a condition that’s characterized by periods of halted breathing while you’re asleep, which wakes you up repeatedly throughout the night, leaving you fatigued and not well rested in the morning.

Image 16

Both type 2 diabetes and sleep apnea are health concerns that are linked to obesity, so experts have long recognized a connection between the two. However, only recently has it been realized how closely these conditions are tied to one another. “There’s much more interrelation between the two conditions than we thought,” says Betul Hatipoglu, MD, a physician in the Cleveland Clinic’s department of endocrinology, diabetes, and metabolism. “In fact, one may actually contribute to causing the other, and vice versa. Recent studies have shown that sleep apnea actually increases insulin resistance, hunger, and other type 2 diabetes symptoms,” Dr. Hatipoglu says. “Other studies have shown that treating sleep apnea also improves the symptoms of type 2 diabetes.”

Other Sleep Issues You Might Face 

Another problem that disrupts sleep is frequent urination, a common symptom of type 2 diabetes. You can’t sleep if you have to keep getting up to go to the bathroom. Hatipoglu says this problem is usually tied to high blood pressure, which is also common with type 2 diabetes. As your blood pressure goes up throughout the night, the need to urinate increases. “If this occurs more than once a night, we view it as an issue that needs to be treated,” Hatipoglu says.

Having type 2 diabetes may also lead to other disorders that make it harder to sleep. “In addition to sleep apnea, people with type 2 diabetes are at increased risk for restless leg syndrome (RLS) and periodic limb movements in sleep (PLMS), as well as neuropathy and pain-associated sleep disruption,” Dr. Castriotta says. “RLS causes difficulty falling asleep because of strange feelings in the legs beginning in the evening before sleep. PLMS may cause either sleep-maintenance insomnia (difficulty staying asleep) or a feeling of non-refreshing sleep and daytime sleepiness due to slow, rhythmic limb movements during sleep.”

Tips to Get a Good Night’s Sleep

The first step in managing your sleep problems with type 2 diabetes is to see a doctor or a sleep specialist. Sleep apnea is a serious, potentially life-threatening problem that needs medical attention to remedy. Frequent urination and other sleep-depriving issues should also be treated by a medical professional.

In addition to talking to your doctor and seeing a sleep specialist, here are some additional strategies that may help you sleep:

Reduce your caffeine intake: Caffeinated beverages can keep you up at night and increase the urge to urinate throughout the night. If you can’t cut caffeine out entirely, Hatipoglu recommends to at least eliminate your intake in the afternoon and evening.

Curb the use of electronics in the bedroom: Television is a no-no in the bedroom, as it will keep you up when you need to be focusing on resting. Watch TV in another room, and turn it off at least an hour before you want to nod off. Try reading a book or listening to relaxing music instead.

Keep your bedroom cool, dark, and calm: Removing all light from the room, using light-blocking curtains, and outfitting your bed with appropriate bedding helps to create an atmosphere that is conducive to sleep.

Create a regular bedtime schedule: Hatipoglu says you need to train your body to get a good night’s sleep. One of the most important ways you can do this is to create a scheduled bedtime and stick to it as closely as possible each night. You can incorporate things into this routine that get your body ready for bed, such as having a few sips of relaxing chamomile tea, meditating, or doing deep breathing exercises before you close your eyes.

Sleep issues are a troubling side effect of type 2 diabetes that can leave you feeling tired all the time. By taking these steps and working with your medical team, you should be able to have sweet dreams every night.

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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Pre Diabetes: Everything You need to Know

Pre Diabetes: Everything You need to Know

Simply put, if you have pre diabetes (impaired glucose tolerance), your blood sugar (glucose) is raised beyond a healthy level but is not so high that you have blood sugar. While pre diabetes does not mean you have blood sugar, you are at a far greater risk of developing Type 2 diabetes than someone who does not have pre diabetes. You are additionally at a greater risk of developing cardiovascular diseases like heart disease and peripheral arterial disease.

This article will cover the basics of pre diabetes and the most effective course of treatment if you are diagnosed. Ultimately, lifestyle changes focused on diet and exercise are the most effective preventive measures you can take against the onset of type 2 diabetes.

The Relationship between Blood Glucose and Insulin

Image 16

As your food is being digested, various foods are broken down into sugars or glucose, which pass through your stomach and into the bloodstream. Though, to remain healthy, a person should not have blood glucose levels that are too high or too low.

So what does the body do when blood glucose levels begin to rise after you eat? The body releases a hormone called insulin which transports glucose from your blood to your cells which use some glucose for energy while the rest is converted into stores of energy otherwise known as glycogen or fat.

When you are not eating, blood glucose levels will begin to fall as do insulin levels. Some glycogen or fat is then converted back into glucose and released from the cells back into the bloodstream.

A Normal Blood Glucose Level

Your blood glucose level literally refers to the amount of glucose in your blood. A normal blood glucose level should hover between 4 and 8 millimoles per litre (mmol/L). Usually, blood glucose levels are lowest in the morning and highest after eating.

Understanding Diabetes

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Type 1 and type 2 are the two main forms of blood sugar. At this time, type 1 diabetes is not preventable and cannot be cured. Type 2 diabetes is the most common form.

Type 1 Diabetes

In this form of diabetes, beta cells in the pancreas stop producing insulin and so, the level of insulin in the bloodstream drops quickly. Formerly known as juvenile, early-onset or insulin dependent, this disease can develop rapidly and is treated with insulin injections and diet.

Type 2 Diabetes

On the other hand, the symptoms of type 2 diabetes develop over a longer period of time because the body is still producing insulin. Unlike type 1 diabetes where the body stops producing insulin, a person with type 2 diabetes does not make enough insulin or cannot use insulin properly otherwise known as insulin resistance. This means that you need more insulin than normal to keep blood glucose levels down.

What is Pre Diabetes?

The most common form of blood sugar, it is estimated that between 1 and 3 out of every 4 people with pre-diabetes will develop type 2 diabetes within 10 years.

The World Health Organization (WHO) defines a pre diabetic as someone who has:

  • A fasting blood glucose of less than 7 mmol/L; AND
  • An HbA1c blood test level of 42-47 mmol/mol (6.0-6.5%).

Pre diabetes develops for the same reasons as type 2 diabetes i.e. your body is not producing enough insulin or it is not using insulin properly.

Some risk factors include:

  • Being overweight or obese
  • Having a family history of diabetes i.e. a close relative
  • A sedentary lifestyle
  • High blood pressure and high cholesterol
  • PCOS, a hormonal disorder in women
  • A history of gestational diabetes

Symptoms Check

Pre-diabetics typically have no symptoms however a blood test can reveal that you have a raised blood sugar level. If you have high blood pressure, high cholesterol and/or a history of heart attack or stroke, your doctor will also likely recommend a blood test to check your glucose levels.

Can it be treated?

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Knowing whether or not you have pre diabetes is valuable information because the progression to Type 2 diabetes can be treated and prevented. Regular blood tests occurring at least once a year are necessary to monitor blood glucose levels in addition to lifestyle changes.

A healthy diet consisting of whole plant foods is absolutely necessary. Staples including brown rice, lentils, beans, legumes, green vegetables like spinach, broccoli and peas, root vegetables like potatoes and yams and fruits like apples, mangos, pears, apricots, blueberries, bananas and melon are incredibly beneficial foods that should be consumed daily and abundantly.  

Clinical researcher and author Dr. Neal Barnard is treating and even reversing type 2 diabetes with a high fiber, low fat plant-based diet. In fact, a study published in the August 2006 issue of Diabetes Care found Dr. Barnard’s treatment to be 3 times more effective than the American Diabetes Association’s guidelines on how to control blood sugar.

In addition to a diet rich in whole plant foods, natural supplements are worth considering.

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Fenugreek, for example, is an herb derived from Ukraine, India, China and the Mediterranean region. The ripe, dry seeds found in fenugreek contain protein, vitamins, niacin, potassium, and disogenin as well as alkaloids, lysine, L-tryptophan and steroidal saponins. Studies suggest that fenugreek seed extract contains properties that can lower cholesterol and blood sugar. FENFURO is a group of furostanolic saponins derived from fenugreek seeds by innovative and patented process. It contains a rich variety of saponins and flavonoids, all substances known to lower blood lipid levels and a play valuable role in glucose regulation. Fenfuro has been clinically evaluated for safety and efficacy.  For more information visit www.fenfuro.com.

With regular exercise, healthy diet and natural supplements, the onset of type 2 diabetes can be prevented.

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DIABETES DIET FOR INDIANS

Diabetes control is governed by following the right diabetic diet. What to eat and what not to eat is important for diabetes control and diabetes cure or diabetes reversal.

These are the top 15 diabetes diet tips from diabetologists and nutritionists. Even if you are pre-diabetic or borderline diabetic, or diabetes is part of your family, it is important to follow a diabetic diet to prevent diabetes.

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Diabetologist, Dr. Sanjiv Bhambani with Moolchand Medcity suggests, “A diabetes diet should be high on fibre, must contain milk without cream, buttermilk, fresh seasonal fruits, green vegetables, etc.” But remember to consume these components in moderation.

DIABETES DIET FOR INDIANS should have the ratio of 60:20:20 for carbs, fats and proteins. The doctor explains, “Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively.” He adds that a diabetes diet should “have at least two seasonal fruits and three vegetables in a diet plan.”

Though dry fruits may seem like a healthy snack, it is not a good option for diabetics, as the fructose can spike your sugar level. Go for fresh fruits rather than dry fruits for diabetes control (but there are some restrictions… we’ll come to it). But you can still opt for nuts as a healthy snack.

THE DOCTOR SHARES HIS RECIPE FOR DIABETES DIET FOR INDIANS:

 – Drink tomato juice with salt and pepper every morning on an empty stomach.

– Intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes.

 Rekha Sharma, President and Director of Indian Dietetic Association, shares some major diabetes diet pointers that one should follow at home or at a restaurant.

 WHOLE GRAINS, OATS, CHANNA ATTA, MILLETS AND OTHER HIGH FIBRE FOODS should be included in the meals. If one feels like consuming pasta or noodles, it should  always be accompanied with vegetable/sprouts.

 MILK is the right combination of carbohydrates and proteins and helps control blood sugar levels. Two servings of milk in a daily diet is a good option.

Diabetes Control: Diabetic Diet Tips

 – HIGH FIBRE VEGETABLES such as peas, beans, broccoli and spinach /leafy vegetables should be included in one’s diet. Also, pulses with husk and sprouts are a                healthy option and should be part of the diet.
– PULSES are important in the diet as their effect on blood glucose is less than that of most other carbohydrate containing foods. Vegetables rich in fibre help lowering down the blood sugar levels and thus are healthy.
– GOOD FATS SUCH AS OMEGA-3 and monounsaturated fats (MUFA) should be consumed as they are good for the body. Natural sources for these are canola oil, flax seed oil,   fatty fish and nuts. These are also low in cholesterol and are trans fat free.
– FRUITS high in fibre such as papaya, apple, orange, pear and guava should be consumed. Mangoes, bananas, and grapes contain high sugar; therefore these fruits should be   consumed lesser than the others.

– Use 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.

SMALL FREQUENT MEALS:

A large meal gives rise to higher blood sugar in one’s body, therefore it is essential to take small frequent meals to prevent both higher and very low blood sugar values and keep them constant. Small in between snacks can be dhokla, fruit, high fibre cookies, butter milk, yogurt, upma/poha with vegetables etc.

A person with diabetes should follow a diet which is low in carbohydrates, high in fibre and contains adequate amounts of proteins, vitamins and minerals; and avoid fatty foods and sweets. He/she should also take frequent small meals (5 meals pattern).

WHAT NOT TO DO:

-Artificial sweeteners can be used in cakes and sweets for diabetic people (in moderation).
-Have lots of fluid.
-Limit intake of alcohol.

SHOULD YOU HAVE NON-VEG?

In non-vegetarian diet, seafood and chicken can be taken rather than red meat as red meat contains higher amount of saturated fats. Also, patients with high cholesterol should avoid egg yolk and red meat.

The diabetes diet for Indians includes carbohydrates, proteins and fats. As always, a balanced and planned diet can build and improve personal health. A controlled diabetes diet may seem like a drag and bore, but a good cook can add life to a diet. Time to call up mom and experiment with diabetes diets!

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

 

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Fight Diabetes Naturally

 

Diabetes in India has reached an endemic stage with about 62 million people suffering with this debilitating disease. This often chronic and deadly disease is fast spreading its tentacles and is expected to affect over 100 million people in India by 2030. 

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Types of Diabetes

There are three types of diabetes: Type1, Type 2 and Gestational diabetes. Type 1 diabetes is prevalent in children and happens when the body does not produce required quantity insulin. Type 2 diabetes largely stems from unhealthy and sedentary lifestyle. In Type 2 diabetes, the body is not able to utilize the produced insulin effectively. During pregnancy, some women without a previous history of diabetes develop a high blood glucose level. It is called gestational diabetes.

A large section of diabetics is suffering from Type 2 diabetes that can be prevented or delayed with a healthy way of life.

Symptoms

The common symptoms of diabetes are increased urination, weight loss, increased thirst, increased hunger, fatigue, headache, itchy skin, nausea and delayed healing of wounds. These symptoms may develop rapidly within weeks or months in type 1 diabetes while they usually develop much more slowly and may be subtle or absent in type 2 diabetes.

Indians are at a high risk

Genetic coding, cultural and social setup and changing lifestyle are the major contributors to the widespread of diabetes in India. Indian genes make them 4 times more susceptible to diabetes as compared to Europeans. Moreover, 

A number of factors in combination make Indians highly susceptible to Diabetes.

Indian diet is rich in carbohydrates and saturated fats, which leads to obesity and thus diabetes. The changing lifestyle of youngsters and increase in consumption of fast food is adding to the already grave problem. 

Low awareness amongst Indians

Though there is presence of good screening centers in the urban and suburban India, rural India, neither has the awareness nor screening facilities to detect diabetes early on. According to an estimate about 50 percent diabetics in India, mostly in rural areas, are not aware of their condition and about one million people die annually due to diabetes. 

Treatment of Diabetes 

Treatment for diabetes mellitus is chosen on the basis of its type and complications. The treatments are individualized by the duration of diabetes, age/life expectancy, comorbidity, known cardiovascular diseases or advanced micro vascular diseases and hypoglycemia awareness. Anti-diabetic drugs treat diabetes mellitus by lowering glucose levels in the blood. With the exception of insulin, all the drugs are administered orally. Many patients with diabetes having two or more comorbidities often require multiple medications. Some people who have type 2 diabetes need insulin therapy as well. In the past, insulin therapy was used as last resort, but today it’s often prescribed sooner. About 40% of the Type 2 diabetics use insulin injections. But most of these treatments have associated problems like weight gain, hypoglycemia and gastro intestinal problems.

Manage Diabetes naturally

India has over 5000 years of history of effective herbal treatments. People still prefer to use herbal products due to higher safety, efficacy and lower side effects.  People these days are moving towards nutraceuticals to combat diseases because of their increased efficacy and safety as opposed to Fight Diabetes naturally medicines. FENFURO is one such nutraceutical which acts as your glucose manager. It is a first of its kind product derived from single herb with proven results for maintaining blood sugar levels. FENFURO contains a rich variety of saponins and flavonoids. All of these substances are known to lower blood lipid level and play valuable role in insulin sensitization and glucose regulation. FENFURO is a first dual action insulin sensitizer.

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A clinical evaluation of FENFURO was carried out on a total of 154 Type 2 diabetics for a period of 3 months, to determine it’s efficacy and safety. At the end of three months 83% of the patients reported decrease in fasting sugar levels and 89% patients reported decrease in PP sugar levels. The highlighting point of the study was patients showed significant decrease in HbA1C levels as compared to respective baseline value,  even after 48.8% of patients reported reduction in dosage of anti-diabetic therapy after regularly taking FENFURO.

Lets not give it the power to ruin our lives. Lets fight it with exercise, healthy diet and FENFURO

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Natural treatment of Diabetes

 

Our grandmas have been telling us about the usefulness of certain herbs and spices but it took researches from renowned institutions to establish them as the alternative treatments for Diabetes. We have compiled here a list of natural remedies to control the silent killer- diabetes:

Fenugreek- Fenugreek seeds (Methi Dana) are known for their sugar lowering properties. FENFUROTM is a first of its kind, safe nutraceutical derived from fenugreek seeds through a patented process.  Through its unique scientific process, FENFUROTM 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. FENFUROTM 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. FENFUROTM is the first dual action insulin sensitizer.

A clinical evaluation of FENFUROTM was carried out on a total of 154 Type 2 diabetics for a period of 3 months, to determine it’s efficacy and safety. At the end of three months 83% of the patients reported decrease in fasting sugar levels and 89% 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 FENFUROTM.

Mango leaves- The mango leaves can help reduce the intestinal glucose absorption and proves to be beneficial in diabetes management. 

Fig Leaves- Chewing a few fig leaves on empty stomach is said to bring down the sugar level.

Cinnamon- Who can resist the aroma of this rich spice? But apart from a taste and aroma enhancer, it reduces blood sugar level too.

Bitter Gourd- As the name suggests it is bitter but it proves to be the sweetest as it really helps control the diabetes. 

Neem- Neem, a tree that is believed to have anti-bacterial and anti-fungal property, has anti-diabetic properties as well. 

Holy Basil- No wonder our grandma always told us to eat tulsi leaves or have tulsi leaves tea. This is truly a miracle plant with many health benefits. 

Jamun- Jamun helps control the blood sugar. But be careful, too much of it can cause sore throat too.

Caution: Please make sure you consume organic products as the increased use of pesticides has made it unsafe to consume these natural products.

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

 

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Avoiding Diabetes Complications

 

Having diabetes can result in many other complications, such as damage to the heart, nerves, kidneys, feet, eyes, and skin. If you have diabetes, you may also have a greater risk for osteoporosis, cancer, and Alzheimer’s disease. Some diabetes complications are related to high or low blood sugar, while others are related to how long you’ve had diabetes.

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The best way to mange diabetes and avoid diabetes complications is by monitoring your blood sugar (glucose) with a glucose meter, or glucometer. “How often you monitor your blood sugar depends on the type of diabetes you have, if you have diabetes complications, and your diabetes treatment plan,” says Amber Taylor, MD, director of diabetes at The Center for Endocrinology of Mercy Hospital in Baltimore, Md.

Tips for Controlling Blood Sugar:

Spyros G.E. Mezitis, MD, PhD, an endocrinologist at Lenox Hill Hospital in New York City, suggests these general healthy-lifestyle habits to make controlling your blood sugar easier:

  • Follow a low-fat, low-salt, low-carbohydrate diet.
  • Pass on processed foods.
  • Do at least 20 minutes of aerobic exercise three times a week.
  • Lose weight if you’re overweight.
  • Take any and all diabetes medications as prescribed.
  • Following your insulin treatment program if needed.

Work with your own doctor to personalize this general plan. “There isn’t a best way to manage diabetes — the right approach is the one that works well for you,” Dr. Taylor says. “Different people with diabetes need different treatment plans, and test results are used to watch for and prevent complications.”

There are many diabetes testing and management tools available to you for monitoring your blood sugar, such as glucometers, insulin pumps, and continuous glucose monitors.

At your doctor’s office, the A1C test is an important way to measure your average blood sugar control for the prior three months and gauge how good of a job you’re doing at home. “The A1C target for most people with diabetes is less than 7 percent, which is the lowest risk for complications from high blood sugar,” she says. “Some people, especially younger adults with diabetes, may have an even lower target to help prevent diabetes complications long-term.”

Use Supplement for Diabetes: 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 A1C test is used to:

  • Confirm that other test results, such as those done by self-testing or by your doctor, are accurate.
  • Show if your treatment plan is successful.
  • Demonstrate that healthy diet and lifestyle choices can make a difference in controlling your diabetes.

Minimizing Diabetes Complications

The best way to prevent most diabetes complications is to see your doctor regularly, and to call him or her if you experience any new symptoms. Some complications, such as eye disorders, occur after many years of diabetes. “It’s essential for people with diabetes to see an eye doctor at least once a year whether they have vision problems or not,” Taylor says. “Ophthalmologists have tools to stop retinopathy and other diabetes-related eye disorders from progressing.”

Good self-care and immediate medical attention for even a minor symptom are important steps in preventing the type of amputations often associated with diabetes. For instance, you can help to prevent foot ulcers by practicing good foot care, but if an ulcer develops, see your doctor or a foot specialist (podiatrist) immediately. “Even small foot ulcers can grow quickly and lead to infection,” Taylor advises. Infections that resist treatment can lead to amputation to stop their spread.

Follow these other steps to better manage your diabetes and help prevent diabetes complications:

  • Make and keep all needed check-ups with your doctors and others on your diabetes team.
  • Keep your immunizations up to date to fight infections.
  • Wear a diabetes tag or ID bracelet so that you receive the right treatment in an emergency.
  • Have a glucagon kit handy in case of a low blood sugar emergency.
  • Take care of your skin and your feet to prevent infections, and check for any signs of infection every day.

“It’s easy to become overwhelmed with all this information,” Taylor says. “When you think of questions, write them down and bring them to your next visit with your doctor. Advocate for yourself, know your targets for A1C, blood pressure, cholesterol, and weight, and do everything in your power to achieve these goals.”

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