Dieting is not fun for anyone. From calorie counting to strenuous exercise and always feeling hungry, being on a diet can be downright excruciating. Rather than jumping on the next fad diet and depriving yourself day after day, try incorporating a few small changes that can help you lose weight and eliminate that annoying belly fat without the hassle of a strict diet plan. By making these five small changes in your everyday life, you will begin to see immediate results on the scale and in your waistline.
Drinks Lots of Water
Not only is water good for your health and skin, but it is the number one secret to losing a few extra pounds. By making sure that water is a part of your everyday lifestyle, you will feel fuller and be less likely to stuff your mouth with snacks throughout the day. When you wake up, go ahead and drink a cup of water to start your day. This will immediately get you on the right path. Then, make sure that you drink a glass of water (at least 8 ounces) before and after each meal. This will help with the digestion of the food and make you feel fuller for longer.
Cut Out Empty Calories
Think through your everyday eating habits. Do you ever add hot sauce, ketchup, or other condiments to your food? Do you drink juices or soda? What about an after work drink at happy hour? These are all examples of empty calories. They do not fill you up, yet they definitely make a difference on the scale. By eliminating these foods and drinks from your diet, you will instantly lose weight, without feeling hungry.
Get Eight Hours of Sleep
While this may not seem like the most obvious way to lose weight, studies show that when you do not get enough sleep, you are more likely to binge eat and snack throughout the day. By getting your full eight hours of sleep, you are less stressed and more inclined to think through what you put in your mouth. So, while exercise can definitely help you blast your belly, make a conscious effort to get your eight hours of rest instead of waking up at dawn to hit the gym.
Incorporate Coffee Into Your Diet
Coffee beans are actually an outstanding way to boost your metabolism and easily shed a few pounds. Try kicking off each morning with a cup of joe to get your metabolism off to a good start. You can also garner the benefits of coffee beans by taking green coffee bean extract supplements. Green coffee beans are the raw, unroasted beans that eventually become coffee. The Chlorogenic Acid inside the coffee extract is able to block fat and aid in the absorption of carbohydrates while regulating blood sugar. Try adding this supplement into your everyday routine to see increased results within days.
Diabetes is a metabolic disorder with problem of carbohydrate metabolism and utilization of insulin for metabolism of carbohydrate (especially glucose). Diabetes is a common medical disorder that can affect individuals of any age, although individuals of past middle age with obesity, sedentary lifestyle and a genetic predisposition are at greater risk of diabetes, in compare to common people.
Common form of diabetes in type 2 diabetes, which is also known as NIDDM (non-insulin dependent diabetes mellitus). Diabetes can prevented by regular physical exercise and by eating healthy diet that is suitable for diabetics. Proper diet and regular physical exercise can also help in reducing blood glucose level and make available insulin better utilized. In type 2 diabetes genetic factors play an important role in causation of the disease (unlike IDDM or insulin dependent diabetes mellitus).
Diet is very important in proper management of diabetes and blood sugar. It is important to eat a diet that is rich in dietary fibers and manage diabetes optimally. Several studies have shown that diet and regular physical exercise plays an important role in causation of diabetes.
Diet rich in fiber contain fewer calories and fewer carbohydrates. Fewer calories help in reducing obesity and fewer carbohydrates help in controlling blood sugar. Hence, eating high fiber diet by diabetics has dual benefits in diabetes (hence high fiber diet is recommended), better control of blood sugar and body weight reduction, which itself is good for optimal diabetes management. Hence, for better management of diabetes, all diabetics should know about various foods that are high in fiber content and make sure to eat these foods as daily diet. Read more…
For diabetics, dietary modification is an integral part of optimal management of diabetes. Amount of fiber and carbohydrate in the diet is very important for diabetics for control of blood glucose. Excess carbohydrate in the diet may make it very difficult to maintain blood sugar even with high doses of insulin and oral hypoglycemic agents/drugs. Cereals, vegetables and fruits should form a major portion of diet by diabetic individuals; hence planning of diet should focus on cereals, vegetables and fruits.
Most of the cereals, vegetables and fruits contain high amount of dietary fiber and good for diabetics. However, there are some cereals, vegetables and fruits that should be better avoided by diabetics, because they may cause rapid rise of blood sugar level in diabetic individuals.
Cereals for diabetes:
A diabetic should eat high fiber whole grains, such as whole wheat or whole-wheat flour, maize, brown rice, millet etc. However, one should avoid refined rice, white bread, noodles, macaroni etc. because they may cause rapid rise in blood sugar level. Read more…
Diabetic neuropathy can not be treated well. Its treatment is not satisfactory. So the main aim of treatment of diabetic neuropathy is control of blood sugar aggressively. But despite good control of blood sugar there may not be any improvement of diabetic neuropathy symptoms. Even the control of blood glucose may be problematic, as diabetic neuropathy can make a diabetic patient less aware of his/her hypoglycemia, thereby prolonging the hypoglycemic episodes and making the patient more prone to effects of hypoglycemia.
There may be loss of sensation in the feet and this can place the patient at risk of ulceration of feet and its sequalae. If patient is having some signs or symptoms of neuropathy, he should examine the feet daily and take precautions like wearing footwear regularly to prevent ulceration and calluses in the feet. Patient education for prevention of injury or ulceration of feet is of paramount importance in the management of diabetic neuropathy. If there is any foot deformity a podiatrist should be consulted.
Risk factors of neuropathy should also be treated. Common risk factors of neuropathy are hypertension and hypertriglyceridemia. Neurotoxins like alcohol should be avoided. Stopping of smoking, supplementation of possible deficiency of vitamins like folic acid and vitamin B12 and symptomatic treatment is the mainstay of treatment of diabetic neuropathy.
Chronic and painful diabetic nephropathy is very difficult to treat, but anti depressants (selective serotonin norepinephrine reuptake inhibitors such as duloxetine or tricyclic antidepressants such as amitriptyline, desipramine, nortriptyline, imipramine) or anticonvulsants (gabapentin, pregabalin, carbamazepine, lamotrigine) may be useful. USFDA has approved duloxetine and pregabalin for treatment of pain associated with diabetic neuropathy. But due to lack of study on these drugs, it is recommended that the treatment of neuropathic pain should be started with tricyclic antidepressant and switching if there is no response or if side effects develop.
The patient of diabetic neuropathy may require to be referred to a pain management center. Pain of acute diabetic neuropathy may resolve over time as there is progressive neuronal damage from diabetes and the medications can be withdrawn.
Treatment of orthostatic hypotension secondary to autonomic neuropathy is also difficult. Many drugs like fludrocortisone, midodrine, clonidine, octreotide, and yohimbine are used with limited success and more side effects for this purpose. Nonpharmacologic maneuvers like adequate salt intake, avoidance of dehydration, avoidance of diuretics, and support to lower extremity etc. may provide some relief from pain due to diabetic neuropathy.
The most effective therapy of diabetic nephropathy is prevention (like diabetic retinopathy) by controlling hyperglycemia. As part of comprehensive diabetes management microalbuminuria should be detected as early as possible and effective therapy started. For detecting microalbuminuria annual urine analysis is done by ‘spot collection’ method. If a sample of urine is tested positive for microalbuminuria, repeat the test after 3-6 months and if tow tests are positive out of three, than treatment for diabetic nephropathy is started. Annual measurement of serum creatinine is also done to find out GFR (glomerular filtration rate) to find out renal function.
The following treatment modalities are used to slow down progression of microalbuminuria to macroalbuminoria:
- Control of blood glucose: If blood glucose level is controlled within normal limit the progression to retinopathy (from microalbuminuria to macroalbuminoria) is much less, both in type 1 and type 2 diabetes. But once macroalbuminoria is established it is not clear if control of blood sugar can slow down the progression of renal disease. If renal function is much less than normal insulin requirement is lees, because kidneys are the main site of degradation of insulin. Many oral hypoglycemic agents like metformin and sulfonylureas are contraindicated during renal insufficiency.
- Control of blood pressure: High blood pressure is a common accompanying disease in diabetics of type1 and type2. Strict blood pressure control is required to prevent diabetic nephropathy in diabetics. Many studies have shown that control of blood pressure to <130/80 mm Hg can reduce diabetic retinopathy and decline in renal function. If microalbuminuria has already set in little lower blood pressure should be maintained (< 125/75 mm Hg).
- Administration of ACE (angitensin converting enzyme) inhibitors or ARBs (angitensin receptor blockers): ACE inhibitors or ARBs should be used to reduce progression of microalbuminuria to macroalbuminoria and decline in GFR. Most authors believe that bothe ACE inhibitiors and ARBs are equally efficacious in preventing retinopathy in diabetes by controlling blood pressure. ARBs are used as alternative if there is development of side effects with ACE inhibitors like cough, angioedema etc. The dose of ACE inhibitors is increased till microalbuminuria disappear or maximum dose is reached. If either groups can not be used than beta blockers, calcium channel blockers or diuretics are used though the benefit is not as good as the two groups (ACE inhibitors and ARBs). The best benefit is seen with these two groups only in case of diabetes.
ADA (American diabetic association) recommends slight reduction of protein intake for patients with microalbuminuria to 0.8 gm/kg per day and with macroalbuminoria to less than 0.08 gm/kg per day or no more than 10% of daily total calorie intake.
Expert nephrology consultation is required if GFR is less than 60 ml/min per 1.743 m2. If macroalbuminoria develops the chances of end stage renal disease is very high. Dialysis of diabetic patients can lead to more complications than a non diabetic patient and survival is also much less in them.
Diabetic Retinopathy is a very severe and common complication of long standing diabetes. There is no effective treatment available at the moment. The most effective therapy of diabetic retinopathy is prevention of Diabetic Retinopathy from developing.
Regular and complete examinations of eyes are required for the diabetic patients. If detected early the most eye complications including diabetic retinopathy can be treated successfully. Regular examination of the eyes by the diabetologist or primary care giver is not enough; the disease is required to be examined by ophthalmologist (eye doctor). If detected early laser photocoagulation is very successful in treating diabetic retinopathy and also in preserving vision. Proliferative type of diabetic retinopathy is treated with panretinal (entire retina) laser photocoagulation and that of macular edema is treated by focal laser photocoagulation (photocoagulation done on the focus of edema).
Most of the eye doctors (ophthalmologist) advice individuals with advanced diabetic eye disease (diabetic retinopathy and macular edema) to limit physical activities associated with repeated Valsalva maneuvers (blowing of the nose after closing the nose), but it has not been proved that exercise worsen proliferative diabetic retinopathy.
Prevention: Most effective therapy of diabetic retinopathy being prevention, patients of diabetes (both type1 and type2) should know how to prevent eye complications of diabetes. The best way to prevent complication (all complications including eye complications) is to have strict glycemic control (blood sugar within normal limit) and blood pressure control. This will delay the development or slow the progression of retinopathy in individuals with either type1 or type2 diabetes. Diabetics with known diabetic retinopathy can be given prophylactic (preventive) photocoagulation when initiating intensive therapy. During the first 6–12 months of improved glycemic control, established diabetic retinopathy may transiently worsen, but it is temporary in nature and in the long run there will be less chances of developing diabetic retinopathy. If advanced retinopathy develops, improved glycemic control will be less beneficial, although adequate ophthalmologic care will prevent most blindness’s due to diabetic retinopathy.