People with diabetes are at risk for severe foot complications that can lead to serious infection and even amputation. So how should diabetics care for their feet? How much exercise and what type of exercise is appropriate? In the current post to HealthConnection.TV, UT Health Northeast podiatry expert Dr. David Andreone answers questions about diabetes and your feet.
Let’s face it, behavior change can be challenging. People with diabetes need to make lifestyle changes to control their glucose levels and avoid complications, but it’s not simply a matter of will power. When people with diabetes fall short, sometimes the environment is often to blame. Providers may feel blame, too. This webinar discusses self-care behaviors to help address their emotional needs.. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html. This video can also be viewed at. https://www.cdc.gov/diabetes/videos/dont-blame-me_webinar_low-res.mp4
Mayo Clinic director of Exercise Testing and Sports Cardiology, Thomas Allison, M.D., Francisco Lopez-Jimenez, M.D., director of Preventative Cardiology, and Vinaya Simha, M.D., endocrinologist and specialist in lipidology discuss statin intolerance.. For more information visit: http://www.mayoclinic.org/departments-centers/cardiovascular-diseases/overview/specialty-groups/statin-intolerance-service/overview/?mc_id=youtube
The economic crisis is pushing diabetics to literally risk life and limb, as many who have lost jobs and health insurance now are cutting back on _ even going without _ doctor visits, insulin, medicines and blood sugar testing. (April 10)
Diabetes is a serious public health problem. Lifestyle changes, such as losing weight and increasing physical activity, can reduce risk of type 2 diabetes, heart attack and stroke and may even prevent the onset of type 2 diabetes.. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html. This video can also be viewed at. https://www.cdc.gov/video/phgr/2018/GR_11-13-2018_LowRes.mp4
Dealing with type 2 diabetes and cardiovascular disease is not always easy especially when stress affects your blood sugar levels. Hear Ken Tait and his experiences with stress, fluctuating numbers and hypos.
Ellen Seely, MD, Director of Clinical Research in the Division of Endocrinology, Diabetes and Hypertension at Brigham and Women’s Hospital discusses the health risks associated with gestational diabetes mellitus (GDM) during and after pregnancy. Dr. Seely also describes Balance After Baby, a web-based program designed to educate women on eating healthfully and increasing their physical activity, with the goal of helping them lose their pregnancy weight within a year of giving birth.. GDM is a type of diabetes that occurs only in pregnancy. It comes on in the second half of pregnancy and it goes away after delivery. In the US it’s estimated that five percent of all pregnancies are complicated by GDM. The rates of GDM are higher in Hispanic and non-white populations, ranging from ten to 20 percent of all pregnancies.. Obesity is one of the main risk factors for GDM. In the United States, most health centers screen all women for gestational diabetes because obesity is becoming so common in the overall population.. Gestational diabetes can impact the health of the mother and the fetus, as well as the newborn. Women with GDM have an increased risk of preeclampsia, which is a type of high blood pressure that develops during pregnancy. Preeclampsia is a serious condition that can lead to early delivery. Women who have gestational diabetes may also have larger babies, increasing their risk of cesarean section.. While GDM goes away after pregnancy, the health risks persist. Research has found that 50 to 70 percent of women who have gestational diabetes may develop Type 2 diabetes later in life. Research has also found that babies born to mothers with GDM, have a higher birth weight and may become obese during adolescence, increasing their risk of developing diabetes and other conditions such as high blood pressure.. The Pregnancy and Diabetes Program at Brigham and Women’s Hospital offers multidisciplinary care to women with GDM. The program includes a high risk obstetrician, two diabetes specialists, a nutritionist, and a nurse practitioner who is certified in diabetes education. The first approach to treatment is to control blood glucose levels with healthy eating and physical activity. Lifestyle changes, healthy eating and physical activity, are effective in controlling blood glucose levels about 75 percent of women with GDM. If the lifestyle changes don’t work, insulin therapy is started to control a mother’s blood sugar for the rest of her pregnancy.. Learn more about the Pregnancy and Diabetes Program at Brigham and Women’s Hospital: https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/pregnancy-and-medical-conditions/diabetes. Read the Gestational Diabetes: Managing Risk During and After Pregnancy video transcript: https://www.brighamandwomens.org/medicine/endocrinology-diabetes-and-hypertension/diabetes/gestational-diabetes-managing-risk-video-transcript
The study authors suggested that there should be policies to reduce exposure to job insecurity. In addition, they said, it’s important for. MONDAY, Oct.
3, 2016 (HealthDay News) Workers who feel as if they might lose their job also seem to have a higher risk of type 2 diabetes, a new study suggests. Researchers reviewed data from nearly 141,000 workers in the United States, Europe. MONDAY, Oct.
3, 2016 (HealthDay News)—Workers who feel as if they might lose their jobs also seem to have a higher risk of type 2 diabetes, a new study suggests. Researchers reviewed data from nearly 141,000 workers in the United States, Europe and Australia. The workers’ average age was 42. Worry about job loss may be linked to diabetes risk: study (HealthDay)—Workers who feel as if they might lose their job also seem to have a higher risk of type 2 diabetes. lose their job also seem to have a higher risk of type 2 diabetes, a new study suggests.
Researchers reviewed data from nearly 141,000 workers in. Workers who feel as if they might lose their job also seem to have a higher risk of type 2 diabetes, a new study suggests. Researchers reviewed data from nearly 141,000 workers in the United States, Europe and Australia.
The workers’ average age was 42. Here’s how employers can address the growing challenge. There’s no question that diabetes is wreaking havoc in the workplace. The number of people with diabetes is expected to more than triple in the coming decades, and a full-time employee with the condition misses an estimated 5.5 additional workdays per year.
That link may occur as a result of the complex ways that type 2 diabetes affects the ability of the brain and other body tissues to use sugar (glucose) and respond to insulin. Diabetes may also increase the risk of developing mild cognitive impairment (MCI), a condition in which people experience more thinking (cognitive) and memory problems. Comedians may trip and stumble for easy laughs, but there’s nothing funny about falling, which is a major health risk for older adults. Having diabetes increases that risk because the condition can cause physical impairments that may make you less steady on your feet. Anxiety—feelings of worry, fear, or being on edge—is how your mind and body react to stress.
People with diabetes are 20% more likely than those without diabetes to have anxiety at some point in their life. Managing a long-term condition like diabetes is a major source of anxiety for some.
List of related literature:
The main concern when considering people with diabetes for employment is the risk to safety associated with the condition or its treatment.
from Textbook of Diabetes by Richard I. G. Holt, Clive Cockram, et. al. Wiley, 2011
A study looking at predictors for complications in diabetes showed that hypertension and smoking habits are associated with a dramatic increase in complications in insulin-dependent diabetics, whereas poor compliance with visits was strongly associated with poor outcomes in non-insulindependent diabetics.
More studies across the world have found negative relationship between diabetes and employment,15,17 while some have found no evidence.18 In past, it was not uncommon to deny employment to people with diabetes for some jobs for which they were eligible.
20 and older have prediabetes and are therefore at increased risk for developing diabetes, as well as heart disease and stroke.28 Progression to diabetes among those with prediabetes is not inevitable.
Stress also produces cortisol, which may make you gain weight, and increases blood sugar, which, over time, may lead to insulin resistance and type 2 diabetes.
Complication risk surveys conducted among patients with diabetes indicate that most patients know about the complications like blindness and amputation, but 68% failed to identify heart disease and stroke as a serious threat to their health.
In patients with type 1 diabetes, deviations from normal dietary intake, unusual physical activity, infection, or any other forms of stress may rapidly influence the treacherously fragile metabolic balance, predisposing the affected person to diabetic ketoacidosis.
This metabolic stress can lead to cellular and systemic dysregulation associated with increased risk of developing insulin resistance, β-cell dysfunction, diabetes, atherosclerosis, tumorigenesis, or neurodegenerative disorders such as age related cognitive decline or Alzheimer’s disease [1, 4, 5, 18, 19, 22].
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
Diabetes is a growing health concern worldwide. In the U.S. alone, statistics show that around 1.5 million people are diagnosed with diabetes every year. Diabetes is the seventh leading cause of death among Americans.
Some viewers have asked what they should do if they have been unable to lose weight after delivery. Here is Dr. Seely’s response: “Many women have difficulty losing their pregnancy weight. There can be a number of reasons for this. One common reason is that although the women are eating very healthy food, the portions sizes may be too large. Seeing a dietician or nutritionist can be very helpful in this situation.
Another reason is that some women develop underactive thyroid (hypothyroidism) about 6 months after delivery. Many of these women recover but some have long lasting underactive thyroid which slows metabolism and decreases the ability to lose weight. Women who are not losing their pregnancy weight over the year after delivery despite eating healthy and engaging in physical activity should see their care provider for advice.”
I’ve tried 4 different statins and within hours of taking I get sudden pains that are like a dagger in my back. New Cardiologist tried Lipitor 10 mg and I cut them in 1/2. Middle of the night I flew out of bed with the dagger phenomenon! I’ve known many guys that warned me they reacted negatively on statins!
My grandmother has severe arthritis and high cholesterol, her Dr put her on lipitor. Her joint pain got really bad and she felt really bad. I read about cbd oil and bought superior hemp oil 1500mg and had her take 5 drops at night. The first morning she said slept great but still felt joint pain. The second day she felt less joint pain and on the third day she was able to take a walk and get some sun (vitamin D). We have since worked on her diet, got her off the lipitor and she has continued to take the cbd oil and her cholesterol has gone down.
I’ve been on 5 different statins over the course of 7 years starting at age 19 and w/ each one I experienced high CPK levels and also muscle, bone and joint pain. I have since taken the stance of refusing a statin starting at age 26 with the follow up remark of “once a statin is developed that DOESN’T have muscle, bone and joint pain as side effects, I will agree to start on it. Until then, I will pass.”
what about stomach distress? had a stroke and my doc team all sweare i need statins to prevent stroke again had my gall bladder out years ago and fear these statins as my body needs are harmed by statins a round robin presentingi’m stuck in I have severe diarrhea since starting statins over a month year ago these docs don’t seem to answer here nor will mine state what number we are striving to reach while on statins where’s the research proof?CRP what that proves huh? its a magix trick these statins are!
Waste of time video. Fact is, the average american consumes 150 pounds of sugar each. Our pancreas was not made for that much sugar. Diabetes is a disease of sugar-carbs. The only way to prevent diabetes or reverse it is to change your diet lifestyle (exercise). Its all about money. The fast food processed foods industries makes trillions of dollar each year giving people diabetes. The healthcare industry makes trillions of dollars treating the symptoms of diabetes (not the core issue ). The gov saves trillions of dollars per year by not paying out social security and Medicare to the diabetics who die from the complications of diabetes. Bottom line, if you are pre-diabetic or already diabetic, go keto (low carb low sugar) and exercise everyday. Lose the weight and live longer. Take responsibility for your own health. Your life depends on it.
Dr Lopez is bullshitting. I have tried Lipitor, crestor and lipidil and they have all given me terrible and I mean terrible chest pain, along my rib cage and similar to even a heart attack. The pain, in all three cases, have dissapeared within days of having stopped the statins. Doctors: The pain is REAL and VERY PAINFUL. You need to do your research.
There are a small amount of side effects because Mr Mayo and Mr Pharma say the Medical School Holy TRUTH.The Holy School says statins only affect 1-7 % of the suckers. Smaller dose is to string you out, more doctor visits.
Statins almost killed my mother. It began with muscle weakness. This caused swallowing troubles. This caused her to avoid eating. By the time we reacted, her ankles were swollen and her stomach distended. She was starving. Fortunately she got to an ER doc who correctly diagnosed here starvation. She is off statins and gained weight. Thank God ER docs are problem-solvers and not clinically biased according to the narrative presented here. Statins are not effective and associated with severe side effects. These guys cannot conceptualize the difference between absolute and relative risk/benefits. Their advice is based on clinical lore and not science.
iF STATINS ARE SO GOOD FOR YOU HOW COME EVERYONE THAT IS ON THEM HAVE DIABETES/MUSCLE DEGERATION/AND STENTS/STATINS ARE A BILLION DOLLAR INDUSTRY. MAYO CLINIC REPRESENTS BIG PHARMA NOT US…THE HEART ASSOCIATION RECOMMENDED MARGARINE AND STATINS??? CARDIOLOGIST DO NOT MAKE MONEY OFF OF WELL FOLKS. SO LETS SHRINK THERE HEARTS AND CLOG THERE ARTERIES. ITS THE PATHWAYS COQ10 FEEDS MUSCLE STATINS TRAVEL THAT PATHWAY BLOCK THE COQ10 SO YOUR MUSCLES DO NOT GET PROPER NUTRITION. AND THEY ALSO BLOCK THE VITAMIN K2-7 WHICH SHUTTLE THE CALCIUM INTO THE BONES. SO THE CALCIUM FLOWS THROUGH THE ARTERIES AND BINDS WITH IRON CHORLESTEOL AND BLOCKS THE ARTERIS. FIRST YOU GET DIABETES/THEN AN ULCER FROM THE MEDICATION TO TREAT THE DIABETES/THEN STENTS FROM/THE NEXT THING YOU KNOW YOUR GOING IN FOR OPEN HEART SURGERY. THE PHARMACUTECALS SAY STATINS DO NOT HARM YOU WELL THE CUT OFF POINT IS FOUR YEARS HOW ABOUT AFTER THAT. IF YOU DO NOT BELIEVE ME THEN BY GOLLY TAKE THEM STATINS.
How could that doctor possible question if the statin induced myalgia syndrome is real? Not only were the intolerant patients weeded out, the patients in the trial are much healthier than the general population that has hyperlipidemia.
“Lowering cholesterol with medications is a total waste of time.” Professor Sherif Sultan, University of Ireland
“Published in the BMJ Open journal, the new study found that 92 percent of people with a high cholesterol level lived longer.” … “Vascular and endovascular surgery expert Professor Sherif Sultan from the University of Ireland, who also worked on the study, said cholesterol is one of the “most vital” molecules in the body and prevents infection, cancer, muscle pain and other conditions in elderly people.
“Lowering cholesterol with medications for primary cardiovascular prevention in those aged over 60 is a total waste of time and resources, whereas altering your lifestyle is the single most important way to achieve a good quality of life,” he said.
Lead author Dr Uffe Ravnskov, a former associate professor of renal medicine at Lund University in Sweden, said there was “no reason” to lower high-LDL-cholesterol.” The question for those claiming to be dubious of this study is whether these professionals have taken any money from Pfizer or a rival maker of statins, or if they expect to have a monetary gain from their stand on this issue.
It is so good to see a rational discussion of this issue. Too much hype and amateur BS on the internet about this.
I had to try several statins before I found one which did not cause muscle discomfort. I recommend trying several before giving up. Since I have an very bad family history of heart problems, and none of diabetes, I thing the VERY small increase in diabetes risk is well worth the small gamble.
Diabetes is a growing health concern worldwide. In the U.S. alone, statistics show that around 1.5 million people are diagnosed with diabetes every year. Diabetes is the seventh leading cause of death among Americans.
Some viewers have asked what they should do if they have been unable to lose weight after delivery. Here is Dr. Seely’s response:
“Many women have difficulty losing their pregnancy weight. There can be a number of reasons for this. One common reason is that although the women are eating very healthy food, the portions sizes may be too large. Seeing a dietician or nutritionist can be very helpful in this situation.
Another reason is that some women develop underactive thyroid (hypothyroidism) about 6 months after delivery. Many of these women recover but some have long lasting underactive thyroid which slows metabolism and decreases the ability to lose weight. Women who are not losing their pregnancy weight over the year after delivery despite eating healthy and engaging in physical activity should see their care provider for advice.”
I’ve tried 4 different statins and within hours of taking I get sudden pains that are like a dagger in my back. New Cardiologist tried Lipitor 10 mg and I cut them in 1/2. Middle of the night I flew out of bed with the dagger phenomenon! I’ve known many guys that warned me they reacted negatively on statins!
My grandmother has severe arthritis and high cholesterol, her Dr put her on lipitor. Her joint pain got really bad and she felt really bad. I read about cbd oil and bought superior hemp oil 1500mg and had her take 5 drops at night. The first morning she said slept great but still felt joint pain. The second day she felt less joint pain and on the third day she was able to take a walk and get some sun (vitamin D). We have since worked on her diet, got her off the lipitor and she has continued to take the cbd oil and her cholesterol has gone down.
I’ve been on 5 different statins over the course of 7 years starting at age 19 and w/ each one I experienced high CPK levels and also muscle, bone and joint pain. I have since taken the stance of refusing a statin starting at age 26 with the follow up remark of “once a statin is developed that DOESN’T have muscle, bone and joint pain as side effects, I will agree to start on it. Until then, I will pass.”
what about stomach distress? had a stroke and my doc team all sweare i need statins to prevent stroke again had my gall bladder out years ago and fear these statins as my body needs are harmed by statins a round robin presentingi’m stuck in I have severe diarrhea since starting statins over a month year ago these docs don’t seem to answer here nor will mine state what number we are striving to reach while on statins where’s the research proof?CRP what that proves huh? its a magix trick these statins are!
Waste of time video. Fact is, the average american consumes 150 pounds of sugar each. Our pancreas was not made for that much sugar. Diabetes is a disease of sugar-carbs. The only way to prevent diabetes or reverse it is to change your diet lifestyle (exercise). Its all about money. The fast food processed foods industries makes trillions of dollar each year giving people diabetes. The healthcare industry makes trillions of dollars treating the symptoms of diabetes (not the core issue ). The gov saves trillions of dollars per year by not paying out social security and Medicare to the diabetics who die from the complications of diabetes. Bottom line, if you are pre-diabetic or already diabetic, go keto (low carb low sugar) and exercise everyday. Lose the weight and live longer. Take responsibility for your own health. Your life depends on it.
Dr Lopez is bullshitting. I have tried Lipitor, crestor and lipidil and they have all given me terrible and I mean terrible chest pain, along my rib cage and similar to even a heart attack. The pain, in all three cases, have dissapeared within days of having stopped the statins.
Doctors: The pain is REAL and VERY PAINFUL. You need to do your research.
There are a small amount of side effects because Mr Mayo and Mr Pharma say the Medical School Holy TRUTH.The Holy School says statins only affect 1-7 % of the suckers. Smaller dose is to string you out, more doctor visits.
Statins almost killed my mother. It began with muscle weakness. This caused swallowing troubles. This caused her to avoid eating. By the time we reacted, her ankles were swollen and her stomach distended. She was starving. Fortunately she got to an ER doc who correctly diagnosed here starvation. She is off statins and gained weight. Thank God ER docs are problem-solvers and not clinically biased according to the narrative presented here. Statins are not effective and associated with severe side effects. These guys cannot conceptualize the difference between absolute and relative risk/benefits. Their advice is based on clinical lore and not science.
iF STATINS ARE SO GOOD FOR YOU HOW COME EVERYONE THAT IS ON THEM HAVE
DIABETES/MUSCLE DEGERATION/AND STENTS/STATINS ARE A BILLION DOLLAR
INDUSTRY. MAYO CLINIC REPRESENTS BIG PHARMA NOT US…THE HEART ASSOCIATION
RECOMMENDED MARGARINE AND STATINS??? CARDIOLOGIST DO NOT MAKE MONEY
OFF OF WELL FOLKS. SO LETS SHRINK THERE HEARTS AND CLOG THERE ARTERIES.
ITS THE PATHWAYS COQ10 FEEDS MUSCLE STATINS TRAVEL THAT PATHWAY BLOCK
THE COQ10 SO YOUR MUSCLES DO NOT GET PROPER NUTRITION. AND THEY ALSO
BLOCK THE VITAMIN K2-7 WHICH SHUTTLE THE CALCIUM INTO THE BONES. SO
THE CALCIUM FLOWS THROUGH THE ARTERIES AND BINDS WITH IRON CHORLESTEOL
AND BLOCKS THE ARTERIS. FIRST YOU GET DIABETES/THEN AN ULCER FROM THE MEDICATION TO TREAT THE DIABETES/THEN STENTS FROM/THE NEXT THING YOU KNOW YOUR GOING IN FOR OPEN HEART SURGERY. THE PHARMACUTECALS SAY STATINS DO NOT HARM YOU WELL THE CUT OFF POINT IS FOUR YEARS HOW ABOUT AFTER THAT.
IF YOU DO NOT BELIEVE ME THEN BY GOLLY TAKE THEM STATINS.
How could that doctor possible question if the statin induced myalgia syndrome is real?
Not only were the intolerant patients weeded out, the patients in the trial are much healthier than the general population that has hyperlipidemia.
“Lowering cholesterol with medications is a total waste of time.”
Professor Sherif Sultan, University of Ireland
“Published in the BMJ Open journal, the new study found that 92 percent of people with a high cholesterol level lived longer.”
…
“Vascular and endovascular surgery expert Professor Sherif Sultan from the University of Ireland, who also worked on the study, said cholesterol is one of the “most vital” molecules in the body and prevents infection, cancer, muscle pain and other conditions in elderly people.
“Lowering cholesterol with medications for primary cardiovascular prevention in those aged over 60 is a total waste of time and resources, whereas altering your lifestyle is the single most important way to achieve a good quality of life,” he said.
Lead author Dr Uffe Ravnskov, a former associate professor of renal medicine at Lund University in Sweden, said there was “no reason” to lower high-LDL-cholesterol.” The question for those claiming to be dubious of this study is whether these professionals have taken any money from Pfizer or a rival maker of statins, or if they expect to have a monetary gain from their stand on this issue.
http://www.telegraph.co.uk/science/2016/06/12/high-cholesterol-does-not-cause-heart-disease-new-research-finds/
It is so good to see a rational discussion of this issue. Too much hype and amateur BS on the internet about this.
I had to try several statins before I found one which did not cause muscle discomfort. I recommend trying several before giving up. Since I have an very bad family history of heart problems, and none of diabetes, I thing the VERY small increase in diabetes risk is well worth the small gamble.