Diabetes aids, articles, financial matters etc: Diabetes Education in Middle-age Schools

Diabetes aids, articles, financial matters etc: Diabetes Education in Middle-age Schools: "New! Diachieve Brand Diabetic Supplies & Health Products EasyHits4U.com - Your Free Traffic Exchange - 1:1 Exchange Ratio, 5-Tier R..."

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Diabetes Education in Middle-age Schools

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Diabetes Education is a recent phenomenon which is an ingredient for Diabetes prevention strategies. The relevance of Diabetes Education cannot be by any means overemphasized. It is relevant to health care professionals, persons living with diabetes, relations of persons with diabetes and those at risk of developing diabetes.
Majority of the damages posed by diabetes is fueled by ignorance which can be effectively cured with education. Schools are environment for learning both moral and academic. It is the environment where peers are much influenced. This is the breeding ground for poor hygiene and eating habits and lifestyle that are on a long run injurious to the body wellbeing. This is the avenue where most smokers where given birth to!
Introducing diabetes education to school curricula is indeed a necessity to help address some of these ills at infancy. Diabetes Education does not involve diabetes matters alone but useful information on how best to enjoy a healthy life style.
Seasoned expert trainers should be sponsored to carry out trainers training to enable reach out to majority of persons living with diabetes presently and to help fight the damage ignorance is posing to those already with diabetes and those at risk of diabetes.
Diabetes education in middle age schools will automatically assist the school in meal planning; there will be appropriate regulation of beverage and fast foods vendors in around school environment and general consciousness on healthy living techniques.
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DIABETES AND HYPERTENSION THE RELATIONSHIP

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Hypertension is a cardiovascular disease which has been with man for a long time. Most people in the medical palance view hypertension as a twin of diabetes. Hypertension is twice as common in diabetes as in the general population and affects some 10 – 30% of type 1 and 30 – 50% of type 2 diabetic patients. It is also present in about 20 – 40% of people with impaired glucose tolerance.
The World Health organization(WHO) and International Society for Hypertension (ISH) considers lower target range in people with diabetes to be below 130 -140/85mmHg and Lower (<125/80mmHg) in people with nephropathy. There are several ways which insulin resistance or hyperinsulinaemia which is mainly found in type 2 diabetes could lead to hypertension. - Blunting of the vasodilator effect of insulin an action mediated by the release of nitric oxide from endothelium. - Insulin can act in other ways to raise blood pressure and this can be supported by hyperinsulinaemia that accompanies insulin resistance. Insulin stimulates sodium and water absorption at the distal renal tubule, insulin also stimulates the cell membranes Na+ K+ ATPase, which can raise intracellular Na+ and Ca+ in vascular smooth muscles and therefore enhance contractility and peripheral resistance. Several components of the augmented cytokine induced, acute phase inflammatory response associated with type 2 diabetes may cause hypertension including cytokine stimulation of ACTH and glucocorticoid secretion and activation of the sympathetic nervous system. In type 1 diabetes, hypertension is obviously associated with diabetic nephropathy. Blood pressure begins to rise when albumin excretion rate enters the microalbuminuric range (>30mg/24hrs).
Control of hypertension in diabetes is important because hypertension worsens both macrovascular and microvascular complications. The effect of blood pressure on the risk of fatal coronary heart disease is 2 – 5 times greater in diabetic than in non-diabetics.

GASTROPARESIS AND DIABETES

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Gastroparesis is a stomach disorder that results due to a complication of Diabetes called neuropathy. When there is nerve damage, sensation to the stomach muscles reduce and these cause the stomach to empty too slowly.
Gastroparesis could occur in people without diabetes but it is a common occurrence in persons living with diabetes especially type 2 diabetes. People with type 1 diabetes do not develop gastroparesis until they have had diabetes for a long time about 20 years. Women appear to be more likely to get gastroparesis than men.
The most important factor in preventing gastroparesis is good blood glucose control. These are for two major reasons:
- High levels of blood glucose directly slow stomach emptying.
- Good diabetes control slows or prevent the development of complications, including nerve disease called neuropathy.
Symptoms of Gastroparesis
The most common symptoms includes:
- Nausea
- Abdominal pain
- Periods of lows within 1 to 2 hours of eating . others include:
- Feeling full after eating
- Bloating
- Vomiting
- Getting full quickly
- Belching after eating
- Pain in the general area of the stomach
- Upset stomach
- Gastroesophageal reflux.
Diagnosis
In addition to history and physical examination, the doctor can request the following diagnostic tests:
1. Scintigraphy
2. Radioisotope breath test
3. Electrogastrography
4. Manometry
5. Endoscopy
Treatment
The overall treatment goal is aimed at improving blood glucose control, normalizing stomach emptying so that drugs and food absorb properly, and relieving symptoms.
The following multilevel approach is involved:
1. Diabetes Control
Controlling the blood glucose is the foremost treatment measure.
2. Diet
It is important to understand that several small meals are easier for the stomach to process than few large ones. The diet should be low in fat because fat slows stomach emptying. Vegetable consumption in our meals should be encouraged.
3. Exercise
Moderate exercise after eating, studies shows can improve stomach emptying.
4. Review of drugs
The doctor might review a persons drug to remove or change those with side effects of slow stomach emptying also there is the need to cut out alcohol and tobacco.
5. Drug treatment
The doctor may prescribe some range of drugs example
- Prokinetic drugs: to increase stomach activity.
- Antiemetic drugs: to prevent vomiting.
One such drug which has both of these property approved by FDA is metoclopramide.
Other treatment options includes:


1. Surgery
2. Electrical stimulation
3. Electrical pacing.