Complications of diabetes Puns

https://www.ncbi.nlm.nih.gov/pubmed/31277506 ; https://sci-hub.tw/10.3390/nu11071526

Romano L1, Marchetti M1,2, Gualtieri P3, Di Renzo L2, Belcastro M4, De Santis GL1, Perrone MA5, De Lorenzo A2,4.

Author information

Abstract

The reversion of diabetes and the treatment of long-term obesity are difficult challenges. The failure mechanisms of rapid weight loss are mainly related to the wasting of lean mass. This single-arm study aims to evaluate the effects of a very low-calorie ketogenic diet (VLCKD) on body composition and resting energy expenditure in the short term reversal of diabetes mellitus Type 2. For eight weeks, subjects were administered a personalized VLCKD with protein intake based on lean mass and synthetic amino acidic protein supplementation. Each subject was assessed by anthropometry, Dual-energy X-ray Absorptiometry(DXA), bioimpedentiometric analysis (BIA), indirect calorimetry, and biochemical analysis. The main findings were the saving of lean mass, the reduction of abdominal fat mass, restored metabolic flexibility, the maintenance of resting energy expenditure, and the reversion of diabetes. These results highlight how the application of preventive, predictive, personalized, and participative medicine to nutrition may be promising for the prevention of diabetes and enhancement of obesity treatment.

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I've had type 1 diabetes for 9 years now but I feel like I still haven't gotten any better at it. My a1c is almost always between 8.0 and 8.5, although there's been twice where it was below 8 and a few times where it was a high 8 or above.

I've had neuropathy since before I was diagnosed with diabetes, but a year or so ago it got to the point where it's painful to do anything physically for a long time so I started taking gabapentin.

Now my kidneys are failing. My gfr or something like that (I don't remember exactly) is at 69 but it's supposed to be above 90.

I don't have any retinopathy at all but I don't know how long that's going to last

I don't know how to take care of myself. At college or when I'm outside it's easy to check my blood sugar and take insulin and make sure my blood sugar stays normal. At home though, it's really hard to push myself to check my blood sugar and take insulin. I'm not even sure how much to take anymore. Most of the time if I take 1 unit for every 10 g of carbs then my bs is normal 2 hours later but sometimes it seems like the insulin isn't even working. My morning blood sugars are all over the place even when my bedtime blood sugar is normal.

I just don't know what to do. I'm terrible at calculating and I just wish I could have a robotic insulin delivery system that takes of my blood sugar on my own.

It's not only those over 65 who are 'at risk' of contracting COVID-19 and developing much more serious and severe symptoms from the virus but individuals with chronic pain conditions who are taking prescribed opioid for these conditions, according to GP's. Unfortunately, many Australians who are currently taking these medications are not aware how they compromise their immune system - not to mention other organs and bodily functions over time - and may not be aware they're in the same group as those over 65 regarding COVID-19. Other individuals who are more susceptible to developing serious complications from COVID-19 include those who have diabetes mellitus which is estimated to be 1.2 million people (5.1% of the population) - and those are those who have been officially diagnosed with diabetes, not accounting for those with the condition who are unaware they have it. Then, according to the Lancet, there's adults who have cerebrovascular diseases, hypertension, and coronary heart disease. - https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30116-8/fulltext#section-7c530872-6235-4433-899c-b3f276970189

I don't know if you're aware but recently there was a large study published in New England Journal of Medicine on the "excess" mortality and heart disease risk for someone with type 2 diabetes: https://www.ncbi.nlm.nih.gov/pubmed/30110583.

The mantra previously was that type 2 diabetes is associated with "excess" risk for heart disease, meaning even if the blood sugars were controlled, you were at a higher risk for having a heart attack, stroke, etc. This study suggests that if you have these 5 parameters in control, then your risk of dying or having heart attack or stroke is the same as the general population.

• hemoglobin A1C

• LDL cholesterol level

• blood pressure

• microalbuminuria (small amounts of protein in your urine, which could be a sign of kidney damage from diabetes)

• smoking (or in this case, not smoking)

Of course, there are caveats to this study. It's an observational matched cohort study of 270,000 Swedish folks from the Swedish National Register so the population is fairly homogenous, we have no way to control for how the people had all 5 variables under control (meaning they could have been naturally healthier...or they were on medications to control blood pressure, etc.), etc. but I thought this was exciting nonetheless. Just food for thought because sometimes staying healthy feels like a job, but perhaps it'll pay off in the end.

Hey everyone, I recently got diagnosed with diabetes type 1 and the possibility of future complications are really freaking me out. I have done all my tests( eyes, kidneys, etc) and the doctors said everything is fine but I am still very anxious. My vision keeps changing even though I think my sugars are pretty in control, which keeps making me go back to the eye doctors to test all the time. Sometimes the anxiety due to the fear of complications is really bad and and it stops me from doing my work and or going out. How long does it generally take to develop these complications? I am especially fearful of blindness. Any advice or reassurance will really help.