Structured Training Program Helps Diabetics Keep Blood Sugar in Control - Does Alcohol Prevent Fat Loss

People with diabetes should keep their blood sugar levels under control if they want to take long and healthy lives. New research shows that the completion of a structured and organized program designed to help them understand when their blood sugar is too high or too low is an effective way to help diabetic individuals keep control they need.

Diabetes affects 15.7 million Americans, or about 6% of the US population. It is a condition in which the body is not doing enough or is not responding well enough for hormonal insulin, which is needed to use blood sugar.

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If you would like to discuss different ways of controlling diabetes, go to the moderate webmd diabetes board by Gloria Yee, RN, CDE.

There are two main types of diabetes. Type 1, which represents about 5-10% of cases, usually becomes evident in early adolescence when the body's own immune system, for reasons that are not well understood, attacks the cells in the pancreas that produce insulin. These individuals should take daily insulin injections to live.

type 2 diabetes usually begins around middle age and is caused by gradual wear of cells that produce insulin combined with a reduced total capacity of the body to respond to insulin in blood . Somed day 2 diabetes can be controlled with diet and exercise, but often these individuals should also take medication and / or injections of insulin.

serious problems occur in diabetics when blood sugar levels are very high or too low. Low blood sugar, called hypoglycemia, may occur as a result of taking too much insulin and causes a drunk state that quickly advances to unconsciousness and death if it is not treated quickly eating pure sugar or sugar foods. High blood sugar, or hyperglycemia, usually is not immediately threatening to life, but can cause damage to the organs of the body and the circulatory system over time.

keeping blood sugar at an ideal level, so it is crucial, and blood glucose awareness training, or bgat, the program was designed To help diabetic individuals do just that. The designers of the program called a Biobehavioral intervention because it helps people with diabetes catch the subtle suggestions that their bodies fit when blood sugar levels are very high or too low.

William Clarke, MD and colleagues completed a study showing that the latest version of BGAT, called BGAT-2, helped 73 adults with type 1 diabetes to improve their ability to detect When his blood sugars were very high or low.

The program also helped these individuals worry less with the risks of their condition. Important, the benefits of completing this program were lasting. Clarke is a pediatrics professor at the University of Virginia Health Sciences Center in Charlottesville. The research is published in this month's edition of Diabetes Care magazine.

"This is not a quick fix; not easy," says Clarke on BGAT. "... this is not McDonald's to improve glucose control. ... To be effective, you have to take the eight weeks program, and there is homework that should be done all week. Without doing These kinds of things, you can not really improve your own consciousness [of your blood glucose levels]. But once you have improved this consciousness, it is something that seems to take for a long period of time. "

Lois Exelbert, RN, MS, CDE, is a nurse educator of diabetes. They use BGAT at the Diabetes Education Center at Baptist Miami Hospital, where she is an administrative director. It says that it is extremely effective to help individuals with diabetes recognize when their sugar levels are turned off so that they can correct the problem immediately in the short term and make changes to the diet, exercise and / or medication to avoid these ups and downs. long-term. It is important to note that the program also teaches crucial security strategies, such as not behind the wheel of a car unless you have verified your blood sugar levels.

"The misconception is that everyone with diabetes will be subject to fainting from low blood sugar and just wait," she says. "But not everyone has to have sugar in low blood, where they are fainting. ... It is not an automatic function of having diabetes, and there are absolutely ways to prevent it."

one of Exelbert patients, who prefers that her name is not used, has type 1 diabetes 27 years ago. She picked up the BGAT program in 1997 because she met, as many people who had type 1 diabetes for several years, which she did not experience the obvious signs of low blood sugar, such as sweating and trembling. She discovered that the program was worth the effort and considerable time needed and recommends it to anyone interested in better understanding his illness and preventing long-term complications.

"was very intense," she says about the program, "... but it worked for me because now I know when I'm going in a low [state of sugar in the Blood] for reactions that my body is giving me now. ... I always talk about people I know [with diabetes] who had some 911 attacks calls because this can help them learn about themselves before they get For this call 911 [state]. ... There was so much information in the program that I never knew [even] after having diabetes for a long time. "

Endocrinologist Philip A. Levin, MD, director of the Diabetes Center at Mercy Medical Center in Baltimore, says., Says the difference between this and other training programs for the handling of diabetes is that it is much more organized and structured. More and more data like this study are emerging to demonstrate that such a structured program helps people control their blood sugar.

"for a person only assume they can [test their blood sugar] a few times, hit and assume they have a deal with the awareness of the His own body on blood sugar changes, can be misleading and a little dangerous, "he says. "If you are going to [determine your blood sugar level based on your body's subtle suggestions], you need to make a continuous program over several weeks or months in which you receive feedback to have a good feel for Frequency you are right and how often you are not right. "

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