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Diabetes Positive Approach, Issue #1312-- Cope with Diabetes; Live Healthy
December 03, 2013
How are you making out with your list of positive traits? Remember in my book, you are a dependable person because you have been with me for sometime. And that goes for stickability too because you stuck with me through thick and thin.
There must be something in this newsletter that did resonate with you. But I can tell from the statistics I am getting every time I send out this newsletter, nobody unsubscribes and that's amazing, especially now when our topic is still on diabetic complications.
And how about the things that you have done successfully? Take out that list and review it. This will remind you that you succeeded before and by golly, you will do it again. That is because you are just as good as anyone, just as honest as anybody and just as conscientious and hard worker as the next person.
Diabetes Guide on Kidney Disease“
Compare the above to years of uncontrolled diabetes. That's when the risk to develop kidney problems will increase. CKD, which is acronym for chronic kidney disease, is serious where the kidneys stop getting rid of body waste. This is what I think is in the list of occupational hazards for the diabetics. And by golly, we are just going to arm ourselves against that!!
Just like the cops who need a vest to protect themselves against bullets, stray or well- intentioned, we need an armor against kidney disease. Soldiers do wear some kind of protection to protect themselves against all things that are blowing around them. How about us? We are not going to be shot at or blown to pieces, that's true but just like them, we have our own hazards to deal with. We need some kind of armor against kidney disease.
Read on for by the end of this article you will know of the best protection against that deadly CKD. I don't even want to spell that out, that's how mad I am at that thing. But I researched and researched at what we can do to protect ourselves from that deadly thing. Oh, I know that keeping the blood sugar within target level is a weapon in our arsenal but that is so boring.
Oh we will try our best to do that but enough already, we need some more, we need more protection. Is that asking for much? Of course not. Who wants to end up in a dialysis center which for some is basically a one-way street? But it does not have to be that way.
There's a new research that finds people on ACE inhibitors have some kind of protection against kidney disease. There you go, I have said the dreaded word. But I don't mind now that my diabetic friends have an additional shield against such an unwelcome guest.
Ace inhibitors are pills that help lower the blood pressure which many diabetics have. These pills make the blood vessels open wider that relieves the pressure. Then scientists started to notice that those who were lucky to get prescribed with ace inhibitors have less problems with kidneys. It got so that now they routinely prescribe these pills.
It is now part of the Standards of Care for diabetes. They prescribe a large dose for those who have high blood pressure, a medium dose for those who have readings not high enough to write home about, and a baby dose even if you don't have high blood pressure, just to protect those kidneys that work so hard.
They regulate the blood composition and blood pressure, stimulate the making of red blood cells and maintain the calcium levels of the body. No wonder the poor things sometimes give up. It is up to us to give it a little help by keeping the blood sugar within healthy range and the ace inhibitors as an additional shield.
Now we can avoid this kidney disease called a fancy name in doctor speak as "Diabetic Nephropathy" caused by high blood glucose levels. Now don't panic. This takes a long time to develop. Having high blood sugar level once in a while will not lead us to that fancy name. Only high blood sugar level over a period of time will do that.
Some are afraid to take medications because of the side effects; I understand them because I am one of them but really if it is something that will help, we have got to try. It is not like the estrogen they described the menopausal women just to get rid of the excessive sweating and such, when the risk to develop cancer is increased. No sweating on one side, risk of cancer on the other side, well it does not take a brain surgeon to know which side I will be on.
But pardon me for I digress. The ACE Inhibitor is a different kettle of fish. Its known side effect is persistent dry cough. I’d rather have that than be unkind to my kidneys. Anyway that side effect can be dealt with by telling your doctor who will try another ACE inhibitors. And this is not good for pregnant women.
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Here is the link again. The Kidney Disease Solution
They have a way of testing for kidney problems. You could get a blood test referred to as protein albumin or urine albumin. That’s the test to see how well the kidneys are doing their job.
It measures the amount of protein the kidneys could not process and instead spill it into the urine. Too much protein in the urine is called Albuminuria. That is why it is very important to have this testing done every year.
The most important thing you can do to stop Kidney Disease and Kidney Failure on its track is to keep your A1C level near or below 6.5%. This essentially reduces the risk to develop kidney problems, Studies have shown that those who maintain their A1C level lower than 7 substantially reduce their risk. And don’t forget to talk to your doctor about ace inhibitors.
Those who have already the early signs of kidney disease should talk to their dietitian to limit their protein consumption to lower than 50 grams a day. Taking medicine for blood pressure will relieve some of the pressure on the kidneys. And don’t forget the ace inhibitors. I hate to be a nag but if there is the number one complication I don’t want you to have, it is that CKD.
Here are some tips for treating nephropathy:
1. Keep your blood pressure down to 130/80 and your cholesterol level as close the target level.
2. Take it easy on the salt as this will keep the blood pressure behave better.
3. Eat low-fat diet and exercise regularly.
4. Quit smoking.
5. Watch the amount of protein you consume to help the kidneys.
There is of course Kidney Transplants, but we want to avoid this as much as we can. The wait takes a long time and then after the transplant you have to take medication the rest of your life to avoid the body from rejecting the kidney. Who wants that? Not us of course. The ultimate and best way really is to keep the A1C at 6.5 or less. Then keep tested so we can take action at the earliest time possible.
“Believe in yourself! Have faith in your abilities! Without a humble but reasonable confidence in your own powers you cannot be successful or happy." - Norman Vincent Peale “
5. Dessert Recipe”
6. Some Humour - Let's laugh together at the joke below even if it's not funny. "A person without a sense of humor is like a wagon without springs. It's jolted by every pebble on the road." HW Beecher
Yes, but how do we trigger laughter?
They say it’s done by hearing other people laugh. What to do? Well, just smile when you hear the sounds of laughter. They say one can buy a laughter CD with 60 minutes of giggling. That will be great to have one as a background when you are hosting a party, don‘t you think?
They also say there are many methods for triggering laughter. One is through a farce or comedy which is really for the theatre in order to entertain the audience. They use situations that are exaggerated characterized by physical humor, which I don’t like because I don’t want to see people banging each other in the head with a frying pan or something.
The True Wife!
Maid: Ma’am, someone keeps calling here.
Lady: Okay who is it?
Maid: Ma’am, she didn‘t leave her name.
Lady: Oh? So it’s a woman?
Maid: Yes, ma’am, I’ll ask her name next time she calls.
Lady: Oh, don’t bother.
Maid: Why not, ma’am, she could be sir’s mistress.
Lady: You're stupid. That was the true wife.
7. Do you have a question or comment for the team?
Drop us a line at our contact form and write your questions or comment there.
I know some of you have blood sugar readings all over the place, despite the hard work you’ve put into it. And those darn meters sometimes don’t tell the real stories. No, don’t get me wrong, I don’t hate the meters that do not give accurate readings, at least not like that word that starts with a “C”. And I don’t swear either.
And they go on and on expostulating and pretending they know those words that only us D-people know about. I wanted so much to put them in place. I wanted to say, sarcastically of course, “Oh, so you know about retinopathy? And how about neuropathy? And you said something about nephropathy at the restaurant. Do you think it is something to eat?”
But I bit my tongue, thank goodness for I am not prepared to have a brawl and I have never been in one. Besides, my one mission is for my subscribers not to play hooky on diabetes. It is there so we might as well pay attention to it. We have to take care of every inch of our body to avoid the big “C”. And my prayers are with you all, every single day.
Things happen even when we are well controlled. The heart can go anytime but that happens to those who do not have diabetes anyway, so there. So even if one is diabetic or not, anyone can step into a nail or something. So we have to take care of ourselves. We cannot ignore these things. We cannot take these things lightly or play hooky with diabetes.
So remember, this is not to make you feel bad. Not at all, for we have role models around us. There is Mary Tyler Moore who is alive and well. Then there’s the lady judge in the Supreme Court who has had diabetes since she was a child. And every year, it seems to me, we celebrate someone 90 or a 100 year old despite diabetes. So cheers to all of us!
8. Got something to say? Please write down your questions and comments in the contact form in our website.
If you have little ones or some people under your care, you can help them improve their self-image. Trying that will be part of your success, no matter what the outcome is. It is just like these diabetic complications we are on. Regardless of what happens, we have done our best.
So back to the ones under your care, help them build a healthy self-image by avoiding things that will be contrary to what you’re helping them build. Pornography comes into mind. Because anything that goes in the mind affects one and the effect could be permanent. So it is best to be part of things that will build a bright future instead of tearing it down.
Roger and Evelyn Guzman
Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at our contact form and write your questions or comment there. This newsletter is copyright 2013 Roger Guzman, M.D.
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