When Ellis was first diagnosed, his A1c results were 7.2%. Now, after following his doctor's prescription of a healthy diet and plenty of exercise (Ellis spends 30 minutes on a stationary bike every night while he watches TV), his A1c levels are in the 6% range. Instead of having an A1c test every 3 months, the recommended norm for people with diabetes, Ellis goes in every 6 months.

Is unexplained weight loss always bad


In summary, a supervised attempt to lose weight in people who can exercise without risk is usually of benefit. However in certain cases such as if blood sugars are too high or too low or if heart disease is present, it can be dangerous. This is why all exercise and weight loss programs should be started only after discussion with a physician. Any unexplained weight loss, in patients with or without known diabetes may be a sign of high blood sugars or another serious illness. It is absolutely necessary to see a physician and undergo a complete evaluation in these cases.

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Your doctor will check them for redness, cracks, sores, or open wounds. He'll look for weird problems (like overlapping toes); and he'll do a monofilament test. You’ll close your eyes and he'll simply press a piece of nylon to various parts of your foot. If you can’t feel it, you might have nerve damage. He may also tap on your Achilles tendon to see if the nerves on the back of your ankle are in good condition. A clue that they are? Your foot will point downward automatically.

What mellitus means


It’s important to note that thin people can get diabetes too, and not just Type 1 diabetes. In a 2008 study published in the journal Diabetes Care, adults age 60 to 79 years old with a body-mass index (BMI) of less than 18.5 (which is considered to be underweight) were 30% more likely to get Type 2 diabetes than adults with a “normal” BMI of 18.5 to 24.9. In a society where being thin equates with beauty, youth, intelligence, and success, there is often little sympathy or patience for people who are too thin and who desperately want to gain weight.

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Your doctor will check them for redness, cracks, sores, or open wounds. He'll look for weird problems (like overlapping toes); and he'll do a monofilament test. You’ll close your eyes and he'll simply press a piece of nylon to various parts of your foot. If you can’t feel it, you might have nerve damage. He may also tap on your Achilles tendon to see if the nerves on the back of your ankle are in good condition. A clue that they are? Your foot will point downward automatically.

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You may barely make it to office on time, but that doesn’t mean you skip breakfast. That means you wake up earlier! A healthy breakfast starts your day on the right note. It gives your metabolism the kick-start it needs so that, later in the day, you don’t overeat. Choose healthy breakfast options like oatmeal, eggs with whole-wheat toast or a breakfast smoothie made with fresh fruits and vegetables. 

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A neck lump or nodule is the most common symptom of thyroid cancer. You may feel a lump, notice one side of your neck appears to be different, or your doctor may find it during a routine examination. If the tumor is large, it may cause neck or facial pain, shortness of breath, difficulty swallowing, cough unrelated to a cold, hoarseness or voice change.

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A low-fat eating pattern includes vegetables, fruits, starches, lean protein, such as chicken and turkey without the skin, fish, and low-fat dairy products.  This eating pattern has been shown to improve heart health when overall calorie intake is reduced and weight loss occurs.  However, according to some studies, following a low fat diet did not always improve blood glucose or heart disease risk factors. 

What does mellitus mean in medical terms


Ellis was diagnosed with a type of diabetic retinopathy called macular edema. It causes the leaky blood vessels that lead to swelling and blurred vision. His condition was so advanced that his eye doctor could see the bleeding in his retina without even dilating his eyes. Now he gets his eyes dilated and tested every 3 months. He also gets bi-monthly injections of a drug that blocks the leaks. He'll have to do it for the rest of his life. But it's a small price to pay.

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Achieving an ideal BMI has been recommended for people with diabetes.8,9 But can the majority of people with diabetes achieve this goal? Should health professionals make recommendations that may be ideal but not achievable by most individuals? By now, many have heard about Mike Huckabee, the former governor of Arkansas, who lost 110 lb and “cured” his diabetes. Is this something that everyone can do?

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Eating more protein helps you to stay full for longer durations, lose weight and keep your blood sugar levels stable through the day. Since proteins are harder to digest than carbs, they offer sustained energy throughout the day and keep mindless snacking at bay. However, not all meats are the same. Choose lean cuts of meat that aren’t laden with animal fats. Completely eliminate processed meats like bacon, sausages, salami and other cold-cuts from your diet. Instead, focus on fresh chicken, turkey, fish and lean cuts of lamb. If you must eat red meat (we see no real reason to), limit it to no more than two servings a week.

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In 2007, the American Diabetes Association published the results of a ‘One-Year Results of the Look AHEAD Trial’ to study the reduction in weight and cardiovascular disease risk factors in individuals with Type 2 Diabetes. It showed that losing even 5-7% of your body weight reduces the risk for developing T2D by as much as 58%. You can lose weight by following a diet especially created to help burn stored abdominal fat (like the LCHF or Low-Carb-High-Fat Diet coupled with Intermittent Fasting).
Should the focus of nutrition therapy for type 2 diabetes be on weight loss or improved blood glucose control? Table 1 shows that achievable weight loss has a modest effect on A1C levels. However, in several studies, weight loss was not associated with improvement in glycemia.19,20 Furthermore, other nutrition therapy interventions that tend to focus more on metabolic control and less on weight loss have been shown to improve A1C levels by 1–2%.21

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Another symptom of diabetes associated with weight loss is frequent urination. When you urinate more frequently and don't drink enough to replace the lost fluid, you become dehydrated. Urination increases in diabetes, because your kidneys have to work harder to filter the excess glucose building up in your system. The increased glucose in the urine draws fluid from your tissues. When you lose glucose through your urine, you're also losing calories. This, as well as dehydration, can lead to rapid weight loss.
Eat mini-meals. A diabetes diet structured with three or more small meals daily is better than a diet plan that includes only one or two big meals. Large meals can cause blood sugar levels to surge, while eating smaller meals more frequently will help keep glucose levels lower after eating. Plus, a diabetes diet consisting of mini-meals spread through the day will help control hunger and calorie intake, possibly leading to faster weight loss.

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People with diabetes receive mixed messages about weight loss from magazines, newspapers, friends, family, and, yes, even health professionals. Few subjects have accumulated as much misleading and potentially dangerous folklore as the subject of obesity. A common message is that losing weight is just a matter of willpower, and if you have been losing weight and reach a plateau, it's because you've lost your willpower and are no longer following your diet. Furthermore, for people with type 2 diabetes, the message often is that weight loss is the answer to improving glucose control: “If you just lose 20 lb, you won't need insulin.” What does research tell us about these issues, and what should our messages as health professionals be to people with diabetes?
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Can I drive with diabetes

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