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Eating Disorders Still Occuring In Diabetic Teens

Reports linking eating disorders and young women with type 1 diabetes first surfaced in 2007, yet little attention has been paid to "Diabulimia," the Juvenile Diabetes Research Foundation International's term for type 1 diabetics who regularly skip insulin injections to lose weight.

Although diabetics have to monitor their diets and exercise to an almost obsessive degree -- like those with full-blown eating disorders -- disordered eating patterns can have a pronounce, immediate and severe effect on type 1 diabetics.

High blood sugar levels can cause dehydration and fatigue. Muscle tissue also breaks down. Over longer periods of time, individuals can suffer from complications like blindness, kidney disease and heart disease. Although these complications can occur in diabetics, those who routinely skip insulin will suffer from them much sooner. According to a study in the New England Journal of Medicine, as many as 30 percent of adolescent type 1 females have skipped or restricted insulin doses to lose weight.

Many doctors and parents of diabetics can miss symptoms of this complication because close attention to food and exercise is normal (and encouraged)! Warning signs can include:
  • changes in eating habits (eating more but still losing weight)
  • unexplained weight loss
  • unexplained hyperglycemia (high blood sugar)
  • low energy levels
  • frequent urination
Clinical psychologists who study the link between eating disorders and diabetes encourage that those who believe this could be a problem for someone they know suggest getting in touch with both diabetes and eating disorder specialists. Healthcare professionals can then work to help the patient understand the eating disorder and teach the patient how to safely manage his or her diabetes.

Check out AOL Health for more information on managing diabetes.

Diabetes Patients, Docs Disagreed On Important Treatment Aspects

Newly diagnosed diabetics and their doctors don't always agree on which aspects of the disease are the most important to treat.

A new study from the University of Michigan Medical School showed that, on average, adults with diabetes have at least three other chronic health conditions. Doctors usually focus on treating physical aspects like high blood pressure. Diabetics, however, are more focused on pain relief and depression.

The study, some believe, brings to light the reasons why diabetics have a hard time managing their health. With different goals than their doctors, it's nearly impossible to determine whether treatment is successful.

There are several reasons that diabetics might experience pain. Muscle pain is a common complaint. Among the most common reasons for muscles pain are shoulder tendonitis, which often refers pain to nearby muscles; diabetic myonecrosis, when small arteries supplying a muscle becomes blocked and muscles can die; and nerve disease.

If you're suffering from pain, there are many remedies, including:
  • Taking your medicines as prescribed
  • Participating in a physical therapy or stretching
  • Exercising regularly by swimming, riding a stationary bike or walking to build muscle strength.
  • Getting enough sleep every night
  • Trying self-massage or trigger point massage therapy
  • Getting a professional massage.
If you're suffering from depression, there are several complementary and alternative treatments you can try, including meditation, exercise and supplements.

Check out AOL Health for more information on diabetes management.

Chris Thomas: Diabetic Rockstar

Chris Thomas never planned to start a revolution. It just happened that way.

In 2007, Thomas was like any other fresh-out-of-college kid. After seven years working in the bar and restaurant business, he was having a hard time adjusting to a daytime work schedule. Or, at least, that's what he thought.

Though he drank high-sugar sodas and sports drinks, he was constantly sluggish, which he attributed to his frequent nighttime trips to the bathroom. The sugar high helped combat his sleepiness and dry mouth, but after a few months, he realized that he was losing weight. He could barely keep 115 pounds on his once-150-pound frame.

Uninsured, Thomas searched the Internet for a diagnosis. His sleuthing led him to determine that a thyroid condition, which ran in his family, was likely. His mom handed him a blank check, and he scheduled a doctor's appointment for May 28, 2007.

Within hours of arriving at the doctor's office, Thomas was diagnosed with type 1 diabetes. The rest of the day and most of the weeks that followed were a blur. The pamphlets he received that explained his new condition were vague and depressing. Each one outlined a limited future: shots, constant blood-sugar monitoring and terrifying complications. And that was only if he could afford the medical supplies.

Filled with frustration and anger, he considered his options. Despite his supportive family, he couldn't stay in the Midwest where he suddenly felt like a freak. His friends' concern, though justified, often came across as overbearing. They didn't understand the new challenges his diagnosis presented, nor did they understand why Thomas was edgy when they suggested he overhaul his eating habits and lifestyle. He packed his bags and left for New York City, moving in with a distant cousin he had never met.

Thomas consulted with a dietitian but still had no idea how to manage his health. Half of his paycheck already went to medical supplies; specialists who could have provided additional counseling were a luxury he couldn't afford.

Being in his mid-20s didn't make life easier. He stayed out until dawn and ignored all but the easiest-to-adhere-to advice. He constantly pushed the envelope, and when it looked like he might be in trouble, he pushed harder.

"You're a diabetic rock star," his friends exclaimed. The moniker stuck.

Within months, though, Thomas had his first real diabetic emergency. His blood sugar crashed while he was house-sitting -- and, because he had shaken off the warning signs, he spent a terrifying half hour stumbling around the empty kitchen looking for anything to fend off a seizure.

"That's when I realized that I was dealing with something I might not be able to handle," Thomas said. "I could feel it coming on, but that was the first time I realized that this thing was a monster that I had to try to control."

In a city of nearly eight million people, Thomas felt alone. He didn't know anyone else with his condition. So he started a blog where he could chronicle his struggles with diabetes. Other diabetics commented on his posts, offering their own insights. And slowly, Diabetic Rockstar was born.

Today, Diabetic Rockstar is a multifaceted organization helping recently diagnosed diabetics understand, cope with and fight their disease.

Primarily started as a site where diabetics could create profiles and share their experiences, it now includes a social network specifically for diabetics under age 18 and a mentoring program for adults.

Rock stars, according to Thomas, don't accept the status quo.

Several companies that manufacture testing meters found Thomas's site. One sent $13,000 worth of supplies for Thomas to distribute to those who couldn't afford their own. Thomas posted a message, letting his readers know he had free supplies that he could send them if they couldn't afford their own. And The Fight IT! Campaign, a charity that provides supplies like testing meters and strips to those who can't afford them, took off.

"Other organizations focus on awareness and research," Thomas said. "We want to fight for the people who have diabetes right now, especially those who can't afford their treatments. What good is a cure if you don't live long enough to see it?"

As if Thomas doesn't have enough to focus on, his vision keeps getting bigger. He wants to end the stereotypes associated with his condition.

"Diabetics aren't damaged goods," he said. "It's not that all of us were overweight people who didn't take care of ourselves. We're just like everyone else. We have to be careful, but we can lead normal lives."

Check out AOL Health for more information on diabetes care.


Diabetes Management: Stay Healthy Strategies

Diabetes doesn't have to limit your options. You can still enjoy your life while minimizing your chances of complications. This time of year, it is especially important to be mindful of your health because illnesses can quickly become serious.

When your body is fighting an infection, it produces stress hormones that counteract insulin. Therefore, you may need more insulin to keep blood sugar levels down. People with type 2 diabetes who normally take oral medications may temporarily require insulin injections.

To better manage your diabetes, try these tips:
  • Monitor your blood sugar. Practice good blood sugar control by monitoring your blood sugar levels regularly. You should also have a glycosylated hemoglobin test ever three to six months.
  • Practice good health habits. Visit your doctor and dentist regularly, exercise often and eat a healthy, varied diet.
  • Have an annual eye exam. This should be done from the time of diagnosis in people with type 2 diabetes, and starting five years after diagnosis in people with type 1 diabetes.
  • Avoid illness by staying up-to-date on your immunizations.
  • Practice good foot and skin care.

  • Avoid risky behaviors, such as smoking or drug or alcohol abuse.

  • Learn as much as you can about diabetes, and educate others close to you.

Check out AOL Health for more information on diabetes care.

Diabetes Symptoms: Type 1 Diabetes

Recognizing the symptoms of diabetes can often help you get a proper diagnosis and treatment. There are currently 5.7 million people who have undiagnosed diabetes in the United States, according to the American Diabetes Association.

Symptoms of type 1 diabetes usually come on quickly within days or weeks. The following can be signs of type 1 diabetes:

  • Your appetite has increased, and you're still losing weight.
  • You're fatigued or irritable.
  • Your vision is blurry.
  • You're dehydrated.

Once diagnosed, you will still experience high and low blood sugar levels. High blood sugar levels develop slowly. Low blood sugar levels can develop in minutes. Symptoms of low blood sugar include sweating, weakness and hunger. Symptoms of high blood sugar include increased thirst and urination.

Check out AOL Health for more information on diagnosing diabetes.

Type 2 Diabetes Prevention Tips

Type 2 diabetes is the most common form of diabetes in the United States, but it is also the most preventable kind of diabetes.

Here are eight simple tips to lower your type 2 diabetes risk.

1) Lose 10 pounds.

2) Walk. People who exercise about 35 minutes a day dropped their risk of diabetes by 80% according to a Finnish study.

3 Eat the right cereal. Look for cereals that are high fiber, watch for hidden sugars and skip those that list brown sugar, corn sweetner, corn syrup, dextrose, fructose, high fructose corn syrup, invert sugar, maltose, malt syrup, molasses, sugar and sucrose as the first three ingredients.

4) Ditch the drive-thru. Regular fast-food splurges increase your risk of diabetes.

5) Grab some veggies. Women who ate read meat at least five times a week had a 29% higher risk of type 2 diabetes than those who ate it less than once a week. Eating processed meats like bacon and hot dogs five times a week raised type 2 diabetes risk, too.

6) Relax. Chronic stress can send blood sugar levels soaring. Start your day with yoga or meditation, take deep breaths and devote some quality "me" time to make your life easier.

7) Sleep just enough. Getting too little or too much sleep increases interferes with hormones that regulate blood sugar.

8) Keep Good Friends. Diabetes affects women who live alone more than those who live with a partner, other adults or children. Those who live alone are more likely to have poor eating habits and drink or smoke more.

Check out AOL Health for more diabetes prevention tips

Siblings' Diabetic Status Predicts Gestational Diabetes

Women who have a diabetic sibling are more likely to develop gestational diabetes than women who have two diabetic parents, according to a recent study in the American Journal of Obstetrics and Gynecology.

Gestational diabetes occurs in about 135,000 U.S. women each year, usually when they are around 24-28 weeks pregnant. Often, stress from pregnancy affects the mother's ability to produce insulin, and she develops abnormally high blood sugar. There can be several pregnancy complications related to this illness, including having a larger-than-normal baby.

"Sibling-only history may be a greater risk factor than previously documented," study author Catherine Kim of the University of Michigan Medical School and colleagues wrote.

The results, based on a study of 4,566 mothers, showed that when a woman has a diabetic sibling, she is seven times more likely to develop gestational diabetes. When both of a woman's parents have diabetes, her likelihood of developing gestational diabetes only doubles.

Researchers now believe that gestational diabetes may follow a different inheritance pattern than type 2 diabetes. If both of a woman's parents have diabetes, she is eight times more likely to develop type 2 diabetes.

Women are more likely to develop type 2 diabetes after they have had gestational diabetes; but, more studies are needed to determine which women who have had gestational diabetes are particularly high risk for type 2 diabetes.

Visit AOL Health for more information on diabetes care and management during pregnancy.

The Diabetes Diet

Most people make resolutions to lose weight in January. For diabetics, sticking to a meal plan is more about staying healthy than looking great.

Your diet should be low in saturated fats, cholesterol and sweets. It should also be high in fiber, fruits, vegetables and whole grains. Your dietitian can help create an individualized meal plan, but the basics will be the same regardless of your health status.

People with diabetes should get most (45-55%) of their daily calories from complex carbohydrates including vegetables, whole-grain breads and cereals. The simple sugars found in low-fat dairy and fruit are included as healthy carbohydrates, too.

It's important to remember that blood glucose levels can be affected by how foods are prepared. Raw veggies are digested more slowly than those that have been cooked. Fruit juices will affect your blood-sugar level faster than eating a piece of fruit.

Make sure to limit your sugar and alcohol as well as fats. Diabetics can consume sugar as long as they plan for it and adjust their insulin dosage accordingly. Alcohol must be treated in a similar way.

Those with diabetes should opt for polyunsaturated or monounsaturated fats. Monounsaturated fats reduce LDL cholesterol and increase HDL cholesterol.

Dietary goals are different depending on the type of diabetes you have. Check AOL Health for more information on how to improve your diet.

Diabetes Patients: Get Your H1N1 Vaccine

If you've been avoiding your annual flu shot, it's time to get a vaccine.

Today has been designated the National Influenza Vaccination Week's vaccination day for people with chronic health conditions. This year, vaccinations against H1N1 or swine flu and regular influenza are recommended.

It's extremely important that those with chronic conditions get the vaccine because they are at higher risk for serious flu-related complications like pneumonia. High-risk chronic conditions include asthma, diabetes, heart disease, kidney and liver disorders, neurological disorders, blood disorders, cancer and HIV or AIDS. A pneumococcal vaccine to prevent pneumonia is also recommended for people with diabetes.

After you get your flu shot, remember to take any antiviral medications your doctor might prescribe. Also, follow general best-practice strategies for flu prevention like washing your hands and covering your mouth when you cough or sneeze. Typically, the flu season last until May, but it's especially important to be vigilant during the winter months.

Check out AOL Health to learn about other diabetes complications.

Study: Job Stress May Lead to Diabetes

Does your too-demanding boss have you ready to blow? Or are your co-workers, who dump "team" projects on you, driving you crazy? It's not only annoying, it might be bad for your health.

A British study published in the December issue of Diabetes Care, shows that women who experience high levels of job stress and little work-related social support appear to be at an increased risk for developing type 2 diabetes, which is linked to obesity and other lifestyle choices.

During the study, which lasted nearly 12 years, the research team assessed job-related stressors of 5,895 initially diabetes-free British civil servants.

There was no link between job stressors and diabetes risk in men. In women, 10 percent of all type 2 diabetes cases would have been prevented had the women had more control over their work and less stringent demands placed on them. Social support would have helped the women in the work environment, too.

Most medical professionals agree: People need to find ways to reduce stress in their lives and view it as a health risk factor similar to obesity, low physical activity, and poor diet.

Check out AOL Health for information about prediabetes and ways to prevent diabetes.

Coffee Could Cut Diabetes Risk

Coffee drinkers, get excited.

Your morning joe might be good for your health. In a study released last month, an international team of researchers showed that people can drink coffee and tea to dramatically lower their risk for Type II diabetes.

Adults who drank three to four cups a day had a 25 percent lower risk of developing diabetes than those who drank little or no tea or coffee. The researchers aren't sure what effect caffeine has on the diabetes, but believe that a combination of magnesium, caffeine, lignans and chlorogenic acids contribute to the beverages' ability to lower diabetes risk. Coffee has also been shown to be a major source of antioxidants, which prevent damage to cells, in the U.S. diet.

Check out AOL Health to find ways to manage diabetes.

Dentists Could Be Key In Diagnosing Diabetes

If you're thinking about skipping your regular visit to your dentist, think again.

A New York University nursing-dental research team has discovered that those who have periodontal (gum) disease are also at high risk for diabetes. The same researchers concluded that dentists should consider offering diabetes screenings in their offices.

Using guidelines established by the American Diabetes Association, the team determined that 93 percent of subjects who had periodontal disease were considered high risk for diabetes and should be screened for the disease.

Dentists won't hand out diabetes diagnoses; but, researchers are encouraging dentists to screen patients for diabetes by evaluating other risk factors: obesity, belonging to a high-risk ethnic group, having high blood pressure, having a relative with the disease or having given birth to a baby weighing more than nine pounds. Dentists could also use a glucometer - a tool that measures blood glucose - to analyze blood samples.

At the end of the diabetes evaluation, a dentist might recommend that the patient see a doctor for a true diabetes screening.

Visit AOL Health to learn more about diagnosing diabetes.

Diabetes Risk Factors You Never Considered

Almost 24 million people in the United States have diabetes according to the American Diabetes Association. Think you're not at risk? Think again.

Type 1 diabetes, an autoimmune disease, can be caused by genes, viruses or foods. Type 2 diabetes is more likely to be linked to age, medications, poor nutrition and lack of exercise. Gestational diabetes, which usually occurs around weeks 24–28 of pregnancy, has been linked to the hormones produced by the placenta that hinder the action of the mother's insulin.

Even if you're convinced you're safe, check out these shocking risk factors.
  • Breast size: If you're a size D or larger at age 20, you may be up to five times more likely to develop diabetes than your flat-chested friends.
  • Birth month: If you're a spring baby, you're more likely to develop type 1 diabetes in the U.S., according to a CDC study.
  • Slow-healing cuts: If your cuts stick around longer, it could be a symptom of type 2 diabetes. That's because your blood vessels are a little thinner than they should be while the vessel walls are a little thicker. That means your blood system can't carry infection-fighting white blood cells to the site of the cut, which delays healing time.
  • Tooth Loss: If you have periodontal disease or tooth loss, your likelihood for diabetes increases 14 to 29 percent.
Your doctor can provide more information about whether you're at risk for diabetes or you can visit AOL Health to test your risk.

Self-Manage Your Diabetes

Diabetes can be unpredictable. Your blood-sugar can drop too low fairly quickly and the long-term consequences of diabetes aren't pretty. Still, with good self-management, you can minimize your chances of developing complications. To stay healthy and avoid the complications that can arise over time, it is important to follow some basic health guidelines. Like anyone else, you should eat a healthy diet, exercise and visit your doctor regularly. Check out AOL Health for other self-management tips.

Avoid Diabetic Emergencies This Holiday Season

In the holiday season's hustle and bustle, it's easy to forget to take care of your health. Low blood sugar isn't uncommon. Ignoring it, however, can lead to trouble. Make sure that you pay attention to your body and the warning signs that you might have low blood sugar like dizziness when standing.

Also, remember to carry a medical identification card and wear a medical alert bracelet or necklace at all times. Make sure your friends, family members and co-workers know what to do in an emergency.

Severe hypoglycemia, ketoacidosis and hyperosmolar coma are among the most common diabetic emergencies. Check out AOL Health's guide to diabetic emergencies.

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