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PRE EXERCISE EVALUATION \nCareful history of past events. assessment of Cardio Vascular functions is a must.\nBeware of the Atypical presentation of Coronary Artery disease signs like reduced exercise tolerance recently. | [
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High Risk patients should start with short periods of low intensity Exercises and slowly increasing intensity and duration as tolerated. \nContraindications to be assessed like uncontrolled Hypertension, untreated Proliferative Retinopathy, Autonomic neuropathy, Peripheral neuropathy, Foot Ulcers and Charcot Foot. | [
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Those with high risk and complications should be evaluated before. | [
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] |
HYPOGLYCAEMIA- Hypoglycaemia is precipitated when exercising while one is, on insulin or Insulin secretagogues like Glimeperide (Amaryl, Glimisave ,Gemer, GP) or Diamicron, Cyblex | [
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It happens in an scenario : If carbohydrate intake has not been adjusted or medication is not adjusted for the exercise bout and the post bout impact on the blood glucose, If pre-exercise blood glucose is <90 mg ingest Carbohydrates. | [
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] |
Hypoglycaemia may continue for certain hours after the exercises as performing exercises improves the Insulin sensitivity. Usually Hypoglycaemia don’t occur when a patient is in other oral drugs. | [
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] |
Insulin dosage is to be adjusted if it is pre-exercise, and depends on Intensity of exercise, Time of exercise, Duration of exercise, TIMING OF EXERCISES | [
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The best time of exercises is in the morning time and in a Fasting state , avoiding even the Bed Tea and biscuits.\nThe significant advantage of walking in a fasting state is that when a person walks or exercises in a fasting state, the Fat depot in the body is used as a source of Energy and Caloric expenditure, thereby mobilizing the stored Fat. | [
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] |
Another big advantage of this initiation of Fat mobilization is that this process continues further on for next 6-8 hours , despite the person resting and not exercising. If one exercises in a fed state, the source of energy is Carbohydrate ie, Sugar and it’s usage as a source stops as soon as one stops the exercises, so the person reduces his | [
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stops as soon as one stops the exercises, so the person reduces his sugar definitely, but not weight. | [
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People with diabetes who smoke and people with diabetes exposed to secondhand smoke have a heightened risk of cardiovascular disease, premature deaths, microvascular complications, and worse glycemic control when compared to those who do not smoke. Smoking may have a role in development of type 2 diabetes also. | [
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A routine and total assessment of tobacco use is essential to prevent smoking or encourage cessation. There is plenty of evidence which has demonstrated the efficacy and cost effectiveness of brief counseling in smoking cessation, Including the use of telephone quick lines, in reducing tobacco use . | [
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Use of pharmacotherapy to assist smoking cessation with diabetes has shown to be effective for the patient who are motivated to quit by Counselling. Use of E cigarettes to be discreet. | [
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] |
Use of non-nutritive sweeteners does not appear to have a significant effect on glycemic management but they can reduce overall calorie and carbohydrate intake. There is a mixed evidence from systematic reviews and meta-analysis for non-nutritive sweeteners use with regard to weight management, with some finding benefit in weight loss while others | [
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management, with some finding benefit in weight loss while others are suggested weight gain so it is a controversial issue. | [
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Low-calorie non-nutritive sweeteners sweetened beverages may serve as a short term replacement strategy, however people with diabetes should be encouraged to decrease both sweetened and non-nutritive sweetened beverages with an emphasis on increased water intake. | [
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There is some research evidence which says that higher non-nutritive sweeteners beverages and sugar sweetened beverage consumption may be positively associated with development of type two diabetes. | [
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Type 2 diabetes is a long-term, chronic medical condition that affects millions of people in India. A recent study published in the journal Lancet Diabetes and Endocrinology shows that prevalence of Diabetes in India at 11.4%. Many factors can contribute to developing type 2 diabetes, including being overweight and obese. Type 2 diabetes can lead | [
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including being overweight and obese. Type 2 diabetes can lead to life threatening complications such as heart disease and stroke, but with treatment people can manage the condition to go into remission or reversal. | [
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What is Diabetes Reversal? | [
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Diabetes remission or reversal is a condition when a person’s HbA1c is less than 6.5% for 3 months or more without diabetes medication. For diabetes remission or reversal, people should follow the advice of their doctors and nutritionist. Weight reduction is the key point for diabetes remission or reversal, as we all know that one of the leading | [
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remission or reversal, as we all know that one of the leading causes of developing diabetes is obesity and more than 82 percent of people with type 2 diabetes are overweight. But remission does not mean that diabetes has gone away. To continue in remission, one must ensure that they maintain the weight that they have lost and continue exercise and | [
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maintain the weight that they have lost and continue exercise and eat healthy. | [
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A study done in 2017 in India showed that 75% of the young adults with newly diagnosed type 2 diabetes achieved reversal of diabetes with intensive lifestyle therapy (Low-calorie diet of 1500 calories and brisk walk for one hour). Reversal rates at 1 and 2 years were 75% and 68.75% respectively. Diabetic medicines were either completely stopped or | [
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respectively. Diabetic medicines were either completely stopped or reduced significantly once the HbA1c was below 6.5%. Though this result was achieved for young adults we have seen very good results of the intensive lifestyle therapy for older adults as well. Hence, we suggest that all young, newly diagnosed patients with type 2 diabetes to | [
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that all young, newly diagnosed patients with type 2 diabetes to undergo intensive lifestyle therapy to achieve reversal and other older adults to check if their condition is stable enough to undergo such therapy. | [
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] |
Precautions to be kept during and after the reversal program | [
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If lifestyle changes are implemented during early diagnosis of diabetes and if no medications are required, this documents diabetes “remission” or diabetes “being reversed.” But to stay in remission or reversal it is necessary for diabetic person to continue following the lifestyle modification. (Low calorie diet plus the brisk walk) | [
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It is also important to understand that while you are being treated with certain diabetic medications, such as insulin or sulphonyl urea, a low-calorie diet can make hypos more likely. Therefore, it is required that while undergoing such reversal program, your doctor makes required changes in your medication and adjusts your doses accordingly. | [
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changes in your medication and adjusts your doses accordingly. Also, patients should check their blood sugar levels more often so that any episodes of low sugar or hypoglycaemia are averted. | [
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A diabetes reversal program includes Change in diet, Regular physical activity, Doctor monitoring. | [
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•\t Change in diet: A low-carb, high-fibre diet has shown remarkable results in improving blood sugar control and promoting weight loss. You will need to focus on consuming whole, unprocessed foods such as fresh fruits, vegetables, lean proteins, and healthy fats. Designing a customized diet plan as per the individual’s medical conditions as well | [
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diet plan as per the individual’s medical conditions as well as their eating habits is Oxyjon’s forte. | [
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•\tRegular physical activity- Regular exercise plays a vital role in diabetes reversal. Engaging in physical activity helps lower blood sugar levels, improves insulin sensitivity, and promotes weight loss. Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking, swimming, or cycling. At Oxyjon we provide | [
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such as brisk walking, swimming, or cycling. At Oxyjon we provide a personalized exercise plan for our patients depending upon their physical conditioning. | [
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•\tDoctor monitoring – A doctor consistently needs to oversee your reversal program. A go ahead is given by the doctor for the program only once he has checked that there are no other secondary complications. Additionally, a doctor needs to continuously manage the medicine dosage as the lower dosages might be required as a result of falling sugars, | [
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as the lower dosages might be required as a result of falling sugars, because of the program. | [
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Is Diabetes Reversal Possible for Everyone?\nNot everyone with diabetes can reverse the condition. However, many people with type 2 diabetes can achieve reversal by making lifestyle changes. | [
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If you are interested in reversing your diabetes, you can talk to the experts at Oxyjon about the best approach for you. With hard work and dedication, it is possible to reverse the diabetes for many and for others even when the diabetes is not reversed completely, they can live with vastly improved sugar control and free from the other | [
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can live with vastly improved sugar control and free from the other complications of diabetes. | [
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How can you tell if you have diabetes? Most early symptoms are from higher-than-normal levels of glucose, a kind of sugar, in your blood.\nThe warning signs can be so mild that you don't notice them. That's especially true of type 2 diabetes. Some people don't find out they have it until they get problems from long-term damage caused by the disease. | [
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With type 1 diabetes, the symptoms usually happen quickly, in a matter of days or a few weeks. They're much more severe, too. | [
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] |
Both types of diabetes have some of the same telltale warning signs- Hunger and fatigue, Peeing more often and being thirstier, Dry mouth and itchy skin, Blurred vision. | [
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Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to take in glucose. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you hungrier and more tired | [
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and you have no energy. This can make you hungrier and more tired than usual. | [
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Peeing more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Why? Normally, your body reabsorbs glucose as it passes through your kidneys. But when diabetes pushes your blood sugar up, your kidneys may not be able to bring it all back in. This | [
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sugar up, your kidneys may not be able to bring it all back in. This causes the body to make more urine, and that takes fluids. The result: You'll have to go more often. You might pee out more, too. Because you're peeing so much, you can get very thirsty. When you drink more, you'll also pee more. | [
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Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy.\nBlurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and can’t focus. | [
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Yeast infections. Both men and women with diabetes can get these. Yeast feeds on glucose, so having plenty around makes it thrive. Infections can grow in any warm, moist fold of skin, including: Between fingers and toes, Under breasts, In or around sex organs, Slow-healing sores or cuts. Over time, high blood sugar can affect your blood flow and | [
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or cuts. Over time, high blood sugar can affect your blood flow and cause nerve damage that makes it hard for your body to heal wounds. | [
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Pain or numbness in your feet or legs. This is another result of nerve damage. | [
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Symptoms of Type 1 Diabetes- You might notice Unplanned weight loss, Nausea and vomiting\nUnplanned weight loss. If your body can't get energy from your food, it will start burning muscle and fat for energy instead. You may lose weight even though you haven't changed how you eat. See which foods are high in trans fatty acids. | [
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Nausea and vomiting. When your body resorts to burning fat, it makes ketones. These can build up in your blood to dangerous levels, a possibly life-threatening condition called diabetic ketoacidosis. Ketones can make you feel sick to your stomach. | [
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Symptoms of Gestational Diabetes- High blood sugar during pregnancy usually has no symptoms. You might feel a little thirstier than normal or have to pee more often. | [
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Warning Signs of Diabetes Complications | [
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Signs of type 2 diabetes' complications may include: Slow-healing sores or cuts, Itchy skin (usually around the vaginal or groin area), Frequent yeast infections, Recent weight gain, Velvety, dark skin changes of the neck, armpit, and groin, called acanthosis nigricans, Numbness and tingling of the hands and feet, Decreased vision, Impotence or | [
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and tingling of the hands and feet, Decreased vision, Impotence or erectile dysfunction (ED) | [
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Learn about what you can do to lower your risk of diabetes complications. | [
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Hypoglycemia, or low blood sugar, happens when the level of sugar or glucose in your blood drops too low to fuel the body. You might feel: Shaky, \nNervous or anxious, Sweaty, chilly, or clammy, Cranky or impatient, Confused, Lightheaded or dizzy, Hungry, Sleepy, Weak, Tingly or numb in your lips, tongue, or cheeks | [
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] |
You might notice: Fast heartbeat, Pale skin, Blurred vision, Headache, Nightmares or crying when you sleep, Coordination problems, Seizures | [
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Hyperglycemia, or high blood sugar, causes many of the warning signs of diabetes listed above, including: Heavy thirst, Blurry vision, Peeing a lot, | [
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More hunger, Numb or tingling feet, Fatigue, Sugar in your urine, Weight loss, Vaginal and skin infections, Slow-healing cuts and sores, Blood glucose over 180 milligrams per deciliter (mg/dl), Diabetic Coma | [
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Its official name is hyperosmolar hyperglycemic nonketotic syndrome (HHNS). This serious complication can lead to diabetic coma and even death with either type of diabetes, though it’s more common in type 2. It happens when your blood sugar gets too high and your body gets severely dehydrated. Symptoms include: Blood sugar over 600 mg/dl, Dry, | [
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dehydrated. Symptoms include: Blood sugar over 600 mg/dl, Dry, parched mouth, Extreme thirst, Warm, dry skin that doesn’t sweat, High fever (over 101 F), Sleepiness or confusion, Vision loss, Hallucinations, Weakness on one side of your body | [
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When to Call Your Doctor - If you're older than 45 or have other risks for diabetes, it's important to get tested. When you spot the condition early, you can avoid nerve damage, heart trouble, and other complications. | [
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As a general rule, call your doctor if you: Feel sick to your stomach, weak, and very thirsty, Are peeing a lot, Have a bad belly ache, Are breathing more deeply and faster than normal, Have sweet breath that smells like nail polish remover (This is a sign of very high ketones.) | [
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Erectile dysfunction, also known as ED or impotence, is a common issue faced by men with diabetes. Studies estimate that approximately 35% to 75% of diabetic men will experience some degree of erectile dysfunction in their lifetime. Moreover, men with diabetes are likely to develop this condition 10 to 15 years earlier than those without diabetes. | [
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this condition 10 to 15 years earlier than those without diabetes. As they age, the prevalence of erectile dysfunction increases further, with approximately 50% to 60% of diabetic men over 50 experiencing difficulties, reaching up to a 95% likelihood for men above the age of 70. | [
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The causes of erectile dysfunction in men with diabetes are multifaceted, involving impairments in nerve, blood vessel, and muscle function. For a successful erection, men require healthy blood vessels, nerves, male hormones, and sexual stimulation. However, diabetes can damage the blood vessels and nerves responsible for controlling erections. As | [
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blood vessels and nerves responsible for controlling erections. As a result, even with normal hormone levels and sexual desire, achieving a firm erection may be challenging. | [
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] |
Fortunately, there are various treatment options for men with diabetes experiencing erectile dysfunction. It’s important to note that due to potential interactions with heart medications, oral medications like avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), or vardenafil (Levitra, Staxyn) may not be suitable for | [
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Cialis), or vardenafil (Levitra, Staxyn) may not be suitable for individuals with diabetes and heart issues. Consulting with a doctor is crucial to determine the most appropriate treatment approach. | [
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] |
Here are some additional treatment options that men with diabetes may consider including Intracavernous injection therapy, Vacuum erection devices, Intraurethral therapy, Venous constriction devices, Penile prostheses, Counseling or therapy sessions. | [
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Intracavernous injection therapy: Involves the injection of medication into the base or side of the penis to promote an erection.\nVacuum erection devices: Non-constricting devices that use suction to draw blood into the penis and create an erection. | [
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] |
Venous constriction devices: Designed for venous leak syndrome, these devices help maintain blood flow and erection by constricting the veins in the penis.\nIntraurethral therapy: Involves the insertion of a small suppository into the urethra to stimulate blood flow and achieve an erection. | [
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Penile prostheses: Inflatable or malleable implants surgically inserted into the penis to provide an erection when desired.\nCounseling or therapy sessions: To address psychological factors contributing to erectile dysfunction. | [
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The choice of treatment depends on several factors, including an individual’s overall health and their ability to tolerate specific treatments. It is advisable to consult with a doctor, and in some cases, a specialist such as a urologist, to determine the most suitable treatment approach based on individual circumstances. | [
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Erectile dysfunction can be a challenging aspect of living with diabetes, but there are effective treatments available to help manage this condition. Understanding the causes and exploring various treatment options can significantly improve the quality of life for men dealing with diabetes-related erectile dysfunction. By working closely with | [
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with diabetes-related erectile dysfunction. By working closely with healthcare professionals, individuals can find the most appropriate solution tailored to their specific needs. | [
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Prediabetes is a widespread medical condition affecting a substantial percentage of the adult population worldwide. It is a borderline diabetes condition with frequent high blood sugar levels in the body. | [
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Fluctuations in the diet can worsen the condition. Eating healthy during the weekdays and binging on sweets on the weekend can increase the risk of acquiring diabetes type 2. | [
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Obesity, sedentary lifestyle, excessive sugary beverages, and lack of exercise are the major risk factors that may lead to prediabetes. Almost 25% of the young adults acquire prediabetes before turning 35. | [
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] |
In this article, you will go through the vital care measures, dietary changes, and lifestyle modifications required to effectively manage the symptoms of prediabetes. | [
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There isn’t any specified cause of prediabetes. However, a growing body of medical experts agrees that genetics and family history play an important part in the development of prediabetes. | [
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] |
Here is a list of the most commonly reported risk factors leading to prediabetes- Obesity and calorie-rich diet, Lack of physical activity, Age above 45, High blood pressure, Low levels of HDL or good cholesterol, Race and family history. | [
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] |
Individuals belonging to the older age group are more vulnerable to prediabetes. However, if you feel tired or thirsty more often than usual, you may be at the risk of developing prediabetes. Feeling the urge to urinate frequently and blurry vision are also common signs of prediabetes. If you notice any of the above-mentioned signs, you should | [
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If you notice any of the above-mentioned signs, you should check in with your doctor and take tests to determine the severity of your insulin resistance. | [
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] |
Early diagnosis and preventive measures can help you reverse your condition and save you from severe health complications. Healthy food choices, regular physical exercise, smoking cessation, and moderate lifestyle changes can significantly enhance the recovery process. So, you should seek the counsel of your doctor regularly and stick to your diet | [
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seek the counsel of your doctor regularly and stick to your diet plan. | [
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At Oxyjon, we carefully analyze your condition to prepare individualized healthcare plans accordingly. Our specialized healthcare professionals focus on preventing slightly impaired glucose tolerance from progressing into chronic diabetes. | [
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● What are the common symptoms of prediabetes? Frequent urination, muscle fatigue, blurry vision, and increased thirst are the frequently observed symptoms of prediabetes. If you notice any of these things, you should contact your doctor right away. | [
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● What should you eat if you are prediabetic? Consulting a dietician and having a proper meal plan is imperative for reversing prediabetes. You should avoid eating white rice, red meat, and starch-rich foods. Moreover, you should add green salads to your meals as they are highly beneficial for people with prediabetes. | [
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] |
● Which tests are used for the diagnosis of prediabetes? Doctors rely on three tests to determine whether a person has diabetes or prediabetes. These include glycated hemoglobin A1c test (HbA1c), oral glucose tolerance test, and fasting plasma glucose test. | [
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] |
● What is the HbA1c range for prediabetic patients? The normal percentage of HbA1c for healthy individuals is considered to be lower than 5.7%. However, individuals with A1c levels ranging from 5.7% to 6.4% are prediabetic and require proper medical care. | [
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In today’s fast-paced world, stress has become an inherent part of our lives. While occasional stress is a natural response to life’s challenges, chronic or prolonged stress can have a significant impact on our health, particularly for individuals living with diabetes. The intricate relationship between stress and diabetes is a topic of growing | [
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relationship between stress and diabetes is a topic of growing interest and research. The impact of stress on diabetes, its underlying mechanisms, and strategies for stress management needs to be understood to promote overall well-being. | [
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Glucose Regulation: Stress triggers the release of stress hormones, such as cortisol and adrenaline, which are responsible for the “fight or flight” response. These hormones can raise blood glucose levels by increasing the production and release of glucose from the liver. For individuals with diabetes, this can make it more challenging to maintain | [
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with diabetes, this can make it more challenging to maintain stable blood sugar levels and may require adjustments in medication or insulin therapy. | [
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Insulin Resistance: Prolonged stress can contribute to insulin resistance, a condition in which cells become less responsive to the effects of insulin. This can lead to elevated blood sugar levels and an increased risk of developing type 2 diabetes. Conversely, individuals with existing diabetes may experience worsened insulin resistance, making | [
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Subsets and Splits