Tag: kidney failure

How Do I Choose The Best Arthritis Medicine?

How Do I Choose The Best Arthritis Medicine?
Stephanie E. Siegrist, MD

Are you spending a fortune on prescription arthritis medicines? Are they helping? Are you concerned about side effects? You may think a particular drug is a miraculous godsend. Yet, someone you know may take the same dose only to experience little relief and life-threatening side effects. All of the choices can be confusing.
The best treatment for your arthritis is based on your needs. Making the diagnosis of osteoarthritis is fairly straightforward, but deciding what to do about it is a complex and very individualized matter. Theres a wide range of options available to help you deal with OA; medicines are only part of the picture:

  • The Basics: Weight Management / Exercise / Education / Modify Activities
  • Medications: Pain Relievers, NSAIDs (like ibuprofen), Supplements
  • Injections/ Bracing
  • Surgery

The highest dose of the latest, greatest arthritis medicine on the market will NOT help unless you follow common-sense health practices. Focus on low-tech/low-cost habits that pay off throughout your body and quality of life. Modify the combination of remedies over your lifetime as symptoms wax and wane. Start simple, and then move to the next step if the first isnt helping. You can cut back during the times you have less pain.
At this point, available medicines can relieve the symptoms of osteoarthritis, not cure it. There are some treatments for rheumatoid arthritis that can slow down joint destruction. Scientific research suggests that nutritional supplements, like glucosamine, might strengthen cartilage tissue. Stay tuned!
The dozens of arthritis medications available are categorized by drug class. The drug classes differ in the way your body handles the chemical that makes up the drug, known as the mechanism of action. Different mechanisms of action target different arthritis symptoms: pain vs. stiffness vs. inflammation. If you understand the classes, you will understand:

  • how each drug works,
  • which drugs are related because they work in a similar way,
  • what side effects can occur, and
  • why a drug may or may not be right for you.

Fortunately, there are eight drug classes to choose from to relieve your osteoarthritis symptoms. If you must avoid a whole class because you have another health condition, there are plenty of others that could keep you comfortable. Combining smaller doses from different classes may be the right answer. Usually only with prudent, thoughtful trials will you and your doctor discover whats best for you. Keep a diary of the remedies you try, and their effects, good and bad. You spend a lot of money trying to feel better – dont waste it!
Beware of your drugs true cost! Cost applies not only to the money you pay for the pills, but also to the toll they could take on your system in terms of side effects like stomach ulcers, kidney failure, addiction, and other problems worth avoiding!
OA is a chronic, degenerative condition that progresses at different rates in different patients (and even in different joints in the same body!) Youve got better things to do than let OA rule your day. The right treatment strategy will get you back to the Pursuit of Happiness!
Want to learn more about all EIGHT classes of OA drugs? Visit www.knowyourbones.com to order Making Sense of Arthritis Medicine: Manage Your Symptoms Safely and discover relief thats right for you!

Stephanie E. Siegrist, MD is a board-certified orthopedic surgeon in her 10th year of practice, and author of “Making Sense of Arthritis Medicine.” She’s one of only 3% of U.S. orthopedic surgeons who are women! Dr. Siegrist strives to bridge the gaps that exist in today’s doctor-patient relationship with “Information Therapy!” Complete information about Dr. Siegrist, and the book, are available from her website.

Diabetes in adolescents

Diabetes is a rapidly growing, serious health problem among youngster today. Above thirteen thousand adolescents are diagnosed for type 1 diabetes, every year in America. There has also been an increase in the number of teenagers with type 2 diabetes, which was more common among adults above forty and who were overweight. Clinics are reporting that nearly half of the new childhood diabetes cases are of type 2. Adolescents, who are obese and had type 2 diabetes in the family history, are at a greater risk of developing diabetes.

Diabetes is a disease where the human body is incapable of producing or utilizing insulin. Insulin is a hormone produced by the body in order to get energy by converting starches, sugar and other items. Since the insulin isnt used properly in diabetic people, the blood sugar level increases. This glucose buildup is found in blood and is then passed onto the urine and comes out of the body and the major source of body energy is lost.

Diabetes is a serious chronic disease and should be handled at proper time; otherwise it can create serious problems. It can pose a risk and can damage parts of the human body such as eyes, teeth, gums, blood vessels, nerves, and kidneys. This is the reason why diabetes is responsible in most of the cases of adult blindness, kidney failure and lower limb amputations. And if left untreated, it can cause stroke, heart disease and eventually, death. These problems are not only faced by adults, but also adolescents who get diabetes in their childhood. The important factor in treatment of diabetes is to keep the blood sugar level normal at all times.

There are basically two types of diabetes that will affect an adolescent. It is type 1 diabetes and type 2 diabetes. Type 1 diabetes affects the immune systems function as the systems attacks the pancreas insulin producing cells, also known as the beta cells. Because of this, the pancreas loses the ability to manufacture insulin. This is the reason why people with type 1 diabetes take insulin everyday. The symptoms are weight loss, increase in urination & thirst, blurred vision, tiredness and constant hunger. And if the adolescent isnt treated at the right time, he/she can slip in to diabetic coma which can endanger his/her life. In type2 diabetes, the body is incapable of properly using the insulin produced by the body and requires insulin from an external source, too. The symptoms of type 2 diabetes are similar to type 1 diabetes. The teenager feels sick, tired, nauseated, and thirsty. The wounds will recover very slowly; he/she will get infections frequently, will develop blurred vision and will experience weight loss.

Parents play a vital role in determining the problem. They should constantly observe their child for eating disorders or signs of depression. Although cigarette, drugs and alcohol should be avoided by all adolescents and children, it is even more important that youngster with diabetes should stay away from these things as they can worsen the situation. A person with diabetes, who switches to smoking, is at risk of developing cardiovascular diseases and circulatory problems. Consumption of alcohol can cause hypoglycemia or low blood sugar. It is the duty of the parents to make their child aware of the possible risk they would face if they start to smoke, drink alcohol or take drugs.

Children and adolescents, who have diabetes, face many challenges while trying to lead a normal life. They have to think twice before doing simple things as going to a party, playing sports and even when staying over with friends. This is because they require to intake oral medication or insulin. Their blood sugar level must be checked many times through out the day. Also, at gatherings, they have to avoid many food items. Because of this they will feel different from the crowd and can feel left out. Not only does diabetes pose behavioral challenges, but also emotional challenges.

Along with doctor consultation, a psychologist must also be consulted who can deal with the emotional challenges of the adolescent. The family should also play an active role in making the youngster feel better. The family should work in collaboration with physician, dietitian and diabetes educators. Teachers, counselors, school nurses, day care providers, and other community members can provide extended support and guidance. They can provide help with transportation, mental health counseling, health education, social services and financial services.

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Pre Diabetes

Type II Diabetes has become somewhat of an epidemic of late. More and more people are being diagnosed with this potentially life threatening condition. Type II Diabetes usually sets on later in life, although more younger people are being diagnosed every day with this disease.

According to the American Diabetes Association, approximately 54 million people in the United States have pre diabetes. Pre diabetes is a condition in which the blood glucose levels are higher than normal but not high enough to be considered Type II diabetes. Although pre diabetes is not a full fledged disease, it can also cause complications in the heart and blood circulation if left untreated.

The good news about pre diabetes is that with proper nutrition and the care of a physician, you can avoid being diagnosed with Type II diabetes. The condition can reverse itself, but it does take work on the part of the individual, as well as compliance with the orders directed by your physician.

Obesity is also an epidemic in the United States and many in the medical community believe that this is contributory to the corresponding diabetic epidemic. It is the general consensus of the medical community that obesity is a precursor to Type II diabetes. Therefore, those who have pre diabetes can stave off the disease by making some healthy life choices that will eliminate their need for medication or insulin in later years.

One way to reverse the effects of pre diabetes is to maintain a healthy weight. This can be easily accomplished through diet and exercise. For those who feel that it is too much trouble to manage their weight or complain that they do not have the time to exercise, they need to realize that the time they spend exercising now can eliminate their time spent on dialysis. While not all people with diabetes experience kidney failure, many do. And when the kidneys fail, these patients must spend many hours each week, hooked up to a machine that functions as their kidneys.

Those who complain that they do not want to watch their diet can be reminded that it is easier to watch their diet than to inject themselves with insulin or monitor their blood glucose levels several times a day. Those who feel that foods that are rich in carbohydrates are less expensive than healthier alternatives can be reminded of the cost of medications and doctor visits for those who refuse to take control of their condition right away.

While some people are pre disposed to diabetes through genetic factors, others acquire this disease by eating too many bad carbohydrates, being inactive and not maintaining a healthy weight. If you have been told that you have pre diabetes, do not fret. You can reverse this condition. Begin an exercise regime, even if it only entails walking. Take a look at the Glycemic Index that explains which foods diabetics should avoid and follow these suggestions.

See your doctor about being put on a weight loss program and make certain that he or she continues to monitor your blood glucose levels. Pre diabetes does not have to turn into Type II diabetes. By developing a healthier lifestyle, you can reverse this condition and lead a longer, healthier life.

Advanced Treatment Trends For Diabetes

Like obesity, diabetes is now considered by many health experts and professionals as an epidemic because more and more people suffer from it. The age ranges of people who become prone to it become younger and younger. And the people who are at risk are those who do not only have diabetes history in their families but also those who have developed the disease over time.

Experts say that people who have a history of diabetes in their bloodlines are the primary set of people who are at risk for this disease. But, they are not the only ones who can suffer from this chronic illness. In fact, almost everyoneespecially those who have high glucose content in their blood and unable to use itis prone to having this disease.

Trends are changing

Before, when you are diagnosed with diabetes, it is synonymous to loss of limbs, total loss of vision or blindness, kidney failure, and worst, early death. But now, this is no longer the case. Because of the trends in modern technology and advances in the medical field through research, many people with diabetes are seeing hope that they will enjoy longer and healthier their lives just like the regular people.

1. Insulin. Since diabetes is caused by lack of supply of insulin among diabetics, more and more people come up with variations with the way insulin can enter the body such as:

– implantable insulin pumps which makes it possible for the blood sugar levels to be measured so the and exact amount of insulin needed is delivered instantly;

– insulin inhalers which can aid the daily injections of insulin by providing instant relief by using rapid-acting insulin which is sprayed and inhaled through the mouthincluding its coats, the throat and the tongue to pave the way for insulin to enter the into the bloodstream quickly;

– insulin pill which will use a new type of polymer can help the diabetic get insulin faster because it can allow insulin to get into the persons bloodstream without being destroyed by the digestive system; and

– new insulins which are designed to minimize the regimens and to better control glucose for people including glargine which is a basal insulin, the aspart which is a very-rapid-acting insulin, and the 75/25 lispro mixture containing a very-rapid-acting content.

2. Monitoring and tests. These are very important to know how well the diabetic is doing. The new trends when it comes to monitoring and tests include:

– pain free glucose tests which allows the diabetic to monitor their own blood sugar without the excruciating pain of literally sticking their fingers to be able to get blood samples;

– continuous monitoring device which is a wristwatch-like device that give more information in how to mange diabetes effectively;

3. New treatments. Since diabetes is a chronic disease, theres no definite treatment to cure it. However, there are more and more treatments that promise better results like:

– islet cell transplant which can be effective for people with the rare type of diabetesthe type 1 diabetesbecause it uses the Edmonton technique which utilize uses cells from the pancreas or islet cells coming from a donor to help the person to produce insulin;

– gene therapy which identifies that a gene called SHIP2? can regulate the production of insulin;

4. Vaccine. Through the vaccinecontaining a peptidethat stops the destruction of pancreatic cells in the human body, more and more diabetics are now hoping that they can live longer lives despite the illness.