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Thursday, December 24, 2009

[diabetes_int] Digest Number 8506

Messages In This Digest (13 Messages)

Messages

1.

One-Hour Glucose Levels a Marker for Heart Disease

Posted by: "rogerhlmn@aol.com" rogerhlmn@aol.com   rogerhlmn

Wed Dec 23, 2009 2:54 am (PST)




From "Diabetes Care" 11/16/09 via "Diabetes In Control" newsletter ---

Whole article at:

http://www.diabetesincontrol.com/index.php?option=com_content&view=article&id=8713&catid=1&Itemid=17

Roger, T2, etc...
____________________________________________

One-Hour Glucose Levels a Marker for Heart Disease

Elevated 1-hour plasma glucose (1hPG) levels in persons without overt diabetes (DM) may be a marker for cardiovascular risk, according to the results of a study.


Pre-Diabetes identifies individuals with elevated fasting glucose or impaired glucose tolerance who may be at risk for DM, and it is also associated with increased risk for CVD and insulin resistance. 1hPG Levels during an OGTT may also be a risk indicator for CVD and Type 2 DM ...

... "Pre-Diabetes identifies subjects with impaired fasting glucose ... and/or impaired glucose tolerance (IGT) at high risk for Type 2 diabetes (DM2); moreover, it is associated to insulin resistance ..., subclinical inflammation and cardiovascular diseases (CVD)." "Recently, 1-hour hyperglycemia (1hPG) during glucose tolerance test (OGTT) with a cut point of 155 mg/dl has been indicated as a further risk factor for DM2 and showed early carotid atherosclerosis." ...

... Compared with participants with 1hPG levels of 155 mg/dL or lower, those with 1hPG levels higher than 155 mg/dL had significantly increased inflammatory markers and lipid ratios .. for all comparisons ...
... 1hPG >155 mg/dl could be considered a new 'marker' for cardiovascular risk."

=

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2.1.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "Joseph Navarro" demokratia@cox.net   demokratia2003

Wed Dec 23, 2009 4:13 am (PST)



>I've recently had to see a podiatrist for (yuck) toenail fungus. He
>recommended an oral drug that costs like $175.00 retail. (There is a
>topical alternative) Now, this guy is not an outgoing, informational
>sort, so it was only after I got the pills home that I was able to read
>the literature with it. It was only after two nights of unexpected,
>unexplained low bgs that I finally went on line and found out that this
>stuff depresses blood sugar, a lot. I also had side effects that presage
>both heart attack and deafness (temporary or permanent). I know, I
>should have been on line about this stuff before I filled the script.
>But this is a warning.... don't take prescriptions from a podiatrist
>without checking out the drug first.
>Carol R
>
>Kore wrote:
>> Hi Joe,
>>
>> My feet are in good shape, but I just wanted to mention that the
>>only thing that happens when I see a podiatrist is that my toenails
>>are cut (much too short). Oh, and my endo once drew some sort of
>>strip across my feet to determine if I had feeling there (I could
>>have told her that).
>>
>> Unfortunately, there is a lot of ignorance among doctors who work with DM.
>>
> > Hugs, Dianne

=======================================================================

I have gone to almost every podiatrist here in my enchanted village.
I now have to leave the area to find a decent podiatrist. I have
purchased orthotics and other insoles and they sort of worked but I
constantly have disappointing experiences with foot specialists. The
new ones seem to last about a month, it costs over a million bucks to
buy a house here, so when they realize that my enchanted village is
too expensive, they go to greener pastures.

Regular visits to foot centers, unless special problems develop,
should be once a year. The docs will fill in the time usually
cutting and putting healing lotions and other chemicals. I am rarely
or never told if I have any problems and so I have to read their
notes which I have xeroxed.

It is scary when looking at care books to see photos of foot ulcers
but these happen much to older people and then to those who do not
take care of themselves. It is a small number.

The docs I have seen usually are careless. They allow you to put
your bare feet on their filthy floors. Most of them do not supply you
with a nice book on diabetic foot care. If they do it is a list or
bunch of do's and don'ts. Look at how strict Bernstein is compared
with the ones I have seen here. He tells you never to let anyone cut
your calluses. Filing them, he writes, is the most common cause of
foot ulcers and amputations. So it is your foot doc who is
responsible for the ulcers? In Appendix D of his book he devotes
four pages to foot care and I have taken his suggestions on oils to
use on my feet and things to stay away from. He should recommend a
good book on the subject. But the rules vary from doc to doc.
Patient education is sloppy and half-baked. Docs are not interested
in making their patients informed.

The ADA booklet is a kind of question and answer type book, with a
cartoonish illustration now and then but it is a good introduction.

http://www.amazon.com/Foot-Care-Tips-People-Diabetes/dp/1580402496/ref=sr_1_19?ie=UTF8&s=books&qid=1261569569&sr=1-19

There are books podiatrists use or even educators that are technical
but we need someone who can write well to take the time to illustrate
and cover at least the basic stuff. Seen anyone with that kind of
zeal? The publisher may be the culprit that limits illustration. If
docs don't have time to educate, then they should supply diabetics
with good literature to help them when they can't. If they lack the
literature, they should commission someone to undertake the task.I
like what Bernstein does, he takes out harmful practices such as
cutting and filing calluses. I like to see him do a whole book on
foot care.

I use Lotrimin, the spray form. It feels good but it is expensive.
I spray the insoles, my sox, and my feet. as well as the inside of my
shoes.

There are questions about what sox to use, ones with loose elasticity
that are not too tight for diabetic circulation. This requires some
input from the doc. Where does one buy diabetic sox and shoes and
what should one avoid in buying shoes. Ill fitting shoes do so much
harm. There are widespread variations. Again, your feet really are
only part of your lower extremity. Your care requires the whole leg
and in circulation it involves the arteries extending down from the
heart and the returning circulation back to the heart which is the
source of stasis dermatitis. I laughed once when my podiatrist told
me his wisdom was limited to the foot below the ankles. And he may
have suggested that his wisdom was limited to the surface anatomy of
the foot and nothing about its physiology, especially circulation.

Everybody's feet are different. In the beginning, maybe some
diabetics can walk bare feet on their floors. Take your sox off when
you sleep to allow the muscles of your feet to breathe. Give the
nerves a break. Exercise impacts circulation, it is precious
medicine to the feet. All these things need to be considered in
basic foot care.

The feet are not regarded as major topics in diabetic care
literature. I notice the same is true of dental problems and their
impact on diabetes. I was told that our mouth is filthier than the
floor we walk on, perhaps a dog's mouth is cleaner. The microbes at
the mouth are interesting as they can bring on infections that
influence our bgs. They say, I really don't know how much truth
there is to the statement that your teeth tell you something about
your health in general. Again, the literature on this subject, is
unimpressive.

Best wishes for this holiday and your diabetes.

Joe

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2.2.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "John S Wilkinson" jwilkins@twcny.rr.com   johnswilkinson

Wed Dec 23, 2009 4:38 am (PST)



What is the drugs name?
John S Wilkinson
Rome, NY

From: Carol Roberts
Sent: Tuesday, December 22, 2009 8:43 PM
To: diabetes_int@yahoogroups.com
Subject: Re: [diabetes_int] Foot Ulcers, Treatment and Prevention

I've recently had to see a podiatrist for (yuck) toenail fungus. He
recommended an oral drug that costs like $175.00 retail. (There is a
topical alternative) Now, this guy is not an outgoing, informational
sort, so it was only after I got the pills home that I was able to read
the literature with it. It was only after two nights of unexpected,
unexplained low bgs that I finally went on line and found out that this
stuff depresses blood sugar, a lot. I also had side effects that presage
both heart attack and deafness (temporary or permanent). I know, I
should have been on line about this stuff before I filled the script.
But this is a warning.... don't take prescriptions from a podiatrist
without checking out the drug first.
Carol R

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2.3.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "Carol Roberts" carolroberts1@verizon.net   carol.roberts84

Wed Dec 23, 2009 7:59 am (PST)



Oh, I don't know - I tossed it. But any fungal medication is going to
have much the same side effects. That kind of med is extremely toxic,
so if you need to use it look up the side effects first and then decide
if you can handle the toxicity.

Carol R

John S Wilkinson wrote:
> What is the drugs name?
> John S Wilkinson
> Rome, NY
>

[Non-text portions of this message have been removed]

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2.4.

Foot Ulcers, Treatment and Prevention

Posted by: "Kore" koresun@yahoo.com   koresun

Wed Dec 23, 2009 10:32 am (PST)



If you are having trouble with foot fungus, you might consider trying topical tea tree oil. I haven't had that problem since high school, but if I did, I would use tea tree oil on my feet (and toenails) and take garlic oil perles internally. To the best of my knowledge, there are no side effects for either one, and they aren't very expensive.

"Tea Tree: Skin Treatment
Tea tree has so many anti-viral and anti-fungal benefits that the Australian army puts it in soldiers' first aid kits. You can use tea tree oil in a variety of ways, especially to heal your skin."

In my experience, tea tree oil promotes the healing of ring worm, athlete's foot, as well as cuts and scrapes; it soften corns, and helps to treat dandruff.

I had a small bottle of tea tree oil and it lasted for a couple of years.

Dianne

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2.5.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "gretchen" gretchenb@hughes.net   gretchen4c

Wed Dec 23, 2009 12:54 pm (PST)



> It was only after two nights of unexpected,
> unexplained low bgs that I finally went on line and found out that this
> stuff depresses blood sugar, a lot.

What is the stuff?

Gretchen

http://wildlyfluctuating.blogspot.com
http://www.healthcentral.com/diabetes/c/5068

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2.6.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "Carol Roberts" carolroberts1@verizon.net   carol.roberts84

Wed Dec 23, 2009 2:48 pm (PST)



As I said before, I don't know the name of it - I tossed it. But, as I
said, any anti-fungal medication is highly toxic (something I know NOW,
didn't know then), and before anyone takes any of it you should do like
I did not do and check it out on the med-websites - I don't think there
are all that many of that class of drugs.

Carol R

gretchen wrote:
>> It was only after two nights of unexpected,
>> unexplained low bgs that I finally went on line and found out that this
>> stuff depresses blood sugar, a lot.
>>
>
> What is the stuff?
>
> Gretchen
>

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2.7.

Re: Foot Ulcers, Treatment and Prevention

Posted by: "Jean & Terry" tjmspence@bigpond.com   wudinna2000

Wed Dec 23, 2009 3:22 pm (PST)



Another home remedy which members of the list have tested out is simply applying vinegar. You could soak in some and then using cotton buds you can paint on the affected area as often as you remember on a daily basis. As far as I know there are no side effects and the cheapest white vinegar works just as well. I use a capful of vinegar in my rinse instead of fabric softeners and my machines thank me for it and my towels are just as soft and don't smell of vinegar. Jean in S. Australia.
----- Original Message -----
From: Kore
To: diabetes_int@yahoogroups.com
Sent: Thursday, December 24, 2009 5:02 AM
Subject: [diabetes_int] Foot Ulcers, Treatment and Prevention

If you are having trouble with foot fungus, you might consider trying topical tea tree oil. I haven't had that problem since high school, but if I did, I would use tea tree oil on my feet (and toenails) and take garlic oil perles internally. To the best of my knowledge, there are no side effects for either one, and they aren't very expensive.

"Tea Tree: Skin Treatment
Tea tree has so many anti-viral and anti-fungal benefits that the Australian army puts it in soldiers' first aid kits. You can use tea tree oil in a variety of ways, especially to heal your skin."

In my experience, tea tree oil promotes the healing of ring worm, athlete's foot, as well as cuts and scrapes; it soften corns, and helps to treat dandruff.

I had a small bottle of tea tree oil and it lasted for a couple of years.

Dianne

[Non-text portions of this message have been removed]

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3a.

Re: Diabetic poor in Canada

Posted by: "Carol Roberts" carolroberts1@verizon.net   carol.roberts84

Wed Dec 23, 2009 8:04 am (PST)



Joe, nobody can die _more than_ anyone else. Everybody dies. We all
will. Do you mean that the poor in Canada die younger than the rich, or
that they die poorer than the rich? They cannot possibly die _more
than_ the rich. The poor in any society will have higher health risks
than the middle or upper economic classes -- they have poorer nutrition
and fewer opportunities to receive good health care, and their living
conditions may not be as sanitary as one would want. No doubt there are
a myriad other reasons why the poor would die at a younger age than the
middle or upper economic classes.

Joseph Navarro wrote:
> Interesting bit of news from Canada regarding the status of their
> poor. Evidently, they die more than the Canadian rich, or those that
> are not poor. I thought there is provision for the poor in Canada
> and these problems, perhaps not startling news that the poor die more
> than the rich would be common to a place like New Orleans where
> emergency forces were delayed until some real nasty schemes were in
> place, schemes to replace the disaster area with lucrative business
> ventures a la Milton Friedman before he left this life.
>
> http://www.cbc.ca/health/story/2009/12/21/diabetes-ontario-poor.html?ref=rss
>
> Joe
>
>

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3b.

Re: Diabetic poor in Canada

Posted by: "Margo Patrick" mpatrick@seaside.ns.ca   margopatrickbarn

Wed Dec 23, 2009 9:34 am (PST)



I think if you read it carefully, it mentions that after age 65, the death
percentage becomes almost equal. It is at this point that everyone gets
drug coverage as part of their senior package. The younger patients 'could'
be dying earlier for lack of funds for medicines, strips, etc.

Margo

On Behalf Of Carol Roberts
No doubt there are
a myriad other reasons why the poor would die at a younger age than the
middle or upper economic classes.

Joseph Navarro wrote:
> Interesting bit of news from Canada >
>
http://www.cbc.ca/health/story/2009/12/21/diabetes-ontario-poor.html?ref=rss
>
> Joe
>

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3c.

Re: Diabetic poor in Canada

Posted by: "Joseph Navarro" demokratia@cox.net   demokratia2003

Wed Dec 23, 2009 9:38 am (PST)



>Joe, nobody can die _more than_ anyone else. Everybody dies. We all
>will. Do you mean that the poor in Canada die younger than the rich, or
>that they die poorer than the rich? They cannot possibly die _more
>than_ the rich. The poor in any society will have higher health risks
>than the middle or upper economic classes -- they have poorer nutrition
>and fewer opportunities to receive good health care, and their living
>conditions may not be as sanitary as one would want. No doubt there are
>a myriad other reasons why the poor would die at a younger age than the
>middle or upper economic classes.

==============================================================

Yeah. The article is interesting though obvious. I thought
Canadians were on a higher plane than Americans when it came to care
for the poor? There was a comment in the article about immigrants
and how they are poor in Canada. In countries with a highly
intellectual type of socialism such as in England, it is easy to have
socialized medicine as long as third world or non-whites do not
disrupt it with large numbers, this is significantly the real problem
in the US Senate where the real issue is clouded with fears about
costs and Milton Friedman economics. Yes Carol, there are a million
ways to kill the poor.

Joe

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4.1.

toe fungus - What is the topical alternative?eom

Posted by: "mlbbb" mb9901@charter.net   mlbbb

Wed Dec 23, 2009 8:47 am (PST)



.

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4.2.

Re: toe fungus - What is the topical alternative?eom

Posted by: "Joseph Navarro" demokratia@cox.net   demokratia2003

Wed Dec 23, 2009 9:49 am (PST)



Is there a clear message to this post?

Joe

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