How to quickly relieve pain from inflammation of the pancreas. Modern problems of science and education World Diabetes Day

The etiology of the disease differs depending on the type of pathology.

Type 2 diabetes develops due to the following factors:

• genetic predisposition;
• different degrees of obesity;
• early pregnancy;
• sedentary lifestyle;
• eating disorders;
• taking medications containing hormones;
• puberty;
• diseases of the endocrine system.

Classification of the disease

The pathogenesis of the disease lies in the difficulty of glucose absorption into organ cells, which leads to its accumulation in the blood. This can happen due to insufficient insulin synthesis or when cellular receptors lose sensitivity to the hormone.

Based on differences in the mechanism of development of the disease, diabetes mellitus is divided into several types:

Pathology is classified according to severity:

• Grade 1 – mild form with a stable plasma sugar level not exceeding 8 mmol/l;
• 2nd degree – moderate condition with changes in glucose levels during the day and a concentration reaching 14 mmol/l;
• Grade 3 – severe form with an increase in glucose levels above 14 mmol/l.

According to the response to treatment, diabetes differs into phases:

• compensation phase – during therapy, sugar levels are maintained at the level of acceptable standards;
• subcompensation phase – a slight increase in glucose levels as a result of treatment;
• decompensation phase - the body does not respond to the therapy and sugar levels are significantly exceeded.

Diabetes mellitus is increasingly being diagnosed in childhood and is the second most common chronic childhood disease.

This congenital and incurable pathology is caused by disorders of carbohydrate metabolism and is characterized by an increase in the concentration of sugar in the blood plasma.

The health of a small patient and the likelihood of developing serious complications depend on timely diagnosis and treatment.

Association of General Practitioners (Family Doctors) of the Russian Federation

DIAGNOSIS, TREATMENT AND PREVENTION

IN GENERAL MEDICAL PRACTICE

Developers: R.A. Nadeeva

2. Codes according to ICD-10

3. Epidemiology of type 2 diabetes

4. Risk factors and groups

5. Screening for type 2 diabetes

6. Classification of diabetes. Requirements for formulating a diagnosis for diabetes.

7. Principles of diagnosing the disease in adults on an outpatient basis. Differential diagnosis.

8. Criteria for early diagnosis

9. Classification of complications of diabetes mellitus.

10. General principles of therapy in outpatient settings

10.1. Algorithm for individualized selection of therapy goals based on HbA1c

10.2. Indicators of lipid metabolism control

10.3. Blood pressure control indicators

10.4. Lifestyle change

10.5. Drug therapy

10.6. Stratification of treatment tactics depending on initial HbA1c

10.7. Insulin therapy for type 2 diabetes.

10.8. Features of treatment of type 2 diabetes in old age.

10.9. Features of treatment of type 2 diabetes in children and adolescents.

10.10. Features of treatment of type 2 diabetes in pregnant women.

11. Indications for consultation with specialists

12. Indications for hospitalization of the patient

13. Prevention. Patient education

15. Monitoring of patients with type 2 diabetes without complications

AG – arterial hypertension

GLP-1-agonists glucagon-like peptide 1

BP - blood pressure

GP – plasma glucose

GDM – gestational diabetes mellitus

DKA – diabetic ketoacidosis

DN – diabetic nephropathy

DR – diabetic retinopathy

iDDP-4 – dipeptyl peptidase inhibitors

ICD – short-acting (ultra-short) acting insulin

BMI – body mass index

IPD – intermediate (long-acting) insulin

IFG - impaired fasting glucose

IGT – impaired glucose tolerance

OGTT – oral glucose tolerance test

PSSP - oral hypoglycemic drugs

RAE – Russian Association of Endocrinologists

DM – diabetes mellitus

SSP - hypoglycemic drugs

TZD - thiazolidinediones (glitazones)

PA – physical activity

CKD – chronic kidney disease

XE - bread unit

HDL – high-density lipoprotein cholesterol

LDL – low-density lipoprotein cholesterol

HbA1c – glycosylated hemoglobin

Diabetes mellitus (DM) is a group of metabolic diseases characterized by chronic hyperglycemia, which results from impaired insulin secretion, insulin action, or both. Chronic hyperglycemia in diabetes is accompanied by damage, dysfunction and failure of various organs, especially the eyes, kidneys, nerves, heart and blood vessels.

E10 Insulin-dependent diabetes mellitus

E11 Non-insulin-dependent diabetes mellitus

E12 Diabetes mellitus associated with malnutrition

E13 Other specified forms of diabetes mellitus

E14 Diabetes mellitus, unspecified

O24 Gestational diabetes

R73 Increased blood glucose

(includes impaired glucose tolerance and impaired fasting glucose)

3. Epidemiology of type 2 diabetes.

In the overall structure of diabetes, type 2 diabetes makes up 90-95%. Over the past 30 years, the rate of increase in the incidence of diabetes has outpaced such infectious diseases as tuberculosis and HIV.

The number of people with diabetes in the world has more than doubled over the past 10 years and reached 371 million people by 2013. The pandemic nature of the spread prompted the United Nations to adopt a resolution in December 2006 calling for “the establishment of national programs for the prevention, treatment and prevention of diabetes and its complications and their inclusion in public health programs.”

According to the State Register of Diabetes Patients, as of January 2013, in the Russian Federation, based on visits to medical institutions, there are 3.779 million patients with diabetes. However, the actual prevalence is 3-4 times higher than that registered “by appeal.” Which is about 7% of the population. In European populations, the prevalence of type 2 diabetes is 3-8% (together with impaired glucose tolerance - 10-15%).

The most dangerous consequences of the global epidemic of diabetes are its systemic vascular complications - nephropathy, retinopathy, damage to the great vessels of the heart, brain, and peripheral vessels of the lower extremities. These complications are the main cause of disability and mortality in patients with diabetes.

4. Risk factors and groups.

Risk factors for developing type 2 diabetes

Overweight and obesity (BMI≥25 kg/m2 *).

-Family history of diabetes (parents or siblings with type 2 diabetes)

- Habitually low physical activity.

-A history of impaired fasting glucose or impaired glucose tolerance.

-Gestational diabetes mellitus or a history of the birth of a large fetus.

- Arterial hypertension (≥140/90 mm Hg or drug antihypertensive therapy).

-HDL cholesterol ≤0.9 mmol/L and/or triglyceride level ≥2.82 mmol/L.

The nursing process is of great importance already in the initial stages of diagnosing diabetes mellitus in children.

The nurse assists in collecting the data necessary to create a clear picture of the possible causes of the disease, takes part in preparing the small patient for laboratory and instrumental tests, and provides nursing care during therapy in the hospital and at home.

Diabetes mellitus type 2 (non-insulin dependent) is a pathology characterized by impaired production of carbohydrates in the body. Normally, the human body produces insulin (a hormone) that converts glucose into nutritional cells for the body's tissues.

In non-insulin-dependent diabetes mellitus, these cells are secreted more actively, but insulin distributes energy incorrectly. In this regard, the pancreas begins to produce it with redoubled force. Increased secretion depletes the body's cells, the remaining sugar accumulates in the blood, developing into the main symptom of type 2 diabetes - hyperglycemia.

Diagnosis and treatment of type 2 diabetes mellitus

When creating a diet, it is necessary to proceed from the patient’s preferences. You need to gradually eliminate your favorite but unhealthy foods from your diet, without subjecting your body to sudden changes.

But until a person gets rid of harmful foods from his menu, glucose-lowering drugs must be taken in an enhanced mode.

A person with type 2 diabetes should never experience hunger; refusing to eat is not an option. Reducing the calorie content of food and the amount of serving should occur gradually.

The following actions contribute to weight loss:

• minimizing animal fat in the diet;
• refusal of sugar and products containing it (you can use a sweetener);
• gradual reduction of the usual portion to half;
• inclusion of complex carbohydrates in the diet;
• eating vegetables without any restrictions.

Alcohol for type 2 diabetes is allowed in a certain amount, but it is better if you avoid it completely, since the risk of hypoglycemia increases tenfold.

To put it simply, diabetes is a disease in which the pancreas is not able to produce the required amount of insulin or this hormone is of poor quality. For this reason, diabetes can be of two types: first, second. Every year there are more and more people with diabetes, and most of them are Europeans.

Insulin therapy for type 1 diabetes mellitus

Important treatment points are:

• drug therapy;
• dietary food;
• increased physical activity;
• physiotherapy.

In type 1 pathology, the basis of therapy is insulin therapy. Injections are made under the skin with an insulin syringe or pump. The skin is pre-cleansed with an alcohol-containing preparation.

The hormone must be injected slowly and it is necessary to alternate the injection site, avoiding the same area of ​​the body.

Injections can be given into the abdominal fold, peri-umbilical area, thigh, forearm and shoulder blade.

The dose and number of daily injections are calculated by the doctor, and the insulin administration schedule must be strictly followed.

Additionally, the following drugs may be prescribed:

• sugar-lowering agents;
• anabolic steroid;
• anti-inflammatory and antibacterial drugs;
• blood pressure lowering agents;
• sulfonylureas;
• complex of vitamins.

Compliance with dietary nutrition is a necessary condition for the life of a small patient.

The basic principles of the diet are as follows:

• three main meals and three snacks daily;
• the main amount of carbohydrates occurs in the first half of the day;
• eliminate sugar completely and replace it with natural sweeteners;
• Avoid eating foods rich in fast carbohydrates, sweets and fatty foods;
• remove baked goods and baked goods made from wheat flour from the diet;
• limit consumption of sweet fruits;
• introduce more fresh herbs, vegetables, citrus fruits and unsweetened fruits into your diet;
• replace white bread with rye or whole grain flour;
• meat, fish and dairy products should be low in fat;
• limit salt, herbs and hot spices in the diet;
• Drink daily the amount of clean water required to maintain water balance, calculated at 30 ml per kilogram of weight.

Dietary nutrition should become a way of life and you will have to adhere to it constantly. An older child needs to be taught the skills of calculating XE (bread units) and handling an insulin syringe or pen.

Only in this case can you successfully maintain the acceptable level of sugar in the blood plasma and count on the child’s well-being.

As a rule, if a patient has a type 1 disease, the doctor’s main recommendation will, of course, be the use of insulin. It is necessary to understand that the insulin therapy regimen must be rational and suitable for a particular patient.

Typically, in the treatment process, intensified insulin therapy is used, that is, the daily dose of insulin is divided into several doses, in which:

• One portion of insulin must utilize all incoming glucose;
• the dose of insulin should simulate the main secretions of the pancreas.

Insulin therapy consists of administering a drug whose duration of action varies.

In the morning and before bedtime, the patient is administered long-acting insulins, and after meals, short-acting insulins are used. The dosage of insulin is always different and depends on the level of sugar in the blood and carbohydrates in the food consumed.

Insulin is administered using a medical syringe or a special syringe pen. Every patient with type 1 diabetes should be provided with syringe pens at the expense of the state.

The diet of people with type 1 diabetes is no different from the usual, that is, proteins, fats and carbohydrates should be supplied in the same quantities as a healthy person. Most often, to determine the absorption of carbohydrate foods, doctors use the bread unit system.

With type 1 diabetes, almost every patient is prescribed his own gymnastics. Its use will not lower blood sugar, but will help improve the patient’s physical condition. There are cases when any physical activity is contraindicated.

If type 2 diabetes mellitus begins to progress, doctors warn about the need for insulin therapy.

Galvus - instructions for use, answers to frequently asked questions about the medicine

Properly designed physical education contributes to:

• active carbohydrate metabolism;
• weight loss;
• maintaining normal functioning of the cardiovascular system.

Exercises are selected by the attending physician. He is guided by such parameters as the patient’s age, course of the disease and general condition. The average charging time ranges from half an hour to an hour. The minimum number of workouts per week is three times.

Galvus is a hypoglycemic agent developed to control glycemia in type 2 diabetes. The basic active component of the drug is Vildagliptin. The drug is produced in the form of tablets. Galvus received positive reviews from both doctors and diabetics.

It powerfully controls insulin and glucagon metabolism. The European Antidiabetes Association states that it is advisable to use Galvus in monotherapy only when metformin is contraindicated for the patient. For insulin-dependent diabetics with type 2 disease, Galvus helps reduce the number of injections and the amount of insulin administered.

Pharmacological features

4-5.11. The II All-Russian Conference with international participation “Diabetes mellitus: macro- and microvascular complications” will take place.

Increased concentration of sugar in the blood leads to the development of acute and chronic complications. Acute consequences develop over several days and even hours, and in this case emergency medical attention is required, otherwise the risk of death increases.

The Federal State Budgetary Institution "Endocrinological Research Center" of the Ministry of Health of Russia and the public organization "Russian Association of Endocrinologists" announce the

II All-Russian conference with international participation “Diabetes mellitus: macro- and microvascular complications”

VENUE: Moscow, st. Dmitry Ulyanov, house 11, building 3 (Federal State Budgetary Institution "Endocrinological Research Center" of the Ministry of Health of Russia)

Diet for diabetes

Diet for diabetes is the main means of treating (controlling) the disease and preventing acute and chronic complications. The type of diet you choose will have the greatest impact on your results.

You need to decide which foods you will eat and which ones you will exclude, how many times a day and at what time to eat, and whether you will count and limit calories. The dosages of tablets and insulin are adjusted to the chosen diet.

Treatment goals for type 1 and type 2 diabetes:

• maintain blood sugar within acceptable limits;
• reduce the risk of heart attack, stroke, and other acute and chronic complications;
• have consistently good health, resistance to colds and other infections;
• lose weight if the patient is overweight.

Physical activity, medications, and insulin shots play an important role in achieving the goals listed above. But still, diet comes first.

Diabet-Med website. Com works to promote a low-carbohydrate diet among Russian-speaking people with type 1 and type 2 diabetes.

It really helps, unlike the common diet No. 9. The site's information is based on materials from the famous American doctor Richard Bernstein, who himself has been living with severe type 1 diabetes for more than 65 years.

He still, at the age of over 80, feels well, exercises, continues to work with patients and publish articles.

We've carefully selected these blogs because they actively work to educate, inspire, and empower their readers with frequent updates and high-quality information. tell us about the blog, nominate them by emailing us bestblogs@healthline. com !

Diabetes is one of the biggest health problems facing Americans today. More than 29 million adults in the United States have diabetes—and nearly a quarter of them don't know they have it. Another 86 million adults in the US have prediabetes, which increases their risk of developing type 2 diabetes. A whopping 90 percent of these people don't know it either.

Both forms of diabetes - type 1 and type 2 - are chronic conditions, meaning that they require lifelong careful treatment to be reliable. If left untreated or improperly managed, diabetes can cause serious health complications.

For people living with diabetes, the condition can be isolating and occupy a significant amount of time and mental and emotional energy. Staying on top of your treatments can also be challenging, as everyday things can significantly affect your blood glucose readings, and treatment options are always changing. That's why we've rounded up the best diabetes blogs. Whether you're looking for recipes, resources, treatment options, or simple tips for living well, you're sure to find something here for you.

Diabetes Suicide Blog

Self-Management of Diabetes has provided health information to the diabetes community for over 35 years. Their companion blog adds advice and information from both healthcare professionals and people living with diabetes. Posts range from hard-to-find news to tips and information you can use, such as busting grain myths. There are also personal stories, like this Letter to a Type 1 Mom. Check out the website for Diabetes News Magazine, and be sure to check out the recipes section.

Visit the blog .

Scott's Diabetes Blog

Scotch Johnson of Minneapolis has lived with type 1 diabetes for 37 years, and he's been writing about it for 17 of them. During this time, Scott became a voice for the diabetes community, and his blog reflects this. Recent reports are no longer focusing on Scott's personal experience managing diabetes and more about his experience reaching out to others to fight for treatment. He reports on conferences, cool rides like the one with the Novo Nordisk cycling team, and the latest diabetes research. Scott's posts are still personal, but the focus on community success makes this a great blog for those who want to feel more connected to the diabetes community as a whole.

Visit the blog .

Diabetes stops here

Part of the American Diabetes Association's (ADA) diabetes program, this blog is dedicated to updating information on the ADA's efforts to end diabetes. One of the goals of the blog is to offer a behind-the-scenes look at the ADA, such as a report on the Association's recent call to Congress. Association news is mixed with personal stories, such as voices like diabetes camp volunteers, school advocates, and others who have benefited from the Association's resources and programs.

Visit the blog .

Diabetic mine

Started in 2005 by patients for patients, “The Diabetes Mine lives up to its name by providing a goldmine of diabetes information. Amy Tenderich founded the site after being diagnosed with type 1 diabetes in 2003. The blog features a series of product videos called the test kitchen, as well as a tips column and even Sunday fun. In addition to research updates and product reviews, stories include reflective features on recent milestones and interviews with prominent proponents such as George Huntley.

Visit the blog .

The Sweet Life

Mike Aviad and Jessica Apple, the couple behind A Sweet Life, were both diagnosed with type 1 diabetes as adults. Their angle is to treat diabetes as a lifestyle and strive to live it your best, and their blog is a toolkit with everything you need to do just that. Sections delve into topics such as travel and recent research, as well as the latest tech tools and apps to help you live better with diabetes. Look for blog posts by Mike, Jessica, and guest bloggers that cover everything from running marathons with diabetes to accepting anger as part of living with diabetes.

Visit the blog .

Blog of the magazine “Diabetes Hands”

The Diabetes Hands Foundation's online home provides a community of support for those working through diabetes. From here you can access community forums in English and Spanish, and keep up with the organization within the organization. The blog posts also cover important topics, such as how to prioritize self-care during the winter months.

Visit the blog .

Bitter ~ Sweet

Diagnosed with type 1 diabetes at age 11, Karen Graffo gets it. She knows how overwhelming diabetes management can be, and she's not going to sugarcoat it. Karen started this blog in 2008 and has since written personal posts about the daily realities of living with diabetes. Posts reflect on topics such as taking a day off from diabetes, the effects diabetes can have on spouses and partners, finding the silver lining when you're too busy to eat, and battling infusion sites. Karen occasionally sprinkles resources with her musings, making this a great blog for those who just want instant conversation and don't mind the occasional piece of advice.

Visit the blog .

Tudiathematic forum

Affiliate site for diabetics in English, this is a place for community communication about everything related to diabetes. With countless streams and thousands of users, the conversation possibilities are endless. Recent threads cover topics such as the "food police" and other critics, crowdsourcing ideas about unusual blood sugar cliffs, and of course some internet entertainment. The forum is a great place for anyone looking for a diabetes community, a space to release others who receive it, or answers to a burning question about diabetes.

Visit the blog .

Diabetes saliciousness

Written by Kelly Kunik in 2007, Diabetesaliciousness is a personal blog filled with Kelly's activist ability. She shares her experiences representing and standing with the diabetes community, whether at March for Health or at an insulin access workshop. In between, she talks honestly about everyday life and draws lessons from those experiences, like when your body just wants carbs.

Visit the blog .

D-Mom Blog

Author and researcher Leighann Calentine writes this blog based on her experience raising two children with type 1 diabetes. Leighan uses her role as a mum to offer advice to other parents on a range of issues, such as blood sugar kits and how to deal with holidays such as Easter, as well as advice on practical self-care when caring for someone else. Meanwhile, her 3 Little Diabetes series covers tidbits like recent articles and books, news articles, and cool products. View the resources page for online tools, help for newly identified, and guides to snacks and lunches.

Visit the blog .

Daily Diabetes

David Edelman and Elizabeth Zabell founded Diabetes Daily in 2005. The beauty of this blog is its simplicity; The content and layout focus on only three things - learn, ask and eat. The former is an A-to-Z guide to diabetes, covering everything from symptoms to medications to complications, and the latter is a treasure trove of recipes! Browse recipes for delicious treats like fried halloumi bruschetta or look up dietary restrictions. In any case, every recipe with diabetes. Join the Diabetes Forum to ask questions or share stories, or pore over articles on just about every diabetes-related topic you can think of!

Visit the blog .

Six before me

Visit the blog .

Diabetes stories

Visit the blog .

dLife

Since 2004, dLife has connected diabetes patients and caregivers with the information they need to manage their diabetes. With a slight focus on food and weight loss, this site is ideal for those who struggle with controlling their diet to help manage diabetes. Look for informative quizzes about discovering your diet, blood sugar testing 101, and dispelling diabetes myths. Also, check out the extensive “What Can I Eat? » For seasonal recipes and tips for counting and cutting carbs. Many articles include a "bottom line" section, so you're sure to get the information you came for, making this site great for those looking for straight answers.

Visit the blog .

DiabetesSisters

Founded in 2008, DiabetesSisters is an oasis for women managing diabetes at all points in their lives, including pregnancy. The sisterTALK blog section is the heart of the site, covering all things diabetes. Recent reports concern binge eating and type 2 diabetes, exercise, and diabetes-related exhaustion. If you're hungry for community, this blog is a great place to start, but it doesn't end there—be sure to check out the forums for more real-life conversation on topics like managing travel and money with diabetes.

Visit the blog .

Our diabetic life

Our Diabetic Life follows Mary's experiences raising three boys with type 1 diabetes. What makes this blog so special is that it is simply real. Mary writes honestly and candidly about the anxiety that comes with raising children with diabetes, what it's like to be filled with anxiety and the urge to give up, and why it's so important that you don't. Mary's posts are perfect for any diabetic mom or caregiver who sometimes needs to hear "Me too."

Visit the blog .

JDRF Blog

JDRF has been funding type 1 diabetes research since 1970. The organization's blog provides a glimpse into their work and suggests ways to increase your activity while helping to understand and end diabetes. The latest posts tell you what the T1D community in Washington needs, and you can also get a glimpse into Foundation members' own experiences living with diabetes. Follow them if you want to keep up with JDRF and get the inside scoop, or if you want to stay on top of the great efforts in the movement to end diabetes.

Visit the blog .

DiabetesDad

Tom Carla is the diabetes dad behind this blog, and he writes to educate and inspire other diabetes parents with a dose of personal experience gleaned from raising two children with diabetes. Tom's posts are cute and sweet, as well as creative, like this letter written to parents about diabetes. Tom also shares news and events from the diabetes community, such as news about the rising cost of insulin.

Visit the blog .

This is Caleb...

Visit the blog .

College Diabetes Network Blog

The College Diabetes Network is a nonprofit organization dedicated to connecting young people living with type 1 diabetes with the resources and support they need to navigate college. The site's resources are comprehensive, including how to ask what you need on standardized tests, eating in the cafeteria, and ending in the real world (complete with job opportunities). The blog posts put personal experiences into college, such as being diagnosed with type 1 diabetes right before the start of the year, planning a semester abroad, or having to ask for help just for health insurance.

Visit the blog .

Insulin population

A diabetes news platform for people living with type 1 diabetes, news about diabetes news, technology and more. The site contains sections dedicated to treatment, research, and healthy living, although articles also include personal stories, calls for community help, and relatable fun (face-to-face moments, anyone?). There is also a sister site, Nation Type 2, for those living with Type 2 diabetes.

Visit the blog .

T1 Blog Everyday Magic

A collaboration between Lilly Diabetes and Disney, T1 Everyday Magic is designed to help families manage their child's Type 1 Diabetes with a touch of that Disney sparkle. In addition to resources for the newly diagnosed, routine daily living, and recipes of all kinds, the site's blog offers invaluable news, advice, and stories from other diabetes parents. Look for posts on how to fail, stories from parents about their own failures, how to hack your to-do list, and how to build a diabetes parenting community. For an extra dose of fairy dust, check out the activity page for games, crafts, and printable stickers to make life with T1 even more magical.

Visit the blog .

Diabetogenic

Melbourne-based Renza Scibilia has lived with type 1 diabetes since 1998, and her blog is an open and honest portrayal of how it has impacted and continues to impact her daily life. Read reflective posts like how technology is changing, how she plans her meals, and check out her archived pregnancy diary, in which she opened up about what it's like to expect a baby while managing diabetes. Renza is also on top of all the latest news in world of diabetes and publishes another “Interweb Jumble” with links to messages from around the world.

Visit the blog .

Diabetes prognosis

Sponsored by the American Diabetes Association, this is a companion site to Diabetes Outlook. Focused on healthy living, the site offers articles on food, wellness, exercise, medications and other resources for living well. Click the Hot Topics tab for the latest diabetes research topics and trends, or click People for interviews with celebrities and public figures living with diabetes, such as Supreme Court Justice Sonia Sotomayor. If you prefer something more portable, look for the latest diabetes science podcast, Diabetes Discovery. Visit the blog

. Diabetes Health

Nadia Al-Samarri is the founder and editor-in-chief of Diabetes Health magazine.

This site has everything you want in a magazine, including the latest diabetes research and news, recipes and crossword puzzles. Nadia writes an "Ask Nadia" column in which she answers reader-submitted questions and reflects on her experiences and encounters (such as meeting someone who has stopped taking her type 2 diabetes medication). If you're eager for help sorting medication and device options, check out our Charts section, which compares pumps, meters, needles, and more so you can make informed decisions about your treatment. Visit the blog

. Diabetic life

A lifestyle magazine, Diabetic Living primarily focuses on food and nutrition, with a sprinkling of content focused on motivation, medications, and weight loss. So it makes sense that the front page is covered in photos of delicious foods like energy-boosting breakfasts. Don't know what you can eat? Diabetic Living has you covered with handy guides to eating well at home and dining with diabetes. If weight loss interests you, the Diet section has plenty of ideas, no matter what your abilities.

Visit the blog

. diaTribe

The mission of diaTribe, a publication of the diaTribe Foundation, is to help people become “diabetes conscious” by providing the community with actionable information. That said, diaTribe offers a variety of resources for both type 1 and type 2 diabetes, as well as prediabetes and treatment options. The publication also contains a large number of columns, so you can find one that suits your needs.

When the pancreas hurts, it is necessary to establish the exact cause of the unpleasant symptom and eliminate it. A person needs to do a little analysis of everything he did during the day and what he ate. After all, painful sensations in the gland can be provoked by both minor errors in nutrition and stress, excessive physical activity, smoking, taking certain medications, etc.

The most common cause of pain in the pancreas is poor nutrition. Eating fatty, fried, sweet, floury, spicy and salty foods puts a strong load on the gland, which leads to activation of inflammatory processes in it and the occurrence of unpleasant sensations. Therefore, if you experience pain in the pancreas, the first thing you need to do is review your diet.

The following must be excluded from it:

• all fatty and fried foods;
• dairy and fermented milk products with a high fat content (more than 1.5%);
• fatty meats and fish (even boiled);
• rich meat, fish and mushroom soups;
• butter;
• salo;
• baked goods;
• confectionery;
• sausages, frankfurters, small sausages;
• hot sauces and seasonings;
• pickles;
• canned foods;
• smoked products.

Diet is key in treating pancreas. Without it, the effectiveness of therapy is reduced several times.

In addition, it is necessary to eat food correctly. You should eat in small portions, but often (at least 5 times a day), and the food must be warm (cold and hot foods and drinks are prohibited) and, if possible, ground.

Speaking about what to do at home if pain occurs in the pancreas, it should also be noted that the patient will need complete rest to relieve discomfort. He needs to stay in bed and protect himself from stressful situations. A prerequisite for treating pancreas is giving up bad habits.

Main groups of drugs for drug therapy

Sugar level

Is it possible to cure pancreatitis at home - a question to which only a specialist can give a definite answer after collecting an anamnesis and a full examination. The drug treatment regimen is selected depending on the symptoms and taking into account age indicators.

In uncomplicated cases, exacerbation of chronic pancreatitis can be treated at home, using tablet dosage forms

There are several groups of drugs that will help cure pancreatitis at home:

1. Antispasmodics Papaverine and No-Shpa, characterized by a vasodilating and spastic effect, help relieve pain. Applicable without age restrictions.
2. Proton pump inhibitors that block the synthesis of hydrochloric acid and have a bactericidal effect: Losek, Omez, Omeprazole, Ultop.
3. Antacids: Phosphalugel, Almagel, Gastal. The action of the drugs is primarily aimed at neutralizing the increased acidity of gastric juice. In addition, drugs in this group form a protective film on damaged tissues, adsorb bile acids and increase the resistance of the gastric mucosa.

Antibiotics Ceftriaxone, Vancocin, Amoxiclav are included in the treatment regimen to relieve inflammation of the pancreas and prevent purulent-destructive processes.

4. Enzyme preparations Creon and Pancreatin ensure the digestion and absorption of fats, carbohydrates and proteins, creating functional rest of the organ. Stabilizes the digestive process, preventing bloating and diarrhea. It is usually recommended to take 1 tablet or capsule before each meal.
5. Painkillers - Baralgin, Nurofen, Paracetamol and their analogues. In case of exacerbation and intense pain, when tablet drugs do not help, the patient is prescribed intravenous jet or drip painkillers, which requires hospitalization in a hospital.

The pancreas, its structure and localization of pain

Pain in the right or left hypochondrium is one of the reasons to consult a gastroenterologist

The gland itself, like a person, in general, consists of three parts: it has an upper part - the head, a little to the left is the main part of the gland - the body, and the final part is called the tail. At the initial stage of the disease, it is the extreme part of the pancreas that becomes inflamed; when other parts become inflamed, most often the pancreatic disease becomes chronic and remains with its owner for life.

The process of inflammation of the pancreas in medical terminology is called pancreatitis. In most cases, pain in the pancreas area is associated with this disease.

The main function of the pancreas is to produce an important hormone called insulin. This hormone controls and regulates blood sugar levels

So, if you notice signs of pancreas such as pain in the left, sometimes in the right side, under the ribs, frequent upset bowel movements, weakness and even vomiting, then most likely your pancreas is currently inflamed.

At the same time, I would like to note that pain during inflammation of the gland can be of a different nature, both acute and nagging and quite tolerable. And if you have acute, unbearable pain, fever, then you need to urgently seek medical help.

If the pain is less pronounced, you can try to relieve it at home. But first you need to understand in more detail what the signs of a diseased pancreas may be.

Read also, how to treat the pancreas, symptoms?

Help with chronic or acute pancreatitis

During exacerbation of chronic pancreatitis, it is necessary to be careful with medications. Pain may be caused by other diseases, and taking antispasmodics will make it difficult to determine the true cause. If you are sure that the pain is caused by an exacerbation of pancreatitis, the following drugs can be used:

• Ibuprofen;
• Baralgin;
• Diclofenac;
• Metamizole;
• Paracetamol.

IMPORTANT! Taking any of these medications must be approved in advance by your healthcare provider.

Give up bad habits, do not abuse alcoholic beverages and you can say goodbye to acute pain

Features of the manifestation of pancreatitis

The progression of pancreatitis can be diagnosed by the corresponding symptoms that appear. These signs include:

1. A sharp increase in body temperature.
2. Bloating.
3. Weight loss.
4. On palpation, characteristic pain appears in the abdominal cavity.
5. Symptoms of diarrhea.
6. Increased heart rate and unpleasant taste in the mouth.
7. Nausea and vomiting.

If the disease is severe, this contributes to dehydration of the body, as well as a decrease in blood pressure. If the above symptoms are left unattended, then 5-6 months are enough for pancreatitis to move from acute to chronic. If the disease becomes chronic, the patient will feel symptoms of pain in the left and right hypochondrium, flatulence, and belching. Lack of insulin production will lead to the development of diabetes. If you do not pay attention to this organ in a timely manner, the consequences can be not only serious, but also fatal.

Alternative medicine

Talking about how to relieve pain in the pancreas, one cannot fail to mention alternative medicine, since they are also very effective in this regard. But again, they should never be used without the doctor’s knowledge and without an accurate diagnosis being established, as this can lead to a deterioration in overall well-being.

If pain occurs in the pancreas, you can use rosehip decoction. To prepare it you will need 2 tbsp. rose hips, which need to be filled with 0.5 liters of water and boiled over low heat for 5-10 minutes. Then the broth should be filtered. It is recommended to take it instead of tea 3-4 times a day, 100 ml.

No less effective is jelly made from flaxseed. To prepare it, you will need to take 1 tbsp. seeds, pour a glass of water over them and put on fire. As soon as the water boils, reduce the heat and cook the jelly for another 10-15 minutes. Then you need to leave it for about an hour and strain. Also take 100-150 ml instead of tea 3-4 times a day.

Oatmeal decoction also helps relieve inflammation in the pancreas and reduce pain. To prepare it, sprouted oat grains are used. In order for the grains to sprout, they need to be filled with a small amount of water and placed in a warm place for 1-2 days. After this, you need to dry the grains well and grind them into flour.

To prepare the decoction, take 1 tsp. oatmeal, pour a glass of water, cook over low heat for about 30 minutes, without bringing to a boil, and then filter. You need to drink the entire drink in one go. It is recommended to carry out such activities 3-4 times a day.

Oatmeal decoction will help cope with pancreatic diseases

Propolis also has an analgesic effect. But besides this, it also has an anti-inflammatory and antibacterial effect. And in order to use it to eliminate unpleasant painful sensations in the pancreas, you will need to grind the propolis (you can grate it) and pour 10 g of cooled boiled water (100 ml). The product must be infused in a thermos for 24 hours. Then it can be taken orally ¼ cup 3-4 times a day. It is recommended to do this shortly before eating.

It is necessary to understand that pain in the pancreas can be caused by various factors. And in order to get rid of them, it is necessary not only to establish the exact cause of their occurrence, but also to choose the right treatment. And only a doctor can do this after carefully studying the patient’s medical history and the results of his examination.

Is it possible to drink kvass if you have diabetes?

• Chemical composition
• What are the benefits of kvass?
• Methods for making homemade kvass
• Are there any contraindications?

Who among us doesn't like kvass? This drink is valued by many for its excellent and unique taste. Therefore, it is not surprising that patients with diabetes also want to use it periodically

Chemical composition

Before starting to consume a particular product or drink, it is very important for diabetics to understand all its features and properties. Thus, classic kvass is a drink that includes a number of vital elements

It is no secret that kvass is prepared from water, yeast, wheat or rye bread, and sugar. Of course, the use of the last component is extremely undesirable for diabetes mellitus

At the same time, taking into account the properties of the drink, attention is paid to the accelerated and facilitated process of carbohydrate absorption

Diabetes fears this remedy like fire!

Sugar goes down instantly! Diabetes is “afraid” of this. 5 minutes a day - and your sugar levels return to normal!

Thus, with high blood sugar and diabetics with the first type of disease, drinking the drink is advisable. This is explained by the presence of the following components:

• vitamins;
• minerals;
• enzymes;
• organic acids.

It is noteworthy that they have a positive effect on the digestive system, as well as the pancreas. Due to this, the absorption of food for diabetics is ensured, in addition, it is necessary to make sure that the presented drink will be truly useful.

What are the benefits of kvass?

In the context of diabetes mellitus, consuming properly prepared kvass can really be beneficial

Speaking about this, pay attention to the significant tonic effect. Due to this, metabolism is accelerated and the work of the endocrine system is activated.

Another positive effect of exposure should be considered an improvement in the functioning of the pancreas and endocrine glands. In addition, when diabetics regularly consume kvass, they can count on a more rapid removal of toxins from the body.

Of course, such positive characteristics are relevant only if a non-purchased variety is used. Such a drink will provoke the development of high blood sugar, and will also have a negative effect on nutrition (the work of the digestive system will worsen). That is why each of the diabetics who has been identified with high or low sugar levels is strongly recommended to take care of the home method of preparing the drink.

Methods for making homemade kvass

If you have type 2 diabetes mellitus, you can drink kvass, and in the context of this, the possibility of preparing it yourself deserves special attention. Firstly, in this case the patient will be confident that only high-quality ingredients were used, and secondly, the drink will be consumed fresh. Because of this, a diabetic will not have to worry about increased activity in relation to blood sugar.

Common pathologies of the pancreas

The cause of pain in the pancreas can be various diseases, from traditional inflammation to cancer.

Disease	Possibility of home treatment
Diabetes mellitus	Requires constant monitoring by the attending physician, so treatment with home remedies should be supplemented with regular visits to the hospital.
Benign neoplasms	Requires either observation of the tumor or surgical intervention.
Pancreatic cancer	Removed through surgery. If surgery is powerless, all that remains for doctors and patients is to anesthetize the source of the pathology.
Acute pancreatitis	It cannot be cured at home, and besides, will anyone be able to withstand its symptoms without the intervention of doctors - repeated vomiting and diarrhea critically dehydrate the body and require intravenous infusions, and severe pain is easier to relieve in a hospital setting, since the arsenal of medications is larger there. In extreme cases, narcotic painkillers are required, which are sold only with a doctor's prescription.

The chronic form of pancreatitis is best treated at home.

How to calm the pancreas at home

One of the successful methods for inflammation of such an important organ is fasting. It works according to the principle: don’t load it - it will heal faster.

Just as a sprained ligament in the leg will go away faster if the affected limb is not overloaded, so the pancreatic functions will return to normal faster if you don’t eat for some time. But depending on the case, you need to fast in different ways.

In the acute form of pancreatitis, when all pain symptoms begin suddenly, it is recommended to completely abstain from food for several days. When we fast, the body uses its full potential to fight disease and normalize the functioning of damaged organs. Self-regulation of the release of hormones and enzymes is triggered, which is not so effective when the gastrointestinal tract, being weakened, is overloaded with the breakdown of food.

In the case of chronic pancreatitis, when the unpleasant symptoms are less pronounced but accompany the person for a long time, it is impossible to recover completely by fasting. This happens due to the fact that the cells of the organ have been deformed for a fairly long period. Typically, chronic pancreatitis occurs after an unhealthy diet (alcohol, fatty foods, salty, spicy foods). To help yourself at home, a daily abstinence from any food other than liquids is recommended.

Dry fasting, during the day, relieves pain and helps the organ that has failed to recover.

After 24 hours of fasting, it is recommended to “enter” your normal diet gradually. First, you can drink a glass of warm water. This will prime the gastrointestinal tract and prepare it for more complex molecular compounds. After an hour, try drinking some vegetable broth. If pain symptoms do not return, you can eat soup with some cereal. The next day you are allowed to eat your normal diet. For people with chronic pancreatitis, it is recommended to do daily fasting weekly.

Prevention Instead of writhing in pain, looking for advice on how to cure the pancreas at home, it is better to prevent malfunctions in its functioning. Preventive measures are simple to the point of banality

Therefore, strict adherence to several precautions can prolong remission and significantly make life easier for people with chronic pancreatitis

Nicotine and tars entering the body have a strong effect on slowing down the functioning of the pancreas

It is important not only not to smoke yourself, but also to avoid places with tobacco smoke, nicotine patches and smoking mixtures in hookahs

Regular consumption of alcohol negatively affects the metabolic process performed by the pancreas, clogs blood vessels and prevents cells from receiving oxygen. Such a refusal will only relieve the work of the gland and it will thank you for this with a longer remission.

Avoid sugary carbonated drinks and high acid fruits. On the contrary, focus on poultry, mineral water and fish. Be healthy!

How to relieve an attack

If you are 100% sure that it is the pancreas that is sick and not some other organ, then you should immediately visit a doctor. There is no need to treat it yourself, as this can lead to negative consequences.

If you notice severe acute girdling pain, you should immediately call an ambulance, since its appearance indicates serious pathological processes in the pancreas, which can lead to a complete disruption of its functions. People suffering from chronic pancreatitis need to be especially careful, since with each subsequent attack the risk of necrotic processes developing in the gland increases several times.

If painful sensations appear in the projection of the pancreas, you should immediately visit a doctor

To relieve pain in the pancreas, you don’t need to immediately grab pills. In case of acute inflammation of this organ, they should not be taken at all, since, penetrating into the stomach, they activate the production of digestive enzymes, which will lead to increased pain.

Important! All medications for acute pancreatitis are administered intravenously or intramuscularly! This allows you to eliminate inflammation and pain without putting additional stress on the gland.

When an attack of pancreatitis occurs, the main treatment measure is a starvation diet, which provides complete rest to the pancreas, during which it restores its functions much faster. At this moment, you are allowed to drink only non-carbonated mineral water. The first meal is allowed only 2-3 days after the onset of pain.

But to relieve pain in the pancreas, diet alone is not enough. In this case, you will also need to take special medications, including analgesics and antispasmodics. The latter help to quickly relieve spasms that occur in the pancreatic ducts and narrow their lumen, which complicates the process of outflow of pancreatic juice into the duodenum. And painkillers provide pain relief, as a result of which the patient begins to feel much better.

To eliminate an attack, doctors most often prescribe Ibuprofoen or Analgin. However, these remedies do not in all cases help get rid of unpleasant symptoms. If the pain is very severe, then narcotic analgesics such as Tramadol are used.

You should not take any medications without your doctor’s knowledge!

If a starvation diet and taking these medications do not produce a positive effect, H2 histamine receptor blockers are prescribed to reduce the production of digestive enzymes, which helps bring the pancreas into a state of complete rest.

What medications will need to be taken next is decided only by the doctor, taking into account the general condition of the patient, the severity of the attack and the severity of the disease. However, there is one main rule that all doctors follow when treating an inflamed pancreas - after the attack has stopped, they prescribe enzyme preparations that must be taken for 3-6 months.

Traditional methods

In many cases, medications in combination with methods and folk recipes are recommended even by doctors themselves. Such treatment includes:

Decoction. To prepare it at home, you need to take unpeeled oats and boil it in 1 liter of water. In a thermos, the resulting mixture is infused overnight, and after straining, it is taken twice a day for about a month.

It is quite easy to squeeze out potato juice, and taking it has a very good effect on the pancreas

It is only important to drink a certain amount of kefir first, which ensures the best absorption.

Barberry bark, pre-crushed, will serve as a good ingredient for making tincture. It should be filled with recently boiled water and, after insisting, take several spoons.

Horsetail, elecampane, chamomile, string, sage, burdock, St. John's wort - a mixture of these herbs can serve as the basis for a drink that can replace tea

You can add a little more rose hips to make the taste slightly sour, or dilute the drink with honey. But you shouldn’t get too carried away with it. You can drink about 400 ml of this tea per day.

Sandy immortelle can help with chronic pancreatitis. Its flowers must be collected, dried indoors, hidden from the sun, and then a drink must be brewed from the resulting mass. Additionally, you can add chamomile, as it interacts well with immortelle.

Celandine, tricolor violet, anise fruit, corn silk, bird knotweed and St. John's wort should be mixed in a container (take in equal parts). Only celandine should be taken a little less, since in large doses it can be quite poisonous. Afterwards everything is poured with boiling water and infused. You can take half a glass four times a day.

Curdled milk compresses are intended to heal from the outside. To do this, you just need to saturate the fabric and lay it on the left side, wrapping it in polyethylene for better penetration into the skin. Repeating this procedure is indicated throughout the month.

Burdock, its stems and roots can prolong remission and avoid exacerbation if a decoction is prepared from them. First, you will need to leave it for several hours, then boil it slowly. The treatment lasts for a month, and only about four tablespoons of infusion are taken at a time.

Calamus roots, parsley seeds, wormwood and potato flowers - all these remedies have long been known and are widely used. In this case, they can be used separately, or mixed in one vessel and prepared as a decoction.

Calendula in combination with sage, St. John's wort and hazel also has a good effect on the pancreas. The decoction is made in the same way as from burdock.

In addition to the herbs described above, there are still quite a large number of them that can be used in home treatment. However, for each of the remedies used, it is better to obtain consultation and approval from a doctor in advance. Only he knows individual characteristics and how some will be able to harm this or that person.

You cannot use traditional medicine that suggests making and taking alcoholic infusions as the main method. Alcohol has a negative effect on the pancreas; it is not able to treat it, but it can aggravate the course of the disease.

World Diabetes Day was established by the International Diabetes Federation (IDF) together with the World Health Organization (WHO) in 1991 in response to concerns about the increasing incidence of diabetes in the world.

World Diabetes Day is celebrated annually on November 14 - the day Canadian physician and physiologist Frederick Banting was born. Together with John MacLeod and Charles Best, Banting discovered insulin (the hormone that regulates blood sugar, or glucose), for which he was awarded the Nobel Prize.

On December 20, 2006, the UN General Assembly adopted a Resolution on Diabetes Mellitus, in which the rapid increase in the incidence of diabetes was declared an emergency threat to the entire global community. The adoption of the UN resolution was facilitated by a large-scale public movement initiated by the International Diabetes Federation and aimed at raising awareness of the global population about the threat of diabetes. The resolution called on UN member states to take action to combat diabetes and develop national strategies for the prevention and treatment of diabetes. Since 2007, World Diabetes Day has been celebrated under the auspices of the UN.

The logo of World Diabetes Day is a blue circle. In many cultures, the circle symbolizes life and health, and the blue color represents the sky, which unites all peoples, and the color of the UN flag.

Diabetes is a serious, chronic disease that develops when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces.

Currently, there are two types of diabetes mellitus. Type 1 diabetes mellitus is insulin-dependent and mainly affects young people under the age of 30.

Type 2 diabetes is non-insulin-dependent diabetes of older people. In such patients, insulin is produced, and by following a diet and leading an active lifestyle, they can ensure that the sugar level remains normal for quite a long time, and complications can be successfully avoided.

Symptoms of type 1 diabetes may appear suddenly. These include excessive urination (polyuria), thirst (polydipsia), constant hunger, weight loss, changes in vision, and fatigue. Type II diabetes is largely the result of excess weight and physical inactivity. Symptoms may be similar to those of type 1 diabetes, but are often less severe. As a result, the disease can be diagnosed several years after its onset, after complications have arisen. Until recently, this type of diabetes was observed only among adults, but now it also affects children.

Gestational diabetes may be diagnosed during pregnancy. Women with this form of diabetes have an increased risk of complications during pregnancy and childbirth. In the future, they are at risk of developing type 2 diabetes.

According to WHO statistics, around the world, approximately every nine out of ten diabetics suffer from type 2 diabetes, which occurs as a result of the body's increasing resistance to insulin.

In Russia, every 20th person... The number of patients is about eight to nine million - about 5.5% of the population of the Russian Federation.

Simple measures to maintain a healthy lifestyle are effective in preventing or delaying type 2 diabetes. It is necessary to achieve and maintain a healthy body weight; be physically active; Eat a healthy diet, reduce your intake of sugar and saturated fats; refrain from using tobacco - smoking increases the risk of developing cardiovascular diseases. Early diagnosis is made using blood testing.

Treatment for diabetes involves lowering blood glucose levels and levels of other known risk factors that damage blood vessels. People with type 1 diabetes need to increase the amount of insulin they inject. For patients with type 2 diabetes, glucose-lowering therapy is indicated.

Renowned endocrinologist Elliot Joslin created a medal in 1948 that was awarded to people who had lived with diabetes for 25 years or more in recognition of their achievements in the fight against the disease. Due to the increase in the number of such people, in 1970 it was decided to award a medal to those who have lived with diabetes for more than 50 years. Since that time, more than four thousand people around the world have been awarded medals for living with diabetes for 50 years and documenting the duration of the anamnesis. In Russia the Joslin medal

Treatment for diabetes is improving every day. It may take just a few years for scientists to create an artificial pancreas that can independently monitor and adjust blood sugar levels. Meanwhile, new sugar-lowering drugs and insulin delivery devices are also helping to make life easier and safer for diabetics.

Latest Advances in Diabetes Treatment

1. Afreza is a new insulin that is administered by inhalation to adult patients with type 1 and type 2 diabetes. It appeared on the market in February 2015. Unlike older inhaled insulin, which had a fairly large inhaler, Afreza insulin is much easier to use.

2. Medtronic MiniMed 640G insulin pump - This is a combination insulin pump and continuous blood sugar monitoring system - a step towards creating an artificial pancreas. DeviceAutomatically stops insulin injections when blood sugar levels begin to drop and resumes injections when glucose levels rise.

3. Ranibizumab. Doctors already use this drug to treat macular edema in people who do not have diabetes. But in February 2015, the drug was approved to treat diabetic retinopathy, a serious complication of diabetes that is the leading cause of blindness among adults with the disease.

Progress in developing an artificial pancreas

In the future, an artificial pancreas will function as both an insulin pump and a continuous glucose monitoring system. The device can determine insulin doses and administer it based on its own readings. Scientists are currently working on several different artificial pancreas models. Experts believe that there are all prerequisites for this device to appear on the market before 2020.

Other promising achievements

There is a lot of research into developing a more predictable and stable long-acting insulin. Scientists are also trying to come up with more concentrated forms of this type of insulin to reduce the number of injections needed.

Researchers are also testing whether stem cells can help treat or even cure diabetes. Unlike other types of cells, stem cells are capable of acquiring new functions that are characteristic of any cell in the body. Given this incredible property, scientists hope to get stem cells to transform in such a way that they begin to produce insulin in the body of a person with diabetes.