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In the United States, it is estimated that from 2007 to 2009, there were 99,628 emergency hospitalizations a year that involved adverse reactions to medications in people 65 and older. Blood thinners can interfere with a whole host of other medications; so can some non-prescription blood thinners, including aspirin, fish oil supplements, vitamin E, and garlic. You may find that you are still taking a medication you don’t need, or that switching to a different medication or dose may reduce bothersome side effects.
Often, your pharmacist is the only health professional who sees the whole picture of your medication profile.
You are being directed to the web site of our trusted partner that can give you easy-to-understand information about Medicare, and help you learn about policies available in your state.
It is an unfortunate truth that many mental illness patients won’t take their medications at one time or another. And also unfortunate is the fact that when a person with a mental illness refuses to take their medication they almost inexorably get sicker. I think the most important question to ask is why is the person refusing to take their medication. Their medication is working, they’re experiencing wellness and so they think they no longer need their medication.
In this case a loved one might want to approach the case logically and say that without treatment, the mentally ill patient can’t get better. In this case patients often feel like they have told their doctor about the side effects but the doctor hasn’t listened.
Families can help by attending psychiatric appointments to help get treatment back on track in a way with which the patient agrees. A loved one can approach this situation with logic such as, “remember before the medication, you did such-and-such, whereas on the medication, you’re able to such-and-such .
However, the truth is that the patient may simply have to fall before they realize that it was the medication that was holding them up. No matter what camp the person falls into, it’s very hard, but try to look at the situation from their perspective – they likely have a real reason why they are treatment noncompliant. And as I’ve said above, remind them that real honesty with their doctor is the most important thing and that they are in control of their own treatment. There is actually much more to say about handling this problem, but, alas, I’ve gone long already. Additional WritingsI write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar. Tomorrow I have to go to court to ask the court to force my 45 year old daughter to take drugs that she vehemently does not want to take. Plz suggest me, if someone refuses to take medicine after becoming normal, and if we try to convince her that what she did before taking medicine, then she refuses to accept that she did all these things.
If the Mom you were responding to has been handling her BP son for 18 years already, I would trust her judgement in knowing that her son needs to take his meds – how to get him to take them is her real problem right now. This is truly a great website and appreciate the content addressing the mental illness issue.
Right now I am writing as a troubled brother as my elder sister is in the state of mental illness that has relapsed after two years.
What if the tables were turned on you Irene, and some monster starting saying you were mentally ill, and had the capacity to lock you away for a long time? So, you might be able to convince him that getting back on his medication is a good plan for the time it takes to defend his thesis. Unfortunately, you should accept that he will probably end up screwing things up pretty badly. This is simply a personal opinion: you institutionalize people who you strongly believe are a threat to their own lives or to the safety of other people.
If you workout, chances are you'll experience pain and tender muscles at some point in your life.
If you workout, chances are you'll experience pain and tender muscles at some point in your life.
Pushing Yourself To Your Limit May Result In Swolen Achy Joints, Tender Muscles, And Fatigue. For years we've been told that inflammation is bad and must be controlled to speed healing. Using two groups of mice, one of which was genetically altered so they could not generate an inflammatory response to an acute injury, they induced muscle injury.
The scientists leading the study concluded that we need controlled inflammation for wounds to heal. You Only Need To Take Enough Medication To Keep Inflammation Under Control As Excess Medication Could Impede Healing.
Right now you may be wondering what you are left with to treat those nagging aches and pains. Pineapple - pineapple is rich in an enzyme called bromelain*, which produces substances that help fight pain and inflammation. Blue, red and purple colored fruits and vegetables - contain antioxidant flavonoids that may limit inflammation, limit tissue breakdown, improve circulation and promote a nice strong collagen matrix. Ginger - two studies from the University of Georgia show that 2 grams of ginger per day helps reduce exercise-induced muscle pain. Studies from the University of Georgia show that caffeine is an even better ergogenic aid then we previously knew. A good massage therapist, one that knows athletes and athletic injuries, will figure out what areas are tender and tight and work on those parts of your body to facilitate blood and nutrient delivery to the injured areas and loosen areas in your body that, when tight, are contributing to poor biomechanics (movement patterns). As much as possible and mentally feasible (to lay off exercise), incorporate rest, ice, compression and elevation.
Look for physical therapists that not only treat the acute injury but also, more importantly, can figure out why you became injured in the first place. How can we apply effective restoration methods such as contrast showers, stretching, salt baths, electronic muscle stimulation, and massage in our life? Marie Spano is a leading authority on translating the latest nutrition and exercise science research into real life applications. The first study 1 found that people undergo a sensory experience every time they self-administer a drug, whether it’s swallowing a tablet or capsule, chewing a tablet, swallowing a liquid, or applying a cream or ointment. Researchers also found that color of the medicine influenced patients’ perception of treatment. The fact that color plays a powerful role by sending a message about the actual function of the medication should come as no surprise. Aside from communicating functional benefits, color also helps the consumer distinguish non-prescription or prescription medications from other tablets or capsules. A very recent study (published in January 2013)2 found that differences in the color of prescribed medication affect whether a patient will stop taking a drug. The research team analyzed anti-epileptic drugs because epilepsy affects 2% of the population. Even more interesting is the possibility that the color of a pill can create the opposite of the placebo effect.
The study suggested that physicians warn their patients about the possibility of a change in pill color, and that pharmacists take greater care to alert patients when changes in suppliers might lead to new pill characteristics.
Screening for Gestational Diabetes MellitusThe American Diabetes Association recommends that pregnant women without known risk factors for diabetes get screened for gestational diabetes at 24 - 28 weeks of pregnancy.
Type 2 DiabetesType 2 diabetes is the most common form of diabetes, accounting for 90 - 95% of cases. Gestational DiabetesGestational diabetes is a form of type 2 diabetes, usually temporary, that first appears during pregnancy. Nerve Disorders (Neuropathy)Diabetes reduces or distorts nerve function, causing a condition called neuropathy.
Retinopathy and Eye ComplicationsDiabetes accounts for thousands of new cases of blindness annually and is the leading cause of new cases of blindness in adults age 20 - 74.
The early and more common type of this disorder is called nonproliferative or background retinopathy. Mental Function and DementiaSome studies indicate that patients with type 2 diabetes, especially those who have severe instances of low blood sugar, face a higher than average risk of developing dementia. One in 5 Americans over age 45 has a chronic condition, such as high blood pressure, which often requires daily medications. As you just learned, sleep medications alone can cause problems, but if you’re also taking pain medications, it can get worse. If your diabetes drug increases your blood pressure, explains Arbaje, your heart rate might not increase because of the blood pressure medication—so you may not be aware of the problem. This is known as treatment noncompliance or treatment nonadherence, if you want to be a bit more politically correct. People with bipolar disorder who won’t take their medication, for example, often become manic and then wind up hurting themselves or someone else and end up in the hospital. Stopping the treatment was understandable, but now it’s time to assert some control over treatment and find something that works. And it’s important to remind the patient that better treatments are available and they don’t have to live with horrendous side effects.
Once a person is well, they see the medication as a hindrance, forgetting that it is the medication that made them well.
For a loved one this is painful to watch but try to remember to be there if something like this happens and help out with returning to treatment. And, if you can, try to support their wishes and act as their back-stop in psychiatric appointments. My 23 year-old daughter had an episode 2 weeks ago after never having exhibited anything more than occational anxiety or depression. She has been off her medication for a good while and has auditory hallucinations that involve the FBI, CIA and famous people. My therapist said to me after only 3 sessions that if I don’t go on seroquil, she won’t see me anymore! If he does that, he’ll hopefully be in a better position to reflect on what happened with some insight. Because a manic person has unshakable faith in their perspective, they cut off or ignore feedback from people that disagree with it. He will interpret a bunch of people telling him the same thing as a conspiracy behind his back trying to persecute him for who he is, not a group of concerned people he negotiated a sound policy with. This is an amazingly helpful website and recently I’ve been visiting it very often as my husband stopped taking his meds and he has now a full blown episode for almost three months. As a fitness enthusiast, you push yourself to the limit and thrive on exceeding your own expectations, surpassing your goals and setting new ones.
NSAIDs (non steroidal anti-inflammatory drugs such as aspirin, ibuprofen and naproxen) have flown off store shelves for years and cortisone shots have become a quick fix. Excess cortisone and anti-inflammatory medication only slows the wound healing process by blunting our body's natural inflammatory response.
Right now it's tough to say and partly depends on the injury, situation (do you have to get back to playing or working asap) and the other modalities you are using to get your body back to healthy. Chronic use of NSAIDs and cortisone will mask pain so could possibly injure yourself even more and, even if you lay off exercise they'll blunt your healing progress over time. Choose fresh or frozen over canned pineapple (blend the frozen in a shake or add to a variety of recipes).
Even if it doesn't, mango is fantastic in salsas, fruit salad, blended into protein shakes (it makes them thick and creamy like a frozen dessert), over fish, chicken or tofu and of course, sliced by itself. Eat eggplant, berries (fresh or buy them frozen) or choose tart cherry juice (not from concentrate though as processing can destroy some antioxidants). Consume them pre or post-exercise (alone or in BCAA rich whey, eggs or dairy) and you'll blunt the muscle breakdown process that occurs as an immediate result of lifting weights. Taking a nice dose of the stuff after muscle damaging eccentric exercise can decrease delayed onset muscle soreness and pain. Muscle imbalances, poor biomechanics, muscle tightness, and poor ergonomics at work - all of these things can contribute to injuries.
Though we don't know everything about local or systemic inflammation and, scientists believe that excess inflammation may do more harm then good, we do know that constantly masking inflammation through cortisone shots and NSAIDs will hamper healing over the long term. We are your personal trainer, your nutritionist,your supplement expert, your lifting partner, your support group. She shares her insights on Color Matters, a website that is a “continuation of her teachings and passion for color”. For example, pink colored tablets are more likely to be sweeter in taste as compared to red ones. Scientists reported that patients who take generic drugs that differ in color are fifty percent are more likely to stop the intake of the drug, producing possible negative reactions. They found that when patients with epilepsy refilled their prescriptions and received a different color pill than they were used to, 53% were more likely to take a break from taking their drugs as prescribed. A change in the color of the pill deprives patients of their expectations of efficacy and may potentially have the opposite effect: a belief that the newly substituted pill will be less effective than the previous dose. Centers for Disease Control and Prevention’s (CDC) National Diabetes Fact Sheet, nearly 26 million American adults and children have diabetes. In type 2 diabetes, the body does not respond properly to insulin, a condition known as insulin resistance. Diabetes can also cause problems with attention and memory.InfectionsRespiratory Infections. Depression, in turn, may increase the risk for high blood sugar levels (hyperglycemia) and complications of diabetes.HypoglycemiaTight blood sugar (glucose) control increases the risk of low blood sugar (hypoglycemia). The earliest manifestation of kidney damage is microalbuminuria, in which tiny amounts of a protein called albumin are found in the urine. Put the pill in a little bit of peanut butter or cheese and most dogs will think they’re getting a treat and won’t argue with the owner.
Even if you are taking just one or two medications, now is the time to develop the self-protective habits (such as exercising and eating a healthy diet) that can help you prevent future problems — or identify existing ones. The answer is to talk with your doctors and pharmacist to explore whether a medication, or a combination of them, may be causing you problems.
If you wish, you'll have the opportunity to connect with a representative, with no obligation. But, the thing is, you have to get through the medication that doesn’t work to find the medication that does and going off of medication is not the way to do this. But that’s why it’s time to, again, assert more control over treatment choices and state to the doctor clearly that these side effects are intolerable and another treatment must be found. People dealing with psychiatrists often feel more comfortable being honest with this back-up which means they are more likely to get treatment that works for them. I feel so alone now I truly understand true pain not being in control of your brain barely I’m starting to truly feel mental more than ever.
It originated due to acute depression that came from family conflicts (as the doctor told).
If he’s successful in passing the defense, that will give him some success to moderate the depression which is going to almost inevitably follow the manic period. If they can’t get away from those people, they will quickly develop a persecution complex. If he’s physically abusing your family or threatening them, you pretty much have the choice of allowing him to beat you up (no) having him arrested (not good for him) or having him committed (the least bad option). During this he has been fired from his job, he has moved to his parents house and generally he has been transformed into a monster.
And this enthusiasm will sometimes result in swollen achy joints, tender muscles and fatigue. In our efforts to mask inflammation, so we can get back on our feet and in the gym, we may actually be doing ourselves more harm then good by blunting this essential process. And, a recently published study found out just how important inflammation is to muscle recovery.
Know your limits though since caffeine can send your heart rate up and possibly cause other negative side effects. Therefore, if you are looking for natural solutions, try food, RICE, massage and a good physical therapist.

Spano has also helped pro athletes and Fortune 500 executives enhance their health and performance through sound nutrition practices. We provide the technology, tools, andproducts you need to burn fat, build muscle, and become your best self. Bright red salmon is far more enticing than dull pink and creamy yellow butter is preferred over white margarine.
Consider this: Would you choose a soothing pink or a neon lime green tablet for acid reflux? Although this is intended to protect consumers from packaging or appearance of products that are designed to imitate other products, it’s clear that this now affects the impact of a drug on a consumer. About 79 million Americans aged 20 years and older have pre-diabetes, a condition that increases the risk for developing diabetes.Diabetes and CancerType 2 diabetes increases the risk for certain types of cancer, according to a consensus report from the American Diabetes Association and the American Cancer Society. New Drug WarningIn 2012, the Food and Drug Administration (FDA) warned that statin drugs, which are used to treat high cholesterol, may raise blood sugar levels and increase some people’s chances of developing type 2 diabetes. The disease process of type 2 diabetes involves:The first stage in type 2 diabetes is insulin resistance.
After delivery, blood sugar (glucose) levels generally return to normal, although some women develop type 2 diabetes within 15 years.Because glucose crosses the placenta, a pregnant woman with diabetes can pass high levels of blood glucose to the fetus. People with diabetes are also at higher risk for developing cataracts and certain types of glaucoma, such as primary-open angle glaucoma (POAG). People with diabetes face a higher risk for influenza and its complications, including pneumonia. Microalbuminuria typically shows up in patients with type 2 diabetes who have high blood pressure.The American Diabetes Association recommends that people with diabetes receive an annual microalbuminuria urine test. If the medication isn’t working, it’s time to work with a psychiatrist to find better medication that does work for the patient. No one wants to be on medication and this is a trick the mind plays to provide an excuse for refusing medication. She believes she is intercepting important information and wants to call the police or sheriffs department for their help. See if you can work with your son in getting him closer to health instead of force medicating him leaving him closer to death.
During mania a person has an absolute faith in their perspective and anyone who opposes it is either stupid or suspect.
But, if his mania is resulting in him being self-destructive and not a threat to his own life, he will not interpret hospitalization as helpful or caring. In this study, scientists took a close look at inflammatory cells called macrophages, cells that bombard the injury site and produce insulin-like growth factor-1 (IGF-1). In fact, Wisconsin’s butter laws prohibit margarine from being pre-colored to resemble butter. Most people would associate lime green with a sour taste and citric acid – not what a person needs when their stomach is on churning. Although insulin can attach normally to receptors on liver and muscle cells, certain mechanisms prevent insulin from moving glucose (blood sugar) into these cells where it can be used. This can cause excessive fetal weight gain, which can cause delivery complications as well as increased risk of breathing problems. It is a common complication for nearly half of people who have lived with type 1 or type 2 diabetes for more than 25 years. If these processes affect the central portion of the retina, swelling may occur, causing reduced or blurred vision.If the capillaries become blocked and blood flow is cut off, soft, "woolly" areas may develop in the retina's nerve layer.
Everyone with diabetes should have annual influenza vaccinations and a vaccination against pneumococcal pneumonia.Urinary Tract Infections.
She calls and leaves me messages where she is in danger or homeless or living with someone new. I just found out from my niece that he’s been spitting the pills out even though I watch him take the meds. We are not finding any way out despite trying all the avenues including giving proper reasoning and made her talk to the doctor. He might think that on his medication he will not be as brilliant and exciting, but he has already established his talent by being in a PhD program. He will focus on the negative aspects of the experience, and it will distance him from psychiatric help in general. Some individuals should avoid caffeine completely (especially those on certain medications for heart disease). Therefore, patients do indeed respond best when color corresponds with the intended results of the medication and not the symptom. Certain medications used for treating type 2 diabetes may possibly increase the risk for some types of cancers. However, for most people with diabetes the benefits of statin drugs still outweigh the risks. Most patients with type 2 diabetes produce variable, even normal or high, amounts of insulin. Children born to women who have gestational diabetes have an increased risk of developing obesity and type 2 diabetes.
The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation.
Women with diabetes face a significantly higher risk for urinary tract infections, which are likely to be more complicated and difficult to treat than in the general population.Hepatitis. Hypoglycemia may also be caused by insufficient intake of food, or excess exercise or alcohol. The hospital was just supposed to get her stable so we could continue her care on an out-patient basis, but a paperwork mistake—we were told—resulted in her being transferred to a recovery center. The only thing which could go wrong is that he might say something strange during the defense that would concern his committee. In general, being institutionalized is a pretty traumatic experience under the best of circumstances.
In the beginning, this amount is usually enough to overcome such resistance.Over time, the pancreas becomes unable to produce enough insulin to overcome resistance. In addition to endangering the fetus, gestational diabetes can also cause serious health risks for the mother, such as preeclampsia, a condition that involves high blood pressure during pregnancy.CausesType 2 diabetes is caused by insulin resistance, in which the body does not properly use insulin. Peripheral neuropathy usually starts in the fingers and toes and moves up to the arms and legs (called a stocking-glove distribution).
In this more severe condition, new abnormal blood vessels form and grow on the surface of the retina. Patients with diabetes are at increased risk for contracting the hepatitis B virus, which is transmitted through blood and other bodily fluids. Usually the condition is manageable, but occasionally, it can be severe or even life threatening, particularly if the patient fails to recognize the symptoms, especially while continuing to take insulin or other hypoglycemic drugs.Mild hypoglycemia is common among people with type 2 diabetes, but severe episodes are rare, even among those taking insulin. The staff at the center told us a court hold had been placed on her and they refused us access except for a 20 minute visit and a few phone calls over an entire week. Manic people value consistency quite highly, so it’s possible to divert that away from self-destruction. New Drug ApprovalsJuvisync is a two-in-one pill that combines the diabetes medication sitagliptin (Januvia) with the cholesterol drug simvastatin.Bydureon is a longer-lasting version of exenatide (Byetta) that requires injection only once a week. In type 2 diabetes, the initial effect of this stage is usually an abnormal rise in blood sugar after a meal (called postprandial hyperglycemia).Eventually, the cycle of elevated glucose further damages beta cells, thereby drastically reducing insulin production and causing full-blown diabetes. Type 2 diabetes is thought to result from a combination of genetic factors along with lifestyle factors, such as obesity, poor diet, high alcohol intake, and being sedentary.Genetic mutations likely affect parts of the insulin gene and various other physiologic components involved in the regulation of blood sugar. Exposure to the virus can occur through sharing finger-stick devices or blood glucose monitors. Still, all patients who intensively control blood sugar (glucose) levels should be aware of warning symptoms.Hypoglycemia Symptoms. A doctor uses the results from a creatinine blood test to calculate the glomerular filtration rate (GFR). We worry about her as the daughters take advantage of her and take her money and feel entitled to her never ending support. Byetta is injected twice a day.Peginesatide (Omontys)  is a new erythropoiesis-stimulating drug approved specifically for patients with chronic kidney disease who are on dialysis. This is made evident by fasting hyperglycemia, in which glucose levels are high most of the time.Type 1 DiabetesIn type 1 diabetes, the pancreas does not produce insulin. Some rare types of diabetes are directly linked to genes.Diabetes Secondary to Other Conditions. Major hemorrhage or retinal detachment can result, causing severe visual loss or blindness.
Mild symptoms usually occur at moderately low and easily correctable levels of blood glucose. And unless you’ve had one of these cats, you may not understand the emotional toll this can take on the owner.Cats who refuse to take pills, and the humans who love themI recently talked to a friend whose 16-year-old cat was diagnosed with hyperthyroidism, and needs to take medication twice a day to regulate thyroid function. Terrible things happened while she was trapped there and she was forced to take a cocktail of drugs that made her sick. Conditions that damage or destroy the pancreas, such as pancreatitis (inflammation), pancreatic surgery, or certain industrial chemicals, can cause diabetes. Patients with diabetes should be aware of other warning signs of a heart attack, including sudden fatigue, sweating, shortness of breath, nausea, and vomiting.Rapid heart ratesLightheadedness when standing up (orthostatic hypotension)Heart disease risk factors may increase the likelihood of developing neuropathy.
The American Diabetes Association recommends that patients with type 2 diabetes get an initial comprehensive eye exam by an ophthalmologist or optometrist shortly after they are diagnosed with diabetes, and once a year thereafter. She can’t pill the cat, he won’t take pill pockets, and he refuses to take the liquid form of the medication in his food. She spent the week trying to convince them to let her go and wondering if we might have abandoned her. Each of us as parents know that it must be so difficult to say no to our children and we want to protect them but, when do you say enough ? Macrophages recruited via CCR2 produce insulin-like growth factor-1 to repair acute skeletal muscle injury. Similar anemia drugs require more frequent injections.New Vaccination RecommendationThe CDC now recommends that adults ages 19 - 59 years diagnosed with diabetes should receive vaccination to prevent hepatitis B. Certain genetic and hormonal disorders are associated with or increase the risk of diabetes.High doses of statin drugs, which are used to lower cholesterol levels, may increase some people’s chances of developing type 2 diabetes. Lowering triglycerides, losing weight, reducing blood pressure, and quitting smoking may help prevent the onset of neuropathy.Foot Ulcers and AmputationsAbout 15% of patients with diabetes have serious foot problems. Some types of drugs can also cause temporary diabetes including corticosteroids, beta blockers, and phenytoin.Risk FactorsNearly 26 million American children and adults have diabetes. Ketones are byproducts of fat breakdown that build up in the blood and appear in the urine. In addition to a comprehensive eye exam, fundus photography may be used as a screening tool. Now she is so traumatized she suspects anyone who suggests she take ANY medicine that she wasn’t already taking before the episode. Unvaccinated patients with diabetes can become infected with hepatitis B through sharing fingerstick or blood glucose monitoring devices.
Most amputations start with foot ulcers.Those most at risk are people with a long history of diabetes, and people with diabetes who are overweight or who smoke. Fundus photography uses a special type of camera to take images of the back of the eye.Screening for Neuropathy. Now a week has passed and she is starting to slip back into speech and behaviors that are incomprehensible to anyone but herself.
In addition, 79 million American adults have pre-diabetes, a condition that increases the risk for developing diabetes. People who have the disease for more than 20 years and are insulin-dependent are at the highest risk. All patients should be screened for nerve damage (neuropathy), including a comprehensive foot exam.
Type 2 diabetes used to mainly develop after the age of 40, but it is now increasing in younger people and children. Related conditions that put people at risk include peripheral neuropathy, peripheral artery disease, foot deformities, and a history of ulcers.Foot ulcers usually develop from infections, such as those resulting from blood vessel injury. Extreme stages of diabetic ketoacidosis can lead to coma and death.Until recently, DKA was a complication almost exclusively of type 1 diabetes. Patients who lose sensation in their feet should have a foot exam every 3 - 6 months to check for ulcers or infections.Screening for Thyroid Abnormalities. About the only treatment she doesn’t oppose is a councillor who saw her once before when she was having relationship problems, and she has agreed to see a psychiatrist as long as we find a female doctor. Foot infections often develop from injuries, which can dramatically increase the risk for amputation.
My friend is stressed and upset, and so is her cat.The cat is not a candidate for radioactive iodine treatment, nor is he a good candidate for surgery. My fear is that by the time I can find the doctor she wants and get her an appointment she will be completely lost again. Within 10 minutes after a meal, insulin rises to its peak level.Insulin enables glucose to enter cells in the body, particularly muscle and liver cells. However, in rare cases DKA can also occur in patients with type 2 diabetes, usually due to a serious infection or another severe illness.Hyperglycemic Hyperosmolar Nonketonic Syndrome (HHNS)Hyperglycemic hyperosmolar nonketonic syndrome (HHNS) is a serious complication of diabetes that involves a cycle of increasing blood sugar levels and dehydration, without ketones.
Patients should meet with a professional dietitian to plan an individualized diet within the general guidelines that takes into consideration their own health needs.Healthy eating habits along with good control of blood glucose are the basic goals, and several good dietary methods are available to meet them. Excess body fat appears to play a strong role in insulin resistance, but the way the fat is distributed is also significant.
Numbness from nerve damage, which is common in diabetes, compounds the danger since the patient may not be aware of injuries. General dietary guidelines for diabetes recommend:Carbohydrates should provide 45 - 65% of total daily calories.
Weight concentrated around the abdomen and in the upper part of the body (apple-shaped) is associated with insulin resistance and diabetes, heart disease, high blood pressure, stroke, and unhealthy cholesterol levels. It is often triggered by a serious infection or another severe illness, or by medications that lower glucose tolerance or increase fluid loss (especially in people who are not drinking enough fluids).Symptoms of HHNS include high blood sugar levels, dry mouth, extreme thirst, dry skin, and high fever.
Waist circumferences greater than 35 inches in women and 40 inches in men have been specifically associated with a greater risk for heart disease and diabetes. Charcot foot or Charcot joint (medically referred to as neuropathic arthropathy) is a degenerative condition that affects the bones and joints in the feet. She can choose to stop giving her cat the medication, and restore the relationship with her cat. She will need to understand what will happen physiologically to a hyperthyroid cat with no treatment. The syndrome consists of abdominal obesity, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance.Polycystic Ovary Syndrome. Early changes appear similar to an infection, with the foot becoming swollen, red, and warm.
In terms of sexual health, diabetes may cause decreased vaginal lubrication, which can lead to pain or discomfort during intercourse.Women with diabetes should also be aware that certain types of medication can affect their blood glucose levels. Patients at high risk for diabetes should try to get at least 14 grams of fiber in their diet each day. Polycystic ovary syndrome (PCOS) is a condition that affects about 6% of women and results in the ovarian production of high amounts of androgens (male hormones), particularly testosterone.
Patients with diabetes should monitor their carbohydrate intake either through carbohydrate counting or meal planning exchange lists.Fats should provide 25 - 35% of daily calories.
She will need to monitor her cat closely for even subtle changes, and she will probably eventually need to be ready to make the euthanasia decision.She’s afraid to tell her vet that she wants to stop treatment. Women with PCOS are at higher risk for insulin resistance, and about half of PCOS patients also have diabetes.Depression.
The bones may crack, splinter, and erode, and the joints may shift, change shape, and become unstable. Long-term use (more than 2 years) of birth control pills may increase the risk of health complications.
Severe clinical depression may modestly increase the risk for type 2 diabetes.Schizophrenia.

It typically develops in people who have neuropathy to the extent that they cannot feel sensation in the foot and are not aware of an existing injury. Thiazolidinedione drugs such as rosiglitazone (Avandia) and pioglitazone (Actos) can prompt renewed ovulation in premenstrual women who are not ovulating, and can weaken the effect of birth control pills.Diabetes and Pregnancy. While no definitive association has been established, research has suggested an increased background risk of diabetes among people with schizophrenia. Instead of resting an injured foot or seeking medical help, the patient often continues normal activity, causing further damage. Both temporary diabetes that occurs during pregnancy (gestational diabetes) and pregnancy in a patient with existing diabetes can increase the risk for birth defects.
But most vets also understand that they’re not just treating their patient, they’re treating the bond between patient and owner. In addition, many of the new generation of antipsychotic medications may elevate blood glucose levels. People with diabetes are prone to foot problems because the disease can cause damage to the blood vessels and nerves, which may result in decreased ability to sense trauma to the foot.
Studies indicate that high blood sugar levels (hyperglycemia) can affect the developing fetus during the critical first 6 weeks of organ development.
Limit trans-fats (hydrogenated fat found in snack foods, fried foods, commercially baked goods) to less than 1% of total calories.Protein should provide 12 - 20% of daily calories, although this may vary depending on a patient’s individual health requirements. And when treatment interferes with the bond to the extent it did for my friend, shouldn’t they discuss this alternative with their clients?I had to make this choice with Buckley, and I was fortunate that I had my vet’s complete support when I decided to stop treating her restrictive cardiomyopathy. Patients taking antipsychotic medications (such as clozapine, olanzapine, risperidone, aripiprazole, quetiapine fumarate, and ziprasidone) should receive a baseline blood glucose level test and be monitored for any increases during therapy.Gestational Diabetes Risk FactorsGestational diabetes is a type of diabetes that develops during the last trimester of pregnancy. Therefore, it is important that women with pre-existing diabetes (both type 1 and type 2) who are planning on becoming pregnant strive to maintain good glucose control for 3 - 6 months before pregnancy.
She was on multiple cardiac meds, and for several months, she happily took them with pill pockets. It is also important for women to closely monitor their blood sugar levels during pregnancy.
Once she started to refuse the pill pockets, the only way I could have gotten the meds into her was through force. They should be screened for diabetes 6 - 12 weeks after giving birth and should be sure to have regular screenings at least every 3 years afterward.SymptomsType 2 diabetes usually begins gradually and progresses slowly. For women with type 2 diabetes who take insulin, pregnancy can affect their insulin dosing needs.
Reducing sodium can lower blood pressure and decrease the risk of heart disease and heart failure.Weight ManagementBeing overweight is the number one risk factor for type 2 diabetes. Buckley was the kind of cat who, at a mere seven pounds, needed multiple veterinary assistants to restrain her to get anything done. Insulin dosing may also need to be adjusted during and following delivery.Diabetes and Menopause.
The changes in estrogen and other hormonal levels that occur during perimenopause can cause major fluctuations in blood glucose levels. It can also help control or even stop progression of type 2 diabetes in people with the condition and reduce risk factors for heart disease. There was no way I could have pilled her, nor would I have wanted to put a cat with heart disease through the twice daily stress of it.
All lifestyle and medical efforts should be made to reduce the risk for these conditions.People with type 2 diabetes are also at risk for nerve damage (neuropathy) and abnormalities in both small and large blood vessels (vascular injuries) that occur as part of the diabetic disease process.
Women with diabetes also face an increased risk of premature menopause, which can lead to higher risk of heart disease.DiagnosisHealthy adults age 45 and older should get tested for diabetes every 3 years.
Patients should lose weight if their body mass index (BMI) is 25 - 29 (overweight) or higher (obese).The American Diabetes Association recommends that patients aim for a small but consistent weight loss of ? - 1 pound per week.
I also knew that she would come to dread contact with me, and I knew I couldn’t have handled that.I made the choice to stop her heart medications knowing full well that it would shorten her already much too short life even further. Such abnormalities produce complications over time in many organs and structures in the body.
Patients who have certain risk factors should ask their doctors about testing at an earlier age and more frequently.
Although these complications tend to be more serious in type 1 diabetes, they still are of concern in type 2 diabetes.Heart DiseaseThere is an association between high blood pressure (hypertension), unhealthy cholesterol levels, and diabetes. ExerciseSedentary habits, especially watching TV, are associated with significantly higher risks for obesity and type 2 diabetes.
People with diabetes are more likely than non-diabetics to have heart problems, and to die from heart complications. People who have pre-diabetes have fasting blood glucose levels that are higher than normal, but not yet high enough to be classified as diabetes. Regular exercise, even of moderate intensity (such as brisk walking), improves insulin sensitivity and may play a role in preventing type 2 diabetes -- regardless of weight loss.Aerobic Exercise.
Diabetes affects the heart in many ways:Both type 1 and 2 diabetes speed the progression of atherosclerosis (hardening of the arteries).
The heart-protective effects of aerobic exercise are also important, even if patients have no risk factors for heart disease other than diabetes itself.For improving blood sugar control, the American Diabetes Association recommends at least 150 minutes per week of moderate-intensity physical activity (50 - 70% of maximum heart rate) or at least 90 minutes per week of vigorous aerobic exercise (more than 70% of maximum heart rate). Reply Mike April 18, 2016 at 3:40 pm (1 month ago)My large creamy orange tabby Fernando has had to take antibiotics for a finicky stomach a few times a week since we rescued him a little over a year ago. Exercise at least 3 days a week, and do not go more than 2 consecutive days without physical activity.Strength Training. It was a little bit of a learning curve for him and I but he never protested all that much and now It has gotten to the point where I shake his pill bottle and call him and he jumps right up on the couch and calmly lays down and waits for his medicine.
With this condition, the tiny filters in the kidney (called glomeruli) become damaged and leak protein into the urine. Strength training, which increases muscle and reduces fat, is also helpful for people with diabetes who are able to do this type of exercise. If I hold the pill in front of him he will actually gently take it from my fingers with his teeth. Some doctors recommend it as a follow-up after FPG, if the latter test results are normal but the patient has symptoms or risk factors of diabetes. The American Diabetes Association recommends performing resistance exercise three times a week.
The syringes of pain killers we had to give him after a minor surgery were a bit of a different matter though. Urine tests showing microalbuminuria (small amounts of protein in the urine) are important markers for kidney damage.Diabetic nephropathy is the leading cause of end-stage renal disease (ESRD). Build up to three sets of 8 - 10 repetitions using weight that you cannot lift more than 8 - 10 times without developing fatigue. Be sure that your strength training targets all of the major muscle groups.Exercise Precautions.
The following are precautions for all people with diabetes, both type 1 and type 2:Because people with diabetes are at higher than average risk for heart disease, they should always check with their doctors before undertaking vigorous exercise.
For fastest results, regular moderate to high-intensity (not high-impact) exercises are best for people who are cleared by their doctors.
The results are given in percentages and indicate a person’s average blood glucose levels over the past 2 - 3 months. For people who have been sedentary or have other medical problems, lower-intensity exercises are recommended.Strenuous strength training or high-impact exercise is not recommended for people with uncontrolled diabetes.
He comes home a little more lively, but his front leg wrapped from the IV and he has scars from being scuffed. 6.5% or higherA1C tests are also used to help patients with diabetes monitor how well they are keeping their blood glucose levels under control. For patients with diabetes, A1C is measured periodically every 2 - 3 months, or at least twice a year.
Patients who use blood pressure medication should talk to their doctors about how to balance medications and exercise. While fingerprick self-testing provides information on blood glucose for that day, the A1C test shows how well blood sugar has been controlled over the period of several months.
Patients with high blood pressure should also aim to breathe as normally as possible during exercise. Holding the breath can increase blood pressure, especially during strength training.Warning on Dietary SupplementsVarious fraudulent products are often sold on the Internet as “cures” or treatments for diabetes.
Your doctor may adjust this goal depending on your individual health profile.The American Diabetes Association recommends that results from the A1C test be used as to calculate estimated Average Glucose (eAG). The FDA warns patients with diabetes not to be duped by bogus and unproven remedies.TreatmentManagement of Pre-DiabetesTreatment of pre-diabetes is very important. She lived for another month after I stopped her meds, and except for the last few days of her life, her quality of life was good.
Research shows that lifestyle and medical interventions can help prevent, or at least delay, the progression to diabetes, as well as lower their risk for heart disease.The most important lifestyle treatment for people with pre-diabetes is to lose weight through diet and regular exercise. Even a modest weight loss of 10 - 15 pounds can significantly reduce the risk of progressing to diabetes.Patients should have an exercise goal of 30 - 60 minutes, at least 5 days a week, and follow a low-fat, high-fiber diet. Quitting smoking is also essential.It is also important to have your doctor check your cholesterol and blood pressure levels on a regular basis. Pregnant women without known risk factors for diabetes should be screened for gestational diabetes at 24 - 28 weeks of pregnancy using the OGTT. Your doctor should also check your fasting blood glucose and microalbuminuria levels every year, and your hemoglobin A1C and lipids every 6 months.In addition to lifestyle measures, the insulin-regulating drug metformin (Glucophage, generic) may be recommended for patients who may be at very high risk for developing diabetes. Pregnant women with risk factors for diabetes should be screened for type 2 diabetes at the first prenatal visit.Screening Tests for ComplicationsScreening for Heart Disease. All patients with diabetes should be tested for high blood pressure (hypertension) and unhealthy cholesterol and lipid levels and given an electrocardiogram. The electrocardiogram (ECG or EKG) is used extensively in the diagnosis of heart disease, from congenital heart disease in infants to myocardial infarction and myocarditis in adults.
Daily aspirin is not recommended for patients with diabetes who are younger than these ages and who do not have cardiovascular risk factors. Treating children with type 2 diabetes depends on the severity of the condition at diagnosis.
Formerly, only insulin was approved for treating children with diabetes.The American Diabetes Association does not recommend tight blood glucose control for children because glucose is necessary for brain development. Elderly people should not generally be placed on tight control as low blood sugar can increase the risk of stroke or heart attack.Treatment of ComplicationsHigh Blood Pressure and Heart DiseaseAll patients with diabetes and high blood pressure should make lifestyle changes. These include losing weight (when needed), following the Dietary Approaches to Stop Hypertension (DASH) diet, quitting smoking, limiting alcohol, and limiting salt to no more than 1,500 mg of sodium per day.Reducing Blood Pressure. However, patients with diabetes and high blood pressure need an individualized approach to drug treatment, based on their particular health profile. The most beneficial fall into the following categories:Diuretics rid the body of extra sodium (salt) and water.
She hates these things but shows up asking for them because immediately following pills and drops she gets treats. They include atorvastatin (Lipitor, generic), lovastatin (Mevacor, Altoprev, Advicor, generics), pravastatin (Pravachol, generic), simvastatin (Zocor, Simcor, Vytorin, and generics), fluvastatin (Lescol), rosuvastatin (Crestor), and pitavastatin (Livalo). Reply june bullied November 6, 2015 at 1:44 am (7 months ago)my previous cat peachy-pie (16 years young) had liver disease and with great difficulty, mostly unsuccessful, i had pilled, syringed and did everything to keep her well. Juvisync is a two-in-one pill that combines the statin simvastatin with the diabetes drug sitagliptin (Juvisync).
However, they may increase blood glucose levels in some patients, especially when taken in high doses. Still, statin drugs are considered generally safe and the best first choice for managing high cholesterol.The primary safety concern with statins has involved myopathy, an uncommon condition that can cause muscle damage and, in some cases, muscle and joint pain. He took his antibiotics of doxycycline last Tuesday and Wednesday but then just refused to eat anything they were crushed up in. I got some Lick E Lix Saturday and managed to get him to eat that yesterday with his pills crushed up in iy…but today he just wouldn’t eat it! Today he has hardly eaten anything at all…And I fear I am losing my little man to this infection. He has always been a very feisty boy so there is no way any for forceable methods are going to work on him. Makes me so mad…they could produce medicines that are at least palatable for our precious pets!!
You may want to ask your vet about compounding the medication into a flavored (tuna or chicken) liquid. My cat needs meds for a life threatening condition and I have tried so hard, watched and tried to follow every YouTube video with no luck. He clamps his jaws shut and when you get them open constantly moves his tongue and flicks it out.I was at my wits end as he wont take it in a pill pocket or food. But then I used a teaspoon and I would use a dry spoon for the first pill (nasty tasting one that starts to dissolve when wet) and put the pill on the spoon slide the spoon into the side of his mouth at the back, use the spoon to keep his tongue down and mouth open and drop it in his throat. I am so pleased as I have never been able to give him so much as a worming tablet.I was really frustrated that every video showed a docile cat! He will take pieces of chicken from my hand I just can’t hide his pill in that so easily and if he catches me trying he may trust me even less tricky!
Reply Elaine January 25, 2015 at 4:27 pm (1 year ago)Hi Thank you for posting and making such a radical but ultimately compassionate suggestion. He has a heart murmour and has happily taken his heart pill, arthritis meds and constipation meds once a day mixed in a supermarket own brand of cod in butter sauce. Unfortunately Amber’s heart condition has worsened and he needs medicated twice a day just at the point the supermarket has decided to discontinue this product. I am giving the meds disolved in a syringe twice a day while trying to stay calm and find an alternative food to use. He has gone from being contented and living with a human he trusts to being sad and unable to trust. I wonder if articficially prolonging his life by giving him medication is actually the right thing to do, perhaps it would be better to let nature take its course and be ready to have him put to sleep when he begins to be distressed. No easy answer…I am just praying like your friend I find an alternative food he likes soon. Have you thought of trying to cook cod in butter yourself to see if maybe the smell will entice Amber to eat it with his meds hidden inside? Reply Ingrid October 20, 2014 at 6:00 am (2 years ago)Bless you for taking in your special boy, Bing. My girl just turned 10 and after months of trying to find out the source of her vomiting, she has been diagnosed with small cell lymphoma.
She is healthy in every other way, has a good quality of life but now runs away and hides under the bed.
Reply Ingrid August 5, 2014 at 4:02 pm (2 years ago)Boy, between the two of you, you sure have had a bad run lately. Reply Tia December 14, 2015 at 7:17 pm (5 months ago)Have you tried using the products from NHV? Reply PawseyGirl July 4, 2014 at 6:59 pm (2 years ago)I am so happy to have come across this posting. We have been trying to medicate our cat with an anti-anxiety medication because of an upcoming move and long car trip involved.
Up to this point everyone I have talked to suggests ways to pill a cat, says it is easy and can’t understand why we are not having luck.
Reply Ingrid July 5, 2014 at 6:24 am (2 years ago)Try using Spirit Essences holistic remedies, Pawsey Girl.
There are several different ways to give them, the easiest is to just spray them on your hand and then rub them on your cat’s fur. You may also want to consider Changing Times, you can start using that once you start packing and things in his environment start to change. Reply PawseyGirl July 5, 2014 at 8:50 pm (2 years ago)Thank you for your suggestions Ingrid, however we are currently living in China and do not have access to the products you recommended and would not have enough mailing time (customs,etc) before we have to leave.

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