Stanley G Schultz

Diabetes Holistic Treatments

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The word diabetes derives from the Greek, Stapatvo, meaning "passing through'' or "too swift a passage of the matter that is drunk.'' It is used today to describe the condition of excessive production of urine or polyuria. As discussed earlier (Chapters 28 and 41), there are two forms of diabetes. One is diabetes insipidus, which results from impaired secretion or production of the antidiuretic hormone (ADH) due to injury to the hypothalamus or supraoptic nucleii. Diabetes insipidus can also, rarely, be due to impaired function of ADH receptors in the renal distal nephron and is then referred to as nephrogenic diabetes insipidus. The word insipidus refers to the fact that in this affliction the urine tastes bland or insipid. The other form of diabetes is diabetes mellitus, which may arise from a lack of insulin secretion due to autoimmune destruction of pancreatic ^-cells (so-called type I or insulin-dependent diabetes mellitus) or from insulin resistance of target organs (so-called type II or noninsulin-dependent diabetes mellitus). Some years ago, the former was referred to as juvenile and the latter as adult-onset diabetes mellitus, but, with the increasing incidence of obesity among teenage children, this distinction has become blurred and is no longer in use. In 1679, Dr. Thomas Willis reported that urine from patients afflicted with this illness (which he referred to as the "pissing evil'') tasted "honeylike''; hence, the descriptor mellitus (from mellifluous).

Prior to 1921, severe insulin-dependent diabetes mellitus was a lethal disease, with many of the afflicted dying in a state of severe ketoacidosis. In that year,

Frederick Banting and a medical student, Charles Best, isolated insulin from canine pancreas during a summer research project, the likes of which will probably never be seen again. In 1923, Banting and, ironically, Macleod (the chairman of the department who made available the laboratory space and the use of eight dogs for the historic experiments) shared the Nobel Prize for this life-saving contribution. Today, thanks to this monumental work, severe ketoacidosis can be avoided and managed.

In order to appreciate diabetic ketoacidosis, we will analyze the case of a patient, U.T., who was first hospitalized at the age of 20 years. For several weeks before this hospitalization she had been under considerable academic and financial stress; she was working long hours and often skipped meals. During the week prior to her hospital-ization, she lost several pounds of weight and noted a marked increase in thirst and in fluid intake (polydipsia). She would awaken several times per night to void (polyuria). In the days prior to admission, she became increasingly weak, lethargic, and dizzy whenever she tried to stand. She collapsed on several occasions trying to get to the bathroom. She also became nauseated and vomited twice.

On admission to the university infirmary, U.T. was found to have a blood pressure of 90/60 mm Hg when supine, which fell to 65/45 mm Hg when she stood up briefly. Her pulse was 120/min supine and increased to 140/min upon standing. Her respirations were deep and at 30/min, and an alert intern detected the odor of acetone

Essential Medical Physiology, Third Edition

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Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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