CBD Oil Is All The Rage These Days. It Comes From The Cannabis Plant And You Can Rub The Oil On Your Skin To Help Alleviate Symptoms Of Eczema, It Can Be Dropped Into Your Morning Coffee To Give You A Boost To Start The Day And, Most Popularly, You Can Now Get Hold Of Delicious Gummies That Are Infused With Cannabidiol (CBD) And All Of Its Beneficial Properties To Help Ease Anything From Anxiety To Chronic Pain. CBD Gummies (Or CBD Gummy Bears) And other CBD products are derived from high-quality hemp plants, which means that they are completely legal and are also proving to be highly effective among those who suffer from stress and anxiety.
This is not the first time we have seen any “miracle” products make the headlines, however. CBD differs slightly in that, to date, there is actually quite a bit of research that backs up its efficacy as a potential treatment for epilepsy and arthritis and CBD is also proving itself to be an excellent complimentary treatment that is capable of soothing the uncomfortable side effects of radiation and chemotherapy in cancer patients such as chronic pain.
CBD Gummies for Stress and Anxiety: Do They Work?
Anxiety and stress are two intertwined afflictions that affect millions of people across the world. And while the illness is often treated with benzodiazepines, many people who suffer from anxiety are adamant that they would rather not rely on highly addictive pharmaceuticals to restore balance to their body and mind. More scientists are starting to investigate the effects of cannabidiol on anxiety and numerous benefits have already been discovered and backed up by science.
Although CBD is still considered an experimental treatment, there is undeniably a psychological effect that is brought about by consuming gummies—and no, we aren’t referring to feeling high. When CBD is able to interact and positively stimulate the endocannabinoid system, the body is able to better respond to both internal and external factors that can cause stress and anxiety. This means that your overall mood can become more stable and feelings of panic will be more manageable and they sometimes disappear completely. That said, it is important to manage your expectations and understand that although thousands of people have come forward on social media and news outlets to declare that CBD oil is a miracle that has changed their life—this can’t actually be backed up 100% by science and you should never substitute your existing medication with CBD without discussing it with your doctor first.
Why Choose CBD Gummies Over Tincture?
Simply put, it’s a matter of personal preference. Many reputable brands have started taking into account that the majority of people don’t like the taste of CBD oil and other CBD products (they really don’t taste great), so they have developed alternative methods of consuming CBD, which is better suited to those who have difficulties swallowing capsules. For example, CBD gummies can be conveniently taken regardless of where you are and they add an element of sweetness fun to taking “medication.” Gummy bears infused with CBDhave become popular among people who struggle with anxiety, as these edibles can be sucked to slowly release the goodness and the effects are thought to last longer. Another advantage is that a good brand should be transparent about exactly how many milligrams of CBD is present in each gummy, making dosage much easier as you won’t have to worry about consuming too little or too much.
What Does the Medical Industry Say about CBD?
Medicine is advancing and the use of alternative remedies to treat particular illnesses is often encouraged by many open-minded physicians as a complementary treatment to pharmaceuticals. And while researchers still need to overcome certain roadblocks with regards to performing more studies on the health benefits of these edibles and CBD in particular, research that has been completed has produced incredibly promising results. Notably, the journal of Neurotherapeutics published a review that highlighted the potential of CBD as a natural remedy for a range of different anxiety disorders. Of course, while many Avant-garde physicians are all for the use of CBD to treat illness, others are concerned that there is a lack of clinical trials focusing on the efficacy and safety of CBD. There are always two sides to every story and while information on this new “miracle” drug is still lacking from a scientific point of view, what we do know currently is that CBD can be safely used alongside the majority of pharmaceuticals and there have not been any serious side effects of using the compound reported to date.
How to Choose a Good Brand of CBD Gummies
If you want to start your CBD journey with a successful outcome, then you should begin by educating yourself on certain brands and what they offer. As the medical marijuana bandwagon gets increasingly bigger, more companies are popping up online selling gummies, tinctures, and other CBD edibles. Before you make any kind of investment, be sure that the brand you buy from offers the following:
- Pesticide-free, non-GMO products
- Complete transparency with regards to dosage
- Third-party lab testing
- Chemical-free products
- The legal amount of THC
- Natural additives and flavorings
- Infused with full spectrum CBD oil
- No chemical solvents
- CO2 extraction method for purity
There is also a wide range of online forums and website where you can seek advice from other CBD users and hear their honest opinions about a particular product or brand.
Final Thoughts On CBD Gummies to Help with Stress & Anxiety
As someone who suffers from anxiety and have experienced the negative consequences of the long-term use of benzodiazepines, I am all for trying alternative supplements. And if taking a piece of candy each day in the shape of these amazing CBD edibles can help alleviate the niggling internal feelings of panic and unease or even pain, then that is music to my ears. However, managing expectations is super important in the world of CBD, which is currently stuck fast in no man’s land in the medicinal field. Never make any decisions without consulting your doctor and certainly don’t stop taking any prescribed medication suddenly.
Do You or Your Travel Partner Suffer From Diabetes? Here’s What You Need to Know When Traveling Domestically
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Diabetes currently affects 30.3 million Americans. That’s nearly one in ten!
The odds that either you or someone you love suffers from diabetes are alarming. It can be a difficult disease to handle, especially along your travels. Whether you’re a diabetic with an ambitious bucket list or you’re traveling with a diabetic who needs your care, we’ll give you the need-to-know for your upcoming domestic travels.
Just like anything else, each situation is very different and should be handled on an individual basis. Not all of these tips will apply to everyone with diabetes. After all, there are different types of the condition:
- Type 1
- Type 2
Here are some tips to exercise in preparation for and during your travels on how to manage diabetes.
Travel With Confidence as a Diabetic
With finding cheap flights, reserving the best hotels, mapping out activities, and planning finances, it’s difficult enough to construct the perfect trip WITHOUT worrying about diabetes. Managing your diabetes or your loved one’s diabetes can make it that much more overwhelming. A few of my family members have diabetes, and we’ve learned to construct our vacation plans around meals.
But there are ways to quiet your stress and amplify your excitement for your adventure.
Preparing for Your Trip
One cardinal step you can take to prepare for your trip is to research pharmacies in the area you plan to visit. That way you’re not scrambling for the best options during an emergency!
It’s true that we’re living in a non-paperwork era. But nothing can ever replace a proper doctor’s note.
This is especially applicable to seniors and children traveling alone. However, it can’t hurt to have a conversation with your doctor about any recommendations they would give for traveling with diabetes. You might have questions such as:
- Any vaccines you might need
- If you should expect any unusual effects from your upcoming activities
- If your insulin doses should be modified
Be sure to get the doctor’s appointment well ahead of time so there is no last-minute rush. You should also have a written prescription on your person. If you are carrying syringes and/or insulin, it is important to carry documentation that the medication is for you specifically.
Diabetes is considered a disability, so it is always a good idea to have documentation. And to be doubly prepared, keep in mind airport policies & accessibility options around the country. Here is a quick sample of airport wheelchair policies & accessibility options from a few of the busier airports in the United States:
|Airport||Accessible Restrooms||Handicap Parking||Wheelchair Service|
|Hartsfield-Jackson Atlanta International Airport (ATL)||All restroom facilities are fully equipped for wheelchair access. Four sets of “Men/Women” restrooms are located on each concourse. One set is located at either end, and two sets are centrally located on each concourse. Two sets are in the Airport’s Domestic Terminal atrium, including one set in the arrival’s lobby. Additional restrooms are located at the International Terminal, with a set on both the departure and arrival levels.|
Unisex family restrooms for those traveling with an attendant are located throughout the Airport:
Domestic terminal arrival’s lobby (2)
|Parking for passengers with disabilities is available in all Airport parking areas. Once you enter the parking lot, just follow the signs to the designated parking spaces, which are closest to the Airport’s terminals.|
Passengers with disabilities are encouraged to use the Airport “Park-Ride” facility, which offers convenient service to the domestic terminal. A free, wheelchair-accessible shuttle bus will pick up passengers at their vehicle and take them to curbside check-in.
Vans taller than 8 feet should park in “Park-Ride” lots. Upon returning to Hartsfield-Jackson, “Park-Ride” customers are picked up at the ground transportation area. “Park-Ride” parking rates are $1 per hour and $9 per day.
For additional information, contact ABM-Lanier-Hunt 24 hours a day at (404) 530-6725.
|Airline representatives are available to provide wheelchair assistance. To reserve a wheelchair, contact the airline directly before your scheduled flight. Passengers with limited English proficiency should contact their airline for language assistance.|
Due to partial closures on the North Terminal roadways, passengers who need wheelchair assistance for drop-off between 9 p.m. and 5 a.m. should contact their airline’s wheelchair company at least five minutes before arriving at the Airport.
Prime Flight (Air Canada, Alaska, American, Contour, Spirit and Turkish) – 404-530-7049
|John F. Kennedy International Airport (JFK)||Each terminal has at least one wheelchair accessible restroom. If you need assistance locating one, just ask at the information booth located on the Arrivals Level in any of the terminals.||The terminals and parking lots at JFK are divided into five areas, each specified by a separate color. For your convenience, the parking lots nearest the terminal entrances have a limited number of spaces for travelers with disabilities. To park in the spaces, official license plates issued by a municipality or state of residence must be prominently displayed. Parking fees for these vehicles are equal to the lowest rate available at the airport.||Contact your airline prior to travel for wheelchairs. If you’re traveling with a motorized wheelchair, please ask the airline when you purchase the ticket about their policies regarding battery-operated wheelchairs.|
|Los Angeles International Airport (LAX)||Each terminal has at least one wheelchair accessible restroom.||All parking facilities have designated handicap parking stalls.||Requesting a Wheelchair|
To Request wheelchair service, it is recommended you contact your airline 72 hours in advance. Wheelchair service is provide free of charge by your airline. Tipping is not required for wheelchair service. Most individuals requesting wheelchair assistance are transported via wheelchair from ticketing to their aircraft. Airlines are required to provide curbside wheelchair service when requested. On your return flight, you should remind a flight attendant near the end of your flight, that you will need a wheelchair upon arrival.
Each airline is responsible for providing wheelchairs for their customers with disabilities, from curbside drop-off to the aircraft. Contact your airline’s reservation desk a minimum of 72 hours prior to your flight to reserve wheelchair service. Wheelchair service is provided free of charge. Tipping is not required.
From Parking Structure
Airlines are not responsible for providing wheelchair service from parking structures to terminals.
|Phoenix Sky Harbor International Airport (PHX)||Each terminal has at least one family restroom with a private area to change clothing or disposable undergarments. Ask for directions at any information desk.||Accessible parking is available in all garages closest to the elevators. In the East Economy lot, accessible parking is available north of the PHX Sky Train Station. In the West Economy Park & Walk, accessible parking is available at the east end closest to Terminal 2.|
If you need extra time at the curb, Airport staff on the curb may issue Special Needs permits.
Over height or oversize parking is available in the uncovered economy parking areas and Oversized Vehicle parking area east of Terminal 4.
|Request a wheelchair when checking in and tell a flight attendant during the flight. If you are departing, you may request a wheelchair from a Sky Cap at the curb or from a Sky Cap or the airline on the ticketing level of the terminal. You can also request wheelchair service ahead of time when you book your tickets with your airline. Ask your airline about traveling with power chair batteries.|
|San Francisco International Airport (SFO)||Companion Care Restrooms for travelers needing companion assistance are located in all terminals, pre-security and post-security.||All airport parking facilities have convenient parking for vehicles displaying a:|
DP (Disabled Person) license plate
International Garages A and G have standard and van accessible parking at all levels.
In Long-Term Parking, accessible parking spaces for standard and van accessible vehicles are located on the first (ground) floor. SFO’s Long-Term Parking shuttle buses are wheelchair accessible.
|Travelers requiring wheelchair assistance are encouraged to advise their airline of their needs when making flight arrangements. Upon arriving at the airport, travelers with wheelchair or other special requests should approach an airline representative for assistance.|
At Domestic Terminals 1, 2, and 3, airline staff can be approached at curbside and check-in areas. At the International Terminal, please proceed to your airline’s assigned counter or dial 1-6210 from specially marked phones at all terminal entry doors.
Arrangements for assistance to and from other locations at SFO can be made with your airline.
Contact your airline customer service for further questions and assistance while traveling with someone with diabetes.
Bring a Schedule
As you are traveling, be sure to consider time zones.
Because we are all prone to some level of jet lag, this can significantly affect daily routines, including eating and time of insulin injections. If you don’t establish a schedule, your travels can be railroaded quickly with the potential fluctuation of blood sugar levels.
Pack Healthy Snacks
It’s vital to carry healthy snacks in case you or your travel buddy are running on low blood sugar. We all practice irregular eating habits while we travel, whether it be indulging in unhealthy food, drinking more than normal, or not getting enough water.
Eating out at a diabetes-friendly establishment isn’t always cheap, so bring and use your favorite restaurant rewards card to get the best bang for your buck for food. It’s a nice way to get a return for money you’d spend anyway.
You can also take control of your diet by packing your own food, including items you know are diabetes friendly, like:
- Cheese and crackers
- Apples and peanut butter
- Hard boiled eggs
- Trail mix
- Beef sticks
- Dried fruit
It’s good to mix a few non-perishables in there to ensure you’ve ALWAYS got sustenance in your back pocket. This can be the difference between an enjoyable adventure or an unfortunate trip to the hospital.
Hitting the Road
Just as you go to the doctor’s for a check-up prior to a vacation, take your car for a check-up, too!
If you are planning to head out for a road trip, be sure to take your vehicle in for an inspection at least a week before you hit the highway. If there’s something wrong with your vehicle, you are giving yourself a few buffer days between a potential problem and your vacation.
However, do consider renting a car. Sometimes it makes sense to pay for a rental car and put the miles on a vehicle that’s not your own. And if you do decide to rent a car, be sure to explore all of your options when it comes to using rewards cards for car rentals. Along with that, be sure to use cards that will give you the biggest return on gas purchases.
If you’ve got room, consider bringing extra medical supplies and snacks. If you’re making a long drive through parts of the country where medical access isn’t readily available, you’re obviously going to want as many fallback solutions as you can get. Bring enough food to account for low blood sugar, and pack a cooler for insulin in case you are traveling through high temperatures (not directly on ice, though!).
Lastly, driving can be extremely tiring. Whether you are driving or not, being cooped up a car for hours on end is taxing. Taking frequent breaks will allow everyone to stretch to keep blood flow moving and prevent fatigue.
Traveling by Air
While traveling by air is a bit more luxurious, it can still be hard on your body.
Notify the Proper People
If you decide that flying is your best mode of travel, be sure to let the appropriate people know (for example, your flight attendant while you’re boarding the plane). That way they’ll understand when you press the call button and request a cup of juice to stave off hypoglycemia.
This is particularly wise if you’re traveling alone.
In the same vein, you can even use a TSA notification card that will make your airport security process a little less of a headache.
Store Your Medication in Your Carry-On Bag
Also, consider bringing medical necessities in your carry-on bag instead of putting them into your checked bag. Do this for a few reasons:
- You always want access to your medication. If you end up stuck on the plane longer than you anticipated, or if onboard meals are delayed for some reason, it could lead to a bad situation if your supplies are in your checked bag
- You don’t want to subject your insulin to frigid temperatures in the cargo hold
- Checked bags get lost, misdirected, stolen, etc.
In fact, because airlines allow you 1 personal item (separate from your carry-on), you may want to bring a dedicated diabetes pouch filled with snacks, insulin, and tablets.
And don’t scrimp on the amount of snacks and medicine – bring WAY more than you imagine you’ll need! Remember, diabetics don’t have to abide by the 3.4-ounces-of-liquids rule like everyone else when going through airport security.
Use Airport Lounges to Stay Comfortable
To keep your comfort levels up, consider entering airport lounges to rest up and have access to snacks and drinks before your flight. This is my all-time favorite travel accessory.
Airport lounge access isn’t as expensive as you might imagine, especially if you have the right credit card! If you are anticipating a long flight, it could make a world of difference. Many lounges have hot meals, free beverages, high-speed Wi-Fi, private bathrooms, and even showers!
Just like anything else in life, preparation is key to ensure a smooth and enjoyable experience. If you or someone you are traveling with is diabetic, taking steps ahead of time could save you from a potentially health-threatening situation.
Diabetes shouldn’t stop you from seeing the world!
What is the Somogyi effect?
The Somogyi effect may be similar to the dawn phenomenon.
Named after Michael Somogyi, a Hungarian-born researcher who first described it, the Somogyi effect is the body’s defensive response to prolonged periods of low blood sugar. A dose of insulin before bed that is too high can be a cause.
When insulin reduces the amount of glucose in the blood by too much, it causes hypoglycemia. In turn, hypoglycemia makes the body stressed, triggering the release of the stress hormones epinephrine (adrenaline), cortisol, and growth hormone. The endocrine hormone glucagon is also released.
Glucagon triggers the liver to convert stores of glycogen into glucose, which can send blood glucose levels into a rebound high. The stress hormones keep the blood glucose levels raised by making the cells less responsive to insulin. This is known as insulin resistance.
The Somogyi effect is widely cited among doctors and people with diabetes, but there is little scientific evidence for the theory.
For example, one small study found that hyperglycemia upon waking is likely to be caused by not enough insulin before bed. Researchers also found that participants who appeared to have rebound hyperglycemia did not have higher levels of growth hormone, cortisol, or glucagon than others.
A 2007 study of 88 people with type 1 diabetes using continuous glucose monitoring, found that individuals who experienced hyperglycemia upon waking had not experienced hypoglycemia at nighttime. In other words, the Somogyi effect was not observed.
However, other studies cite the Somogyi effect as a common cause of morning time hyperglycemia in people with type 1 diabetes.
Somogyi effect versus dawn phenomenon
The dawn phenomenon, or “dawn effect,” is similar to the Somogyi effect in that people experience hyperglycemia in the morning. But the reasons for the hyperglycemia differ.
The dawn effect results from a rise in early-morning blood sugar levels, which are triggered by declining levels of insulin, and an increase in growth hormones.
Testing blood sugar levels at 3.00 a.m. and again in the morning can help distinguish between the Somogyi effect and the dawn phenomenon. Blood sugar that is low at 3.00 a.m. indicates the Somogyi effect, while high or normal blood sugar at that time suggests the dawn phenomenon.
The Somogyi effect is considered less common than the dawn phenomenon. But some researchindicates it is the most common cause of fasting hyperglycemia in people with type 1 diabetes.
Symptoms of the Somogyi effect may include blurred vision, confusion, and dizziness upon waking.
Symptoms of the Somogyi effect start with high blood glucose levels upon waking, which are unresponsive to increased insulin doses. Symptoms include:
- low blood glucose levels at 2.00 a.m. or 3.00 a.m.
- night sweats
- rapid heart rate
- waking with a headache
- blurred vision
- dry mouth
- increased appetite
The Somogyi effect is seen in people with diabetes who use insulin therapy to manage their condition. It is caused by:
- taking too much insulin
- not eating enough before bed
Both of these factors cause blood glucose levels to fall too low. The body then responds to this by releasing hormones to raise blood sugar levels. However, sometimes the sugar levels get too high, causing hyperglycemia.
People who have hyperglycemia in the morning without any other known cause may be experiencing the Somogyi effect. Also, morning-time hyperglycemia that resists treatment with increased insulin is also an indicator.
Diagnosing the Somogyi effect is relatively straightforward. It can be done by taking blood glucose readings over several nights.
People should check their blood sugar levels:
- before bed
- at 3.00 a.m.
- upon waking
Low blood glucose at 3.00 a.m., with a high blood glucose reading upon waking, indicates the Somogyi effect.
Diabetes UK advise that, due to the nature of nocturnal hypoglycemia, many people who experience it do not wake up during the night. Therefore, monitoring blood glucose during the night is especially important in diagnosing the Somogyi effect.
Frequent glucose monitoring
Frequent glucose monitoring using a continuous glucose monitoring (CGM) system may be especially helpful.
It can help confirm the diagnosis over time and check for other periods of hypoglycemia that can cause rebound hyperglycemia.
This continuous testing also helps in the management of hypoglycemic unawareness, a complication of diabetes linked to frequent episodes of hypoglycemia. It occurs when a decrease in blood sugar no longer causes the characteristic symptoms of low blood sugar levels, leaving the person unaware that their levels are low.
Treatment and prevention
The only way to prevent the Somogyi effect is to avoid the development of hypoglycemia. Treatment of it should always be in consultation with a doctor.
Treatment options include:
- adjusting the timing of insulin administration
- lowering the dose of insulin taken before bed
- changing the type of insulin used
- eating a snack with evening insulin dosage
- taking into account lifestyle factors, such as stress and exercise
Doctors may recommend CGM for the long-term management of diabetes and the Somogyi effect. A CGM system can alert people to hypoglycemia or hyperglycemia through the use of alarms.
To ensure proper management of the Somogyi effect, a person’s weight and levels of the red blood cell protein called hemoglobin A1C, which binds to glucose, may also be monitored over time.
If people need to increase their nightly insulin dose, the risk of the Somogyi effect increases. So, to check for the Somogyi effect, testing blood sugar levels at 3.00 a.m. may be necessary for the first few nights following the insulin increase. If the new dose is causing issues, a doctor may recommend increasing the dosage gradually so that the body can adjust.
If the Somogyi effect is properly identified and managed, the outlook is excellent.
It is vital that people who are experiencing the Somogyi effect discuss the issue with their doctor before making any changes to their insulin regimen. In addition to insulin management, diet, exercise, and other lifestyle factors can also affect the outlook for people with diabetes and the Somogyi effect.
Honeymoon phase in diabetes: What you need to know
This near-normal blood sugar condition is achieved with decreasing amounts of insulin, and some people manage to come off insulin temporarily. This status quo is known as the honeymoon phase.
In this article, we take a look at the honeymoon phase in diabetes, and how long it might last. We also examine how it affects blood sugar levels and diabetes management.
What is the honeymoon phase in type 1 diabetes?
The honeymoon period occurs in some people with type 1 diabetes right after their initial diagnosis and once insulin treatment is started. During this time, a person’s diabetes may seem to go into remission or disappear.
Type 1 diabetes is the result of an immune attack against the pancreas, which is the organ that produces insulin.
When a person is first diagnosed with type 1 diabetes, some of their insulin-producing cells still function. With these cells continuing to do their job, the body retains some ability to produce insulin.
The need for synthetic insulin may decrease initially once treatment with insulin has begun. Some people may come off shots altogether.
This period, known as the honeymoon phase of diabetes, may last from a few weeks to several months but will eventually end.
Unfortunately, when a person with diabetes experiences the honeymoon phase, it does not mean that their diabetes has been cured. After a while, their remaining insulin-producing cells will stop working, as indicated by blood sugars rising again and an increasing need for synthetic insulin.
Once the insulin-producing cells die, the pancreas can no longer produce insulin and the honeymoon period ends.
After this happens, a person with type 1 diabetes will not have another honeymoon period and will depend on external insulin.
Is there a honeymoon phase in type 2 diabetes?
While some people may experience a reduction in their type 2 diabetes symptoms after they are diagnosed, this is not the same as a type 1 honeymoon phase.
Doctors may advise someone with prediabetes, or a person who is first diagnosed with type 2 diabetes, to modify their diet and lifestyle. This may include getting regular exercise and eating a healthful diet.
These changes can lower a person’s blood glucose levels. However, if they stop these healthful habits, blood glucose levels can rise again.
Honeymoon period duration
There is no standard time for a type 1 diabetes honeymoon phase to last, and no guarantee that each person with type 1 diabetes will experience this phenomenon.
Each person who goes through the honeymoon phase after a type 1 diabetes diagnosis will experience it differently, and for differing amounts of time.
The honeymoon phase usually occurs in the first 3 months after diagnosis.
Over a period of weeks to as much as a year or more, the immune system will continue to attack the pancreas and kill off the remaining cells that are producing insulin. As more insulin-producing cells die, the honeymoon period comes to an end.
Blood sugar levels during the honeymoon period
During the honeymoon period, a person with diabetes may experience normal or nearly normal blood sugar readings while taking no or minimal insulin.
Normal blood sugar levels, or plasma blood glucose readings, for people with diabetes, are:
- After fasting: 70–130
- After meals: Less than 180
- At bedtime: 90–150
During the honeymoon period, a person with diabetes may see these blood sugar readings regularly while taking little or no prescribed insulin.
However, over time, they will notice fewer readings within the normal level, signaling that the remaining insulin-producing cells no longer function and the honeymoon period may be ending.
Diabetes management during the honeymoon period
It is vital for a person to work with their doctor to find the right amount of insulin during this time.
During the honeymoon period, people should take some insulin, as doing so may preserve the remaining insulin-producing cells for longer.
Some doctors try to extend a person’s honeymoon period as long as possible, as blood sugar levels can be healthy during this time.
A doctor may suggest a person in the honeymoon period of diabetes take a certain amount of insulin in addition to making dietary changes.
Some research suggests that people with diabetes can extend their honeymoon period by following a gluten-free diet.
One study looked at newly-diagnosed children with type 1 diabetes. Half of the children were instructed to follow a gluten-free diet. Those that adhered to a gluten-free diet had better blood sugar levels after 6 months than those who did not.
Another study found that taking vitamin D and omega-3 fatty acids supplements may help extend the honeymoon phase and better manage diabetes. Researchers gave vitamin D supplements to 19 people out of 38 with type 1 diabetes.
The 19 people that were taking the vitamin D supplements had a longer honeymoon period than those who were given placebos.
Ongoing studies are actively looking at ways to delay the progression of type 1 diabetes.
As blood sugar levels may be within a normal range with little or no insulin treatment, a person in the honeymoon phase of diabetes must avoid taking too much insulin. Too much insulin can cause blood sugar levels to drop too low, leading to hypoglycemia.
A doctor will work directly with a person to determine the right amount of insulin for them.
Unfortunately, the honeymoon period during diabetes is only temporary. As the disease progresses, the remaining insulin-producing cells will die, and a person will become dependent on insulin treatments.
There is currently no cure for type 1 diabetes. After the honeymoon period ends, a person with type 1 diabetes will need to take insulin every day for the rest of their life.
There are several different ways to take insulin, including pumps, injections, and pens. A doctor will recommend the best treatment option for a person.
Treating type 1 diabetes and managing blood sugar levels can help a person avoid some of the serious complications that can occur with diabetes, including:
- heart disease
- vascular disease
- kidney failure
- loss of limbs
The better a person with diabetes controls their blood sugar, the less chance they have of experiencing these complications.
If a person with diabetes manages their blood sugar well, they can live a healthy and active life.
What are the early signs of type 2 diabetes?
Type 2 diabetes is a common condition. A 2017 report from the Centers for Disease Control and Prevention (CDC) found that 30.3 million adults in the United States have diabetes. The report also estimated that another 84.1 million U.S. adults have prediabetes.
People with prediabetes have higher-than-normal blood sugar levels, but doctors do not consider them to have diabetes yet. According to the CDC, people with prediabetes often develop type 2 diabetes within 5 years if they do not get treatment.
The onset of type 2 diabetes can be gradual, and symptoms can be mild during the early stages. As a result, many people may not realize that they have this condition.
In this article, we look at the early signs and symptoms of type 2 diabetes and the importance of early diagnosis. We also discuss the risk factors for developing this condition.
Early signs and symptoms
The early signs and symptoms of type 2 diabetes can include:
1. Frequent urination
When blood sugar levels are high, the kidneys try to remove the excess sugar by filtering it out of the blood. This can lead to a person needing to urinate more frequently, particularly at night.
2. Increased thirst
The frequent urination that is necessary to remove excess sugar from the blood can result in the body losing additional water. Over time, this can cause dehydration and lead to a person feeling more thirsty than usual.
3. Always feeling hungry
People with diabetes often do not get enough energy from the food they eat.
The digestive system breaks food down into a simple sugar called glucose, which the body uses as fuel. In people with diabetes, not enough of this glucose moves from the bloodstream into the body’s cells.
As a result, people with type 2 diabetes often feel constantly hungry, regardless of how recently they have eaten.
4. Feeling very tired
Type 2 diabetes can impact on a person’s energy levels and cause them to feel very tired or fatigued. This tiredness occurs as a result of insufficient sugar moving from the bloodstream into the body’s cells.
5. Blurry vision
An excess of sugar in the blood can damage the tiny blood vessels in the eyes, which can cause blurry vision. This blurry vision can occur in one or both of the eyes and may come and go.
If a person with diabetes goes without treatment, the damage to these blood vessels can become more severe, and permanent vision loss may eventually occur.
6. Slow healing of cuts and wounds
High levels of sugar in the blood can damage the body’s nerves and blood vessels, which can impair blood circulation. As a result, even small cuts and wounds may take weeks or months to heal. Slow wound healing also increases the risk of infection.
7. Tingling, numbness, or pain in the hands or feet
High blood sugar levels can affect blood circulation and damage the body’s nerves. In people with type 2 diabetes, this can lead to pain or a sensation of tingling or numbness in the hands and feet.
This condition is known as neuropathy, and it can worsen over time and lead to more serious complications if a person does not get treatment for their diabetes.
8. Patches of dark skin
Patches of dark skin forming on the creases of the neck, armpit, or groin can also signify a higher risk of diabetes. These patches may feel very soft and velvety.
This skin condition is known as acanthosis nigricans.
9. Itching and yeast infections
Excess sugar in the blood and urine provides food for yeast, which can lead to infection. Yeast infections tend to occur on warm, moist areas of the skin, such as the mouth, genital areas, and armpits.
The affected areas are usually itchy, but a person may also experience burning, redness, and soreness.
Importance of early diagnosis
Recognizing the early signs of type 2 diabetes can allow a person to get a diagnosis and treatment sooner. Getting appropriate treatment, making lifestyle changes, and controlling blood sugar levels can greatly improve a person’s health and quality of life and reduce the risk of complications.
Without treatment, persistently high blood sugar levels can lead to severe and sometimes life-threatening complications, including:
- heart disease
- nerve damage, or neuropathy
- foot problems
- kidney disease, which can result in a person needing dialysis
- eye disease or loss of vision
- sexual problems in both men and women
Untreated diabetes can also lead to hyperosmolar hyperglycemic nonketotic syndrome (HHNS), which causes a severe and persistent increase in blood sugar levels. An illness or infection will usually trigger HHNS, which can require hospitalization. This sudden complication tends to affect older people.
Keeping blood sugar levels under control is crucial for preventing some of these complications. The longer that blood sugar levels remain uncontrolled, the higher the risk of other health problems.
Risk factors for type 2 diabetes
Anyone can develop type 2 diabetes, but certain factors can increase a person’s risk. These risk factors include:
- being 45 years of age or older
- living a sedentary lifestyle
- being overweight or obese
- eating an unhealthful diet
- having a family history of diabetes
- having polycystic ovary syndrome (PCOS)
- having a medical history of gestational diabetes, heart disease, or stroke
- having prediabetes
- being of African American, Alaska Native, Hispanic or Latino, American Indian, Asian American, Native Hawaiian, or Pacific Islander descent
Type 2 diabetes is a common condition that causes high blood sugar levels. Early signs and symptoms can include frequent urination, increased thirst, feeling tired and hungry, vision problems, slow wound healing, and yeast infections.
Anyone who experiences possible signs and symptoms of diabetes should see a doctor for an evaluation, especially if they have other risk factors for developing this condition. The early detection and treatment of type 2 diabetes can improve a person’s quality of life and reduce the risk of severe complications.
Can people with type 2 diabetes stop taking metformin?
Certain lifestyle factors can increase the risk of type 2 diabetes, including:
- being overweight or obese
- engaging in low levels of physical activity
- eating a poor diet
Metformin is an oral medication that helps control the effects of type 2 diabetes. In people with prediabetes, the drug can also help prevent or delay the onset of the condition. Doctors prescribe metformin to nearly 120 million people worldwide.
In this article, we look at the side effects of metformin and explore the reasons that a person with type 2 diabetes might want to stop taking it. We also describe the risks of stopping the medication and how to do it safely.
Side effects of taking metformin
Metformin is an effective treatment for type 2 diabetes. It helps lower blood glucose levels by:
- making the body’s cells more sensitive to insulin
- slowing the release of glucose stored in the liver
- slowing the absorption of glucose from food in the gut
However, metformin has a number of potential side effects. Some are common, while others are rare.
Common side effects of metformin include:
- digestive problems, such as diarrhea, vomiting, and flatulence
- a vitamin B-12 deficiency
- slight weight loss
A person should talk to a doctor before stopping metformin treatment. Taking the medication with food reduces the risk of digestive problems.
Around 30 percent of people taking metformin in the long term experience vitamin B-12 deficiency. Symptoms can include:
- shortness of breath
- nerve damage
Less common side effects
In some people, metformin causes blood glucose levels to drop too low, and the medical term for this is hypoglycemia.
Hypoglycemia is more likely to occur if a person is taking insulin as well as metformin.
There is also a very low risk of developing a condition called lactic acidosis, which results from a buildup of lactic acid. This condition can be life-threatening.
Exercise can reduce insulin resistance and improve type 2 diabetes symptoms. However, some research suggests that taking metformin in the short term may reduce the positive effects of exercise on insulin sensitivity.
Reasons for stopping metformin
Regular exercise and losing excess weight can help reduce the need for metformin.
Due to the side effects of metformin and other antidiabetic medications, a person may prefer to manage type 2 diabetes through lifestyle changes. Even people who experience no side effects may wish to avoid the long-term use of medication.
Many people with type 2 diabetes find that they can manage their condition through lifestyle changes alone. These can include:
- Making dietary changes: A 2017 reviewfound that changing the diet may significantly reduce type 2 diabetes symptoms and prevent complications.
- Losing weight: In a 2018 study, almost half of the participants reversed their type 2 diabetes and came off antidiabetic medications following a 12-month weight loss program.
- Exercising regularly: A 2014 study suggests that a single exercise session can help to temporarily improve symptoms of type 2 diabetes.
Stopping smoking and reducing or avoiding alcohol can also help control symptoms.
Risks of stopping metformin
When a person chooses to stop taking metformin, or any other antidiabetic medication, there is a risk of symptoms becoming worse.
It is, therefore, essential that people manage their symptoms through sustainable lifestyle changes involving the diet, weight management, and regular exercise.
If left untreated, high blood glucose levels can lead to complications, such as:
- impaired vision, or diabetic retinopathy
- kidney problems, or diabetic nephropathy
- nerve damage, or diabetic neuropathy
- heart problems
- sexual health issues
- foot problems
Stopping metformin safely
Speak to a doctor before stopping metformin or any other antidiabetic medication.
A person can go off the drug safely if they are able to effectively manage their type 2 diabetes with sustainable lifestyle changes. These should involve:
- the diet
- weight management
- regular exercise
A doctor will often use certain criteria to determine whether it is safe for an individual to stop taking metformin. These criteria include:
- having a fasting or pre-meal blood glucose level of under 130 milligrams per deciliter (mg/dL)
- having a random or after-meal blood glucose level of under 180 mg/dL
- having a hemoglobin A1c result of under 7 percent
A doctor can give advice about choosing the right diet and exercise plans. They can also help set realistic goals and provide monitoring and support.
If necessary, they can refer a person to a dietician or another specialist.