4th International Symposia on Ozone Applications April 6th through 9th 2004, Havana City, Cuba Abstracts SECTION: OZONE IN MEDICINE Ozone Therapy in Diabetes Mellitus. Menéndez S., León O.S., Al-Dalien S.M., Martínez G., Candelario E.J. and Fernádez-Montequín J.I. (Cuba) It is well recognized the presence of oxidative stress in Diabetes Mellitus. Ozone can exert its protective effects by means of an oxidative preconditioning, stimulating and/or preserving the endogenous antioxidant systems. The aim of this paper is to evaluate the ozone effects in the oxidative stress associated to diabetes, in a preclinical and clinical studies. Preclinical study - Rats were divided in: 1- negative control group; 2- positive control group, using streptozotocin (STZ) as a diabetes inductor; 3- ozone, 10 treatments (1 mg/kg), after STZ-induced diabetes and 4oxygen (26 mg/kg), as group 3 but using oxygen. There was a correspondence between the decrease of hyperglycemia, the reduction of oxidative stress and the histopathological results. Ozone treatment was able to protect b -cells against STZ damage demonstrating how its antioxidant properties preserved b -cells function and reduced hyperglycemia induced by STZ. Clinical study - 101 Patients with neuroinfectious diabetic foot were divided in 2 groups: ozone, 52 patients (using 20 sessions of rectal and local ozone) and antibiotic, 49 patients (using systemic and local antibiotics). The efficacy of the treatments was evaluated comparing the glycemic figures, the area and perimeter of the lesion and the biochemical parameters involved in oxidative stress and endothelial damage, between both groups. Ozone treatment improved glycemic control by decreasing hyperglycemia, increased insulin sensitivity, prevented oxidative stress associated to Diabetes Mellitus and its complications, standardized organic peroxides figures and activated superoxide dismutase in comparison with antibiotic therapy. The pharmacodynamic effect of ozone, in the treatment of patients with neuroinfectious diabetic foot, can be ascribed to the possibility of being a superoxide scavenger. Clinically, patients treated with ozone therapy had a better (also with a less number of amputations) and faster recovery of their lesions in comparison with the patients treated with antibiotic therapy (26 days vs 34 days). Any side effect was found. These results demonstrated that medical ozone treatment could be a future alternative therapy of diabetes and its complications. Adult –Onset Diabetes – Oxygenated Blood Can Help return to list From: Alternative Medicine Magazine Issue 26, November 1998; Pages 26-28 YOU DON'T normally think of oxygen as a treatment for diabetes, but according to Frank Shallenberger, M.D., H.M.D., director of the Nevada Center of Alternative and Anti-Aging Medicine in Carson City, Nevada, ozone (a less stable, more reactive form of oxygen) can produce remarkable improvements in both the major and secondary symptoms of adult- onset diabetes. The connection between the ozone and diabetes is the blood circulation, Dr. Shallenberger says, as demonstrated in the following cases. Virginia, 51, had been diabetic for five years and was taking Glucotrol, an oral medication for controlling blood sugar levels. However, Virginia came to Dr. Shallenberger seeking treatment for recurrent breast cancer, a tumor that periodically grew then diminished. Dr. Shallenberger decided to ozonate her blood as ozone is often used as a healing substance in alternative cancer treatments. He drew 150 cc of Virginia's blood then injected it with ozone gas. Ozonating the sample of Virginia's blood took about 40 minutes, after which it was re infused into her body. He did this daily to address the cancer. What surprised Dr. Shallenberger in this case was that not only the breast cancer responded to ozonation (it started to dissolve) but so did Virginia's diabetes. Her blood sugar levels began dropping too low (a condition called hypoglycemia) indicating that the ozone and Glucotrol were controlling her blood sugar too well. Dr. Shallenberger reduced her Glucotrol dosage to once daily, then soon after, as the low blood sugar trend continued, eliminated the drug altogether. "Practically speaking, Virginia didn't have diabetes any longer," notes Dr. Shallenberger. How did ozone bring her diabetes under control? Diabetics always run the risk of complications, such as loss of vision, heart disease, nerve dysfunction, and gangrenous limbs. Diabetics usually have considerable circulation problems such that the actual blood flow to their tissues is diminished, explains Dr. Shallenberger. Patients often have difficulty digesting fats (such as cholesterol and triglycerides) and their arteries tend to thicken and harden. "This is compounded by the fact that what little blood reaches their tissues is less effective than it should be and is unable to deliver oxygen to those tissues," says Dr. Shallenberger. "The tissues become oxygen depleted, which explains why diabetics have problems with gangrene and why they're unable to resist infections." A prime reason the red blood cells in the diabetic's blood are unable to release their oxygen is that a key molecule called 2,3diphosphoglycerate, or 2,3-dpg for short, is in reduced supply. Under normal conditions, 2,3-dpg stimulates red blood cells which carry oxygen to deliver it to the tissues; but if there isn't enough of this molecule in the system, the red blood cells can't deliver the oxygen. When you introduce ozone--that is, more oxygen-into the blood, more 2,3-dpg is produced and the oxygen-delivery system and the efficiency of blood circulation start to improve. The ozone also appears to enhance the activity of cellular metabolism, the continual conversion of food into energy. Dr. Shallenberger likens the metabolism-heightening effect of ozone to a similar benefit to diabetics obtained through vigorous exercise. It oxygenates the tissues and gets all the body processes running better, he says. Levels of ATP, an important molecule which stores energy in the cells, are also enhanced through ozonation. Among other functions, ATP helps each cell maintain the integrity of its membrane, thereby enabling it to regulate the passage of materials into and out of the cell, says Dr. Shallenberger. If the cell membrane collapses, the cell dies; if a lot of cells die you start getting tissue death, and gangrene becomes a possibility. Gangrene in a toe was a serious diabetic complication besetting Quentin, 50. His diabetes was poorly controlled, mainly because he was reluctant to comply with dietary restrictions, says Dr. Shallenberger. Specifically, he didn't want to give up drinking beer. Even with a daily dosage of four Micronase pills (another blood sugar-controlling drug), Quentin's blood sugar level was around 230; a safe, normal level ranges between 70 and 120. Dr. Shallenberger already had worked with Quentin for two years, prescribing dietary changes, herbs, and supplements, but when Quentin developed gangrene on the third toe of his right foot and conventional doctors were scheduling him for amputation at the ankle, Dr. Shallenberger decided to try ozonation. "Quentin's toe was completely black and they were going to amputate his entire foot because the rest of the tissue was on the borderline of becoming gangrenous, too," he notes. For Quentin's treatment, Dr. Shallenberger added another element to the ozonation procedure: chelation. The Chelation would help improve Quentin's blood circulation by removing heavy metals and arterial plaque. Dr. Shallenberger calls his combined treatment "chezone." Chelation improves blood circulation to the tissues, he explains, which means they get more oxygen. This in turn improves their metabolic rate (energy processing efficiency) and enables them to make better use of glucose (blood sugar). When you have higher efficiency in using glucose, you are much closer to controlling the diabetes naturally, says Dr. Shallenberger. Using ozone, as stated above, helps the patient utilize the available oxygen better, due to improved circulation. Combining Chelation with ozone in effect doubles the circulation benefits. In addition to chezone, Dr. Shallenberger put an ozone extremity bag around Quentin's right foot, filled it with ozone gas, and left it in place for 20 minutes. In this way, the ozone was absorbed through the skin, an approach that has proven successful in treating chronic sores and skin ulcers, says Dr. Shallenberger. Each time he gave Quentin a chezone treatment (ten in all, one per day), he also ozonated his foot. After about two weeks, the foot was much improved; the area between the ankle and gangrenous toe had healed which meant only the toe would have to be amputated. After the surgery, Quentin hurt his foot in such a way that the stitches broke open and a large ulcerating sore formed. His doctors talked about amputation again, but after another six weeks of chezone and foot ozonation treatments, Quentin's foot healed again. Following the first two weeks of intensive treatments, Dr. Shallenberger gave him a chezone once weekly and foot ozonation three times weekly. In ensuing months, Quentin received maintenance treatments. About ten weeks after the first chezone treatment, "the lesion in Quentin's foot was entirely healed and he was down to only two Micronase pills a day," says Dr. Shallenberger. "If I had been able to treat his toe before it went black, I probably could have saved it." As it turned out, Dr. Shallenberger did save Quentin's right foot twice. "I'm not convinced you can get all diabetics off their medication. To me the point is how well you can control the blood sugar." In the case of Leonard, 64, controlling his sugar intake was central to being able to get his diabetes and gangrene complications under control. Leonard, who developed diabetes six years earlier, was on insulin and Glucophage (another diabetes drug) to control his blood sugar levels. However, Leonard developed a blister on the sole of his foot; when this became infected, his doctor cleaned out all the infected tissue, leaving a hole in his foot. Over a three-month period, this wound failed to heal even with antibiotics and Leonard's doctors were talking about amputating his foot. Dr. Shallenberger started Leonard on the same combination chezone and foot ozonation program that had worked so well for Quentin. Then he added a piece of advice. "You must cut down on your sugar intake." Leonard ate a lot of white sugar in his diet and none of his conventional doctors apparently made the link between high dietary sugar intake and the inability of his infection to heal. "White blood cells, the immune cells that fight infection, cease to function in the presence of elevated glucose levels," says Dr. Shallenberger. After two treatments, Leonard's foot was noticeably improved and his energy levels were heightened. The initial progress motivated Leonard to comply fully with the program. Dr. Shallenberger started Leonard on a series of nutrients and remedies including chromium and vanadium, to help his body utilize its natural pancreatic insulin. People with adult-onset diabetes produce insulin but their system becomes unable to use it, a condition called insulin resistance. In fact, the pancreas of such a patient generally produces too much insulin; as the body fails to act on this insulin, the pancreas produces yet more. The minerals chromium and vanadium break this cycle and support the body in making use again of pancreatic insulin, says Dr. Shallenberger. Among the other elements of Leonard's program were pancreatic enzymes (to support pancreas function and to improve digestion; 400800 mg three times daily), the hormone melatonin (to bolster the immune system; 3 mg once daily), and the hormone DHEA, levels of which tend to be about 50% below normal in diabetics. Low DHEA levels may help explain the characteristic weight gain in people with adult-onset diabetes, says Dr. Shallenberger. He notes that DHEA doses will vary with each patient. "Women should take enough (usually 10-25 mg daily) to raise the serum DHEA-sulfate to between 2,000 and 3,000 mg/ml, while men should take enough (usually 50-100 mg daily) to raise it to between 3,000 and 4,000 mg/ml." He also gave Leonard a specialized product (made from the fungus Mucor racemosus) called Mucokehl, developed in Germany by the Sanum company, and now used selectively (as part of a line of several dozen similar substances) by North American physicians. The Mucokehl would help regulate microorganisms which affect the thickness and texture of the blood. After a month of treatments, Leonard's foot was completely healed, says Dr. Shallenberger. As his blood sugar came under better control, Leonard was able to lower his daily insulin intake and resume his busy life. return to list QuickTime™ en een -decompressor zijn vereist om deze afbeelding weer te geven. Arq Bras Endocrinol Metabol. 2007 Mar;51(2):204-11. [Microcirculation in diabetes: implications for chronic complications and treatment of the disease]. [Article in Portuguese] Aguiar LG, Villela NR, Bouskela E. Source Laboratório de Pesquisas em Microcirculação, Departamento de Ciências Fisiológicas, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil. Abstract Diabetic microangiopathy is responsible for an important rate of morbidity and mortality related to the disease. Endothelial damage seems to be the triggering factor in the pathogenesis of microvascular complications. Diabetes mellitus and other metabolic diseases are associated to endothelial dysfunction, the most precocious known marker of atherosclerosis. Changes on microvascular reactivity are present in patients with diabetes mellitus, as well as in individuals with risk factors for this disease. Evaluation of endothelial and microvascular functions is possible using different invasive or preferentially noninvasive methods. Adequate control of diabetes mellitus might postpone or perhaps even prevent the microvascular disease. Microvascular dysfunction, when seen only by changes on microvascular reactivity, could be ameliorated with correction of risk factors or drug treatment. PMID: 17505627 [PubMed - indexed for MEDLINE] Free full text Diabetes mellitus (Zuckerkrankheit) – Was Sie wissen sollten Eine Information der Kassenärztlichen Vereinigung Saarland Liebe Patientin, lieber Patient, mit dieser Information möchten wir Sie über die Versorgungsmöglichkeiten von Patienten mit einem Diabetes mellitus (Zuckerkrankheit) informieren. Die Möglichkeiten zur Therapie dieser Erkrankung haben sich in den letzten Jahren deutlich verbessert. Im Mittelpunkt steht vor allem die Vorbeugung und verbesserte Betreuung der Patienten. Wir möchten Ihnen einen kurzen Überblick über Erkrankungsformen und Therapiemöglichkeiten geben und Ihnen die in den vergangenen Jahren entwickelten speziellen Behandlungsprogramme (Disease-Management-Programme) für Diabetiker vorstellen. Ziel dieser Information ist es, Sie möglichst frühzeitig auf Hinweise einer Zuckerkrankheit aufmerksam zu machen, damit Sie rechtzeitig Ihren Arzt aufsuchen können. Darüber hinaus finden Sie Internetadressen von Patientenvereinigungen, Fachgesellschaften und weiteren Organisationen, bei denen Sie Wissenswertes über die Krankheit erfahren. Was bedeutet eigentlich Diabetes mellitus? Diabetes mellitus heißt soviel wie „honigsüßer Durchfluss“. Zu den Kennzeichen gehört, dass der Körper vermehrt Zucker ausscheidet. Umgangssprachlich wird die Krankheit daher auch Zuckerkrankheit genannt. Allein in Deutschland leben mittlerweile rund 4 Millionen DiabetesKranke, das sind etwa fünf Prozent der Bevölkerung. 1 Rund 90 Prozent davon haben einen so genannten Typ- 2-Diabetes-mellitus, der vorwiegend im höheren Alter auftritt und in enger Beziehung zur eigenen Lebensweise steht. Fünf Prozent leiden am Typ-1-Diabetes-mellitus, der vor allem bei Kindern und Jugendlichen auftritt. Andere Formen sind eher selten. Für alle Erkrankungsformen gilt, dass zu viel Glucose – das ist eine Form von Zucker – im Blut vorkommt. Die ersten Symptome der zu hohen Blutzuckerwerte sind insbesondere großer Durst, häufiges Wasserlassen und Müdigkeit. Spätkomplikationen sind beispielsweise Durchblutungsstörungen, schlecht heilende Wunden oder Nervenschädigungen, die zu Erblindung, Nierenerkrankungen oder Fußamputationen führen können. Was unterscheidet die beiden Hauptformen? Beim Diabetes mellitus vom Typ 1 zerstört in den meisten Fällen das eigene Immunsystem bereits bei Kindern oder Jugendlichen – die Mehrzahl erkrankt im Alter von 10 bis 15 Jahren – die insulinproduzierenden Zellen in der Bauchspeicheldrüse. Dem Körper fehlt das Insulin, ein lebenswichtiger Stoff, der wie ein Türöffner dafür sorgt, dass Zucker aus dem Blut in die Körperzellen aufgenommen wird. Die Folge ist ein zu hoher Blutzuckerspiegel. Beim Diabetes mellitus vom Typ 2 produziert die Bauchspeicheldrüse zwar ausreichend Insulin, aber die Zellen, die dafür sorgen, dass mithilfe des Insulins Glucose aus dem Blut in den Körper gelangt, reagieren nicht mehr auf diesen Türöffner. Sie sind gegen Insulin resistent geworden und lassen die Glucose nicht hinein. Auch hier ist die Folge ein Anstieg der Blutzuckerwerte. Wie therapiert man Diabetes mellitus? Während Patienten mit Diabetes mellitus vom Typ 1 regelmäßig Insulin spritzen müssen, können Menschen mit Diabetes mellitus vom Typ 2 vor allem im Anfangsstadium den Blutzuckerspiegel schon durch eine angemessene Ernährung und viel Bewegung normalisieren. In einem späteren Stadium werden auch hier Medikamente eingesetzt. Eine Zuckerkrankheit bedeutet für die Betroffenen, ihr Leben grundsätzlich umzustellen. Das heißt nicht, dass sie in Zukunft auf alles verzichten müssen, aber sie müssen lernen, wie die Krankheit funktioniert und was sie selber tun dürfen und können. Daher ist ein wesentlicher Baustein der Diabetestherapie die Schulung der Patienten, damit sie die Grundlagen und Details der Krankheit verstehen lernen. Darüber hinaus erfahren sie, wie sie durch 1 Quelle: Gesundheitsberichtserstattung des Bundes, Heft 24 Diabetes mellitus, 14.03.2005: www.rki.de Kassenärztliche Vereinigung Saarland – Faktoreistraße 4 – 66111 Saarbrücken – Tel.: 0681/ 4003-0 – www.kvsaarland.deErnährungsumstellung, ausreichende Bewegung und Medikamente mit der Zuckerkrankheit ein normales Leben führen können. Wie finde ich den richtigen Arzt? Wer einen speziell geschulten Arzt in seiner Nähe sucht, findet die entsprechenden Ansprechpartner über die kostenlose Arztsuche der Kassenärztlichen Vereinigung Saarland: www.kvsaarland.de. Welche Schulung am besten für den Erkrankten geeignet ist, können nur Patient und Arzt gemeinsam entscheiden. Diabetologisch geschulte Haus- und Fachärzte haben einen Überblick über das aktuelle Angebot und können daher dem Patienten individuelle Schulungsmöglichkeiten empfehlen. Was sind Disease-Management-Programme (DMP)? Hinter dem Begriff DMP verbergen sich strukturierte Behandlungsprogramme, mit deren Hilfe chronisch Kranke möglichst optimal versorgt werden sollen. Diese Programme bestehen für verschiedene chronische Krankheiten, so auch für Diabetes mellitus. Das Ziel dieses Programms für Diabetiker ist es, Spätkomplikationen der Zuckerkrankheit zu verhindern oder zumindest so schnell zu erkennen, dass man sie noch rechtzeitig therapieren kann. Dies soll mithilfe von Qualitätskriterien und einer engen Zusammenarbeit aller am Behandlungsprozess beteiligten Personen erreicht werden. Wo gibt es Hilfe? Weitere Informationen zum Diabetes mellitus erhalten Sie bei folgenden Institutionen: Der Deutsche Diabetiker Bund (DDB) ist die größte und älteste Selbsthilfeorganisation für Diabetiker in Deutschland: www.diabetikerbund.de. Der Bund diabetischer Kinder und Jugendlicher e.V. hilft betroffenen Eltern bei sozialen, medizinischen und psychologischen Problemen: www.bund-diabetischer-kinder.de. Die Deutsche Diabetes Stiftung (DDS) informiert vorrangig die Bevölkerung über die Gefahren der Zuckererkrankung und entwickelt Projekte zur Vorsorge: www.diabetesstiftung.de. Die Deutsche Diabetes Gesellschaft (DDG) ist eine wissenschaftliche Fachgesellschaft und widmet sich der Behandlung des Diabetes mellitus: www.deutsche-diabetes -gesellschaft.de. Die Deutsche Diabetes-Union e.V. (DDU) ist eine Vereinigung von Diabetikern, Ärzten und Wissenschaftlern: www.diabetes -union.de. Das Robert Koch-Institut (RKI) gibt fortlaufend Themenhefte zur Gesundheitsberichterstattung heraus. Darin werden spezifische Informationen zum Gesundheitszustand der Bevölkerung veröffentlicht. Ein Heft zum Diabetes mellitus finden Sie unter der Internetadresse: www.rki.de. Das Programm für Nationale Versorgungsleitlinien (NVL) ist eine gemeinsame Initiative der Bundesärztekammer, der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften und der KBV zur Förderung von Qualität und Transparenz in der Medizin. Auf der Internetseite der NVL finden Sie Informationen zum Thema Diabetes mellitus: www.versorgungsleitlinien.de/themen. Das Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG) veröffentlicht unter der Webadresse www.gesundheitsinformation.de seit Juli 2005 evidenzbasierte (wissenschaftlich verlässliche) Patienteninformationen. Hier finden sie auch Informationen zum Diabetes mellitus. Wer ist die Kassenärztliche Vereinigung? Die Kassenärztliche Vereinigung Saarland ist die Dachorganisation der rund 1.800 niedergelassenen Ärzte (Haus- und Fachärzte) und Psychotherapeuten im Saarland. Sie stellt unter anderem sicher, dass es genügend Ärzte und Psychotherapeuten im Saarland gibt, die Sie auf qualitativ hohem Niveau versorgen. Und sie sorgt dafür, dass Sie den Arzt und Psychotherapeuten Ihrer Wahl aufsuchen können. Egal, in welcher Krankenkasse Sie versichert sind. Sie möchten gerne mehr über Ihre Kassenärztliche Vereinigung Saarland erfahren? Im Internet steht Ihnen unser Service unter der Adresse www.kvsaarland.de rund um die Uhr zur Verfügung. Praxisstempel Kassenärztliche Vereinigung Saarland – Faktoreistraße 4 – 66111 Saarbrücken – Tel.: 0681/ 4003-0 – www.kvsaarland.de QuickTime™ en een -decompressor zijn vereist om deze afbeelding weer te geven. Wieviel Prozent des jeweiligen nationalen Gesundheitsbudgets fallen auf den D Folgeerkrankungen? Antwort von Prof. Werner A. Scherbaum, Deutsches Diabetes-Zentrum an der H Deutsche Diabetes-Klinik, zuletzt aktualisiert im März 2005: Die verheerenden Komplikationen des Diabetes wie Erblindung, Nierenversagen und Her Gesundheitssystem eine große Last auf. Es wird geschätzt, dass der Diabetes mellitus m 10 % der jeweiligen nationalen Gesundheitsbudgets verbraucht. » zur Übersicht Zahl der Diabetiker in Deutschland. Wie viele Diabetiker gibt es in Deutschland, Antwort von Prof. Werner A. Scherbaum, Deutsches Diabetes-Zentrum Düsseld Vor 10 Jahren konnten in zwei voneinander unabhängiger Untersuchungen einmal in We aus dem Deutschen Diabetes-Forschungsinstitut) und in Ost-Deutschland (Prof. Michaeli in Karlsburg) die Zahlen für Diabetiker in Deutschland erhoben werden. Danach haben 5 entspricht also bei einer Bevölkerung von 80 Mio. 4 Millionen Menschen. Aus Erhebungen in unseren Nachbarländern wissen wir, dass im Laufe der letzten 10 Jah gestiegen ist, so dass wir heute in Deutschland mit 5 Millionen bekannten Diabetikern re Deutschland neue Erhebungen, die aus dem Deutschen Diabetes-Zentrum stammen. Da 65. und 74. Lebensjahr 100 %; in unseren Nachbarländern beträgt sie 40 -50 %. Danac Diabetikern in Deutschland auf 7-8 Millionen. Auch heute noch beträgt die Zeit zwischen Diagnosestellung 5 -8 Jahre. In dieser Zeit können schon Organschäden auftreten. Dahe Diabetes mellitus schon zum Zeitpunkt der Diagnosestellung Langzeitfolgen der Erkranku Anatomie der Bauchspeicheldrüse Gewebe einer gesunden Bauchspeicheldrüse Die Bauchspeicheldrüse (Pankreas) liegt quer im Oberbauch unterhalb des Magens und vor der Wirbelsäule. Sie reicht quer von der Milz bis zur Schleife des Zwölffingerdarms. Sie wiegt 60 bis 100 g, ist 15 bis 20 cm lang, maximal 9 cm breit und etwa 2 cm dick. Über das gesamte Pankreas inselartig verteilt liegen die Langerhans'schen Inseln. In diesen Inseln wird das blutzuckersenkende Hormon Insulin produziert und in das Blut abgegeben. Unter anderem bilden diese Inseln auch die Hormone Glukagon und Somatostatin. Der weitaus größte Teil der Bauchspeicheldrüse (über 95%) produziert Verdauungssäfte (Enzyme), die über einen Ausführungsgang in den Zwölffingerdarm gelangen Zur Erfüllung der Körperfunktionen wie zum Beispiel Herztätigkeit, Atmung, und Bewegung braucht der Körper Energie, die durch die Verbrennung von Nährstoffen gewonnen wird. Kohlenhydrate (Zucker) sind die wesentlichen rasch verfügbaren Brennstoffe des Körpers und erhöhen direkt den Blutzucker. Sie stammen überwiegend aus pflanzlichen Nahrungsquellen, die Zucker enthalten oder sich in Zucker umwandeln lassen, wie zum Beispiel Stärke aus Kartoffeln, Mehl, Brot, Obst, Gemüse. Einfache oder reine Kohlenhydrate sind Traubenzucker (Glukose) und Fruchtzucker (Fruktose), die im Darm nicht erst chemisch gespalten werden müssen. Zusammengesetzte Zucker sind Rohrzucker, Malzzucker und Milchzucker. Praktisch gleichwertig sind die Zuckerersatzstoffe Sorbit und Xylit. Traubenzucker (Glukose) kann nur mit Hilfe von Insulin in die Zelle eingeschleust werden. Insulin Das Hormon Insulin spielt eine zentrale Rolle im Stoffwechsel des Menschen. Insulin ist vor allem für den Transport von Zucker aus dem Blut in die Zellen verantwortlich, wo dieser zur Energiegewinnung verbrannt wird. Darüber hinaus beeinflusst Insulin auch die Regulation des Fettund Eiweißhaushalts. Insulin wird in den Beta-Zellen der Langerhansschen Inseln der Bauchspeicheldrüse (Pankreas) gebildet. Das Insulinmolekül ist ein aus zwei Ketten von Aminosäuren (Eiweißbausteinen) bestehendes Eiweiß (Protein). Bei Aufnahme über den Mund würde das Eiweißhormon Insulin im Verdauungstrakt gespalten und seine Wirkung verlieren. Daher kann es nicht in Form von Tabletten eingenommen werden, sondern muss dem Körper in der Regel durch Spritzen verabreicht werden. Prof. Dr. med. Werner Scherbaum, Deutsches Diabetes-Zentrum an der Heinrich Heine-Universität Düsseldorf, Deutsche DiabetesKlinik THE BASICS ABOUT DIABETES 1-1. WHY SHOULD WE CARE ABOUT DIABETES? 1-2. WHAT EXACTLY IS DIABETES? 1-3. WHAT TYPES OF DIABETES ARE THERE? 1-4. HOW CAN HAVING HIGH BLOOD CLUCOSE AFFECT ME? 1-5. WHAT RELATED COMPLICATIONS CAN RESULT FROM DIABETES? 1-6. WHAT IS THE RELATIONSHIP BETWEEN DIABETES AND OBESITY? 1-7. I DON'T HAVE DIABETES, WHY SHOULD I BE CONCERNED? 1-8. WHAT IS PREDIABETES? 1-9. HOW DOES DIABETES AFFECT DIFFERENT AGE GROUPS? 1-10. WHAT ARE THE DANGERS OF DEPENDING ON PHARMACEUTICAL DRU Why Should We Care About Diabetes? Once you know the facts, it is hard not to care about diabetes. In America alone, 17 million people have diabetes. Approximately 1 million Americans are diagnosed each year, and a third of all the people with diabetes are unaware they have it. In the U.S., diabetes is the 5 th leading cause of death by disease and constitutes 20% of all deaths. WHO (World Health Organization) has declared that there is an epidemic of diabetes. Worldwide, there are 200 million diabetes patients, not including those who still do not know that they have it. In the next decade, the projected number of known diabetics is expected to reach over 250 million. Because of the small amount of attention that has been paid to the disease despite these alarming numbers, the rise in diabetes has often been called the “Silent Epidemic”. A possible cause for this epidemic has been attributed to changes in modern lifestyle: • The type of food consumed contains higher numbers of calories and purified sugars; • The typical meal size has increased; • People are not exercising adequately; • Higher stress levels, and; • An increase in the elderly population. What Exactly Is Diabetes? There are several definitions of diabetes, but the most commonly agreed upon definition is that diabetes is a condition when a person's ability to metabolize carbohydrates (sugar) is impaired. Basically, blood sugar does not get burned inside the muscles and tissues, but rather stays in the blood. This results in high blood sugar levels. A person with a sugar level of above 150 ml/dl in the blood in the morning is diagnosed as ‘diabetic'. Insulin allows the body to convert sugar in the blood into energy. It is secreted by ß (beta) cells in the pancreas. So, in a diabetic, either no insulin or inadequate levels of insulin are being produced. Furthermore, even if insulin is produced in a diabetic, it is highly unlikely that it will be properly utilized. What Types Of Diabetes Are There? There are commonly two types of diabetes. Type I diabetes is when the body cannot produce insulin. Type I diabetics must have daily insulin shots. A more rigorous definition can be that Type I diabetes is caused by an auto-immune process: the body regards the ß beta cell as foreign objects and produces an antibody to kill its own ß beta cells. For Type II diabetics, the body produces insufficient amounts of insulin. Or, if the body produces enough insulin, the body is either unable to respond to the insulin or the insulin is used inefficiently (this is called insulin resistance). Type II diabetes, or also known as Adult Onset Diabetes, is more common than Type I. How Can Having High Blood Glucose Affect Me? Diabetes is much more than just a relative lack of insulin. In one sense, it is a disease that affects the blood vessels, or capillaries. A high concentration of sugar in the blood from relative lack or sensitivity of insulin is still not completely understood. However, it has detrimental effects on the blood vessels and they gradually cease to function properly. Since every organ or tissue in the body depends upon capillary flow to transmit oxygen and glucose and remove waste products, this eventually leads to end-organ damage supplied by those capillaries. As every cell is dependant to a large degree on glucose for its fuel, any impairment in its supply or being able to properly metabolize that glucose will lead to impairment in the function of those cells and organs. Consequently, the tissues that have the highest demand for proper blood flow and utilization are most susceptible to the damage of impaired flow or metabolism, e.g., the kidneys, heart, nerves, retina. A lack of blood flow and oxygen to the tissues can also result in many infections, and often the only treatment left is amputation. A high concentration of sugar can also cause increased fatigue and weight gain. It does not kill instantly, but causes long-term, permanent damage over many years with lethal complications. That is why we often take a lax attitude: slow and gradual—but certain and fatal. What Related Complications Can Result From Diabetes? Diabetes is not only the leading cause of kidney failure, but it is also the leading cause of blindness, particularly among Americans between the ages of 25 and 70. It also increases the chance of having and dying from cardiovascular disease and stroke. The probability of dying from stroke and cardiovascular disease is increased by 400% in people with diabetes, and 2 out of 3 people with diabetes die from heart disease and stroke. Diabetes also damages the nervous system. Approximately 60%70% of diabetics have some form of nervous system damage. This is especially a concern for diabetic males because they usually have trouble functioning sexually. Erections involve blood flow and nerves. Because diabetes causes nerve damage and affects blood flow, many males struggle with sexual dysfunction. The first question doctors ask when a patient complains of erectile dysfunction is, “Do you have diabetes?” According to statistics, more than half of sexual dysfunctions among males come from diabetes. In addition, diabetes is a major risk factor for heart attacks and amputations. Sixty percent of amputations in the U.S. occur among people with diabetes. This means that each year, 82,000 amputations are performed on people with diabetes. What Is The Relationship Between Diabetes And Obesity? Diabetes basically involves an inherent metabolism problem. Because of the inability to absorb and process blood sugar in the muscles, the muscles are constantly experiencing malnutrition. Insulin that has been produced may not be efficiently used. Coupled with lack of exercise, excess glucose eventually becomes fat. We also know that this abnormal blood sugar metabolism affects appetite. All of these lead to weight problems. Between 70%-80% of people with obesity have diabetes. Likewise, 70%-80% of diabetics have difficulty controlling their weight. I Don't Have Diabetes, Why Should I Be Concerned? Diabetes is the “silent killer”. Often people who have diabetes do not know it because they cannot feel it. People must take a direct measurement of their blood glucose levels to know if they have diabetes. Even more alarming, when a person is diagnosed with diabetes, the actual development of the disease actually started on the average of seven years prior. Once the active symptoms and complications are observed, diabetes has already entered the later stages. Early detection is good, but prevention is even better. A yearly blood test is essential, even if you feel healthy. What Is Pre-Diabetes? Pre-diabetes is when a person has a higher than normal blood glucose levels (hyperglycemic) but the level is not high enough to be diagnosed as diabetic or they are unable to secrete enough extra insulin in response to a glucose challenge. This is a cause for concern, especially when 16 million people in the U.S have “Pre-diabetes”. At this point, long term damage to the body is already occurring and often leads to Type II diabetes. If the blood glucose is controlled at an early stage, the development into Type II diabetes can be prevented. Often, diabetes is referred to as the “Silent Killer” due to the unobvious symptoms of diabetes. People who have diabetes or are pre-diabetic initially do not feel pain or feel any symptoms. It is only when the diabetes has reached a serious stage when all the complications, pain and symptoms surface. As previously mentioned, according to statistics, once a person is diagnosed as diabetic, it is likely that the onset of the diabetes actually started seven years ago. On average, every 10 years afterward, there is a rise in blood sugar of 100 milligrams per deciliter. Diabetes is a progressive disease. How Does Diabetes Affect Different Age Groups? Approximately half of all diabetes cases occur in people older than 55 years of age and 40% of individuals over the age of 60 have impaired glucose tolerance. This means that the elderly are at high risk because the prevalence of diabetes increases with age, especially the risk of Type II diabetes. One in four individuals over the age of 60 has Type II diabetes. A main contributing factor to developing Type II diabetes is declining physical and metabolic activity, which comes with age. Also, reduced mitochondrial activity in muscle cells, which progresses with age, is a serious concern for seniors because it is a major cause for insulin resistance. There is also an increasing trend of diabetes in younger age groups. From 1990 to 1998, the incidence of diabetes in 30-39 year olds jumped by 76%. This increasing trend also includes children. Today, 30% of pediatric patients in the U.S are Type II diabetic. Because diabetes is not regularly screened in children, many children go undiagnosed. This is especially dangerous because diabetes is a progressive disease. Once diagnosed, there is an almost unavoidable potential for it to escalate. Therefore, it is important to control it early on, especially in children. As mentioned previously, Type II diabetes is also known as Adult Onset Diabetes. However, with recent statistics concerning the rise of Type II diabetes in children, Adult Onset Diabetes becomes a misnomer. The rise in diabetic children is cause for alarm because diabetes progresses over time. As a person ages, their diabetes continues to worsen. Also, the use of pharmaceutical drugs just adds to the problem. Diabetic pharmaceutical drugs seem to lose their effectiveness over time, which forces the diabetic to increase the dosage for the same results. So we can predict that when a diabetic child becomes 20 or 30 years old, he will face an advanced stage of diabetes where oral drugs will not work and insulin will be required. The alarming increase of diabetes in children is parallel to the rise of obesity in America's children. Sedentary lifestyle, unhealthy eating habits and various other factors have contributed to this threat to children's health. In fact, it has been estimated that 30% of 6-19 year olds are overweight. Furthermore, approximately 70% of obese adolescents are likely to become obese adults. Often people say that children can outgrow their diabetes with diet and exercise. This may be possible in a small number, but in the vast majority it is wrong. Diabetes is a progressive disease and will only worsen over time. What Are The Dangers Of Depending On Pharmaceutical Drugs? Here is what many people do not know, what many doctors do not emphasize and what everyone should be aware of: all pharmaceutical drugs involve major risk . Of course, these drugs are valuable for their ability to work effectively and efficiently. For example, for diabetics, pharmaceutical drugs are tremendously helpful in controlling blood glucose. However, they work over a relatively short period of time. So they are effective temporarily, but only temporarily. Over time, they lose their effectiveness. So in 10 years, diabetics are forced to increase their dosage of the same drug for the same result. In another few years, even increasing the dosage will no longer be effective. Another danger of pharmaceutical drugs is the negative side effects that develop from using and depending on these drugs. Liver failure, kidney failure, damage to the brain and heart are just some of the related consequences of pharmaceutical drugs. For example, a significant portion of all kidney failures in diabetes are actually due to diabetic drugs—not the disease itself. Facing such dangers, it is impossible to tell which is worse: the disease or the drugs? Disclaimer : Eleotin is classified as a health food in the U.S and Canada. We make no claims, either expressed or implied, that this product will cure disease, replace prescription medication, or supersede sound medical advice.