Apr 2, 2021

Chinese medical vocabulary and jargon

April 02, 2021 0 Comments

 Chinese medical vocabulary and jargon


Traditional Chinese Medicine (TCM) did not come up against the scientific approach until the last century when the Chinese government developed its policy of cohabitation of the two medicines (Western and traditional). Thus, TCM has still little adopted the technical language which accompanies the process of research and scientific validation, and which makes it possible to describe with precision the complex systems of the real - from the visible to the infinitely small - and to define the laws of Biochemistry.

TCM still retains an ordinary and concrete language today. It was originally a language perfectly adapted to account for multidisciplinary knowledge where all knowledge had to lead to a possibility of action. This language could not be dissociated from a way of life where the arts of cooking, healing, painting, calligraphy and doing health exercises ... It translates into a world in which the true man - One who desires balance and health for himself and others - must accept both public and family responsibilities while seeking to penetrate the deeper meaning of life. This is why medical texts are never purely technical or mechanical. Thus, even if they are essentially composed of recipes and pragmatic therapeutic processes, they are still imbued with strong philosophical connotations.

To account for abstract, invisible or partly hidden realities (a fever or a bacterial infection, for example), TCM employs an intuitive and speculative approach and uses terms that designate, symbolically or by analogy, quite real realities. Concrete.

Cold wind attacks Lung

We will say that a person with a cold is the victim of a Wind because this attack often occurs at the time of climate change accompanied by wind or by exposure to a draft. The Wind also symbolizes the power of the Air which transports a pathogenic factor and makes it penetrate. We will then qualify it as an external wind. A person who suffers from tremors will be said to be suffering from an Internal Wind because his symptoms look like what the wind causes: squalls, leaf shaking, etc. The Wind is therefore an image that serves as a concrete and analogical point of departure to designate a specific set of pathological symptoms, and which serves to classify them in a category or to associate them with a clinical portrait.



These images can be refined more and more: we will speak of an external or internal Wind, a direct attack of the Wind, a Wind-Heat which attacks the Lung or a Wind-Humidity which attacks the Surface, Each expression designating particular and different clinical realities, calling for a specific treatment. The language of TCM is old but practical. Being imaging has the advantage that it can be easily understood and used by people who have little medical knowledge.


However, we must make the effort not to interpret the terms from a scientific perspective, nor to take them literally. Being affected with Cold Heart does not mean that the heart is physically cold, but that it exhibits characteristics associated with Cold such as a certain lack of vigor, or that the functions it controls are affected in the same way, causing Symptoms such as a weak pulse, decreased appetite, fatigue, decreased libido, etc.


We must always remember that these are images and analogies, a bit like when we say that we have caught a cold (caught on the fly?) Or that we have heartache (when We suffer from digestive disorders). And if the Chinese terms seem too simplifying, we can remember that our medical terms sometimes go into the opposite excess: if you suffer from idiopathic alopecia, it means that you are losing your hair and the cause is unknown ...


Capital letters: lung or lung?

Many Chinese concepts have no equivalent in our vocabulary. For example, the word Fei designates a specific entity comprising the lungs and functions that biomedicine would attribute to other organic structures (such as the heart) which together make up an organic sphere that TCM holds responsible for respiration, synthesis Of the energy acquired, of the transmission of the defensive energy and of the diffusion of the organic liquids in the periphery of the body (sweat, nasal secretions, etc.). For lack of anything better, we call this entity the Lung (with a capital letter), even if it does not correspond to what the word lung designates in French.


Likewise, the Wind is a term which is used to designate, not only the meteorological phenomenon, but also a pathogenic factor and various types of affections; And Air includes the physical constituents of air (oxygen, nitrogen, water vapor, etc.), but also its energetic and vibratory constituents.

Eat well: the main principles of a good diet

April 02, 2021 0 Comments

Eat well: the main principles of a good diet

Eating well is essential for staying healthy and aging well. In this sheet, you will discover the main principles of diet, basic nutritional needs, how our body assimilates food, the benefits of a good diet, how to eat well in practice, how a consultation with a nutritionist takes place and Finally, how to exercise in this area. 



How to eat well?

The vast majority of food specialists, whether or not they are from the official world, agree on a certain number of principles that can serve as guides, here they are:

A balanced diet: it is advisable to choose foods from the different food groups: vegetables and fruits (half of the plate), cereal products (a quarter of the plate), meats and substitutes (l 'other quarter), to which we will add a supply of calcium, by consuming dairy products, for example. Thus, your meal will contain a good dose of carbohydrates, enough protein and little fat.

A varied diet: 

To achieve the necessary range of nutrients and avoid deficiencies, you must not only eat foods from each food group every day but several foods from each group.

Fresh and good quality food: a fresh and local diet is recommended. Refined products and hydrogenated fats should be avoided.


Eat-in reasonable amounts: 

Being overweight promotes the development of many diseases, and significantly reduces life expectancy. A slightly under-calorie diet (but without nutrient deficiency) maintained over the long term may help prevent certain cancers and increase longevity. In addition, it helps to limit oxidation and prevent clogging. An example of an adjustment: Systematically reduce portions of high-calorie foods (pasta and rice, for example) by a quarter or a third and replace them with nutritious, low-calorie food, such as a vegetable.

Tasty food: 

First and foremost, it is the flavor that determines our food choices. If so many people give up on a diet, it is because it does not give them pleasure. However, the high salt, sugar and fat content of processed foods seem to be more and more appreciated and is even, among young people, becoming the norm. To counterbalance the attraction of these “over-favoured” dishes, you have to treat yourself to the healthy foods that you particularly appreciate and prepare them in a tasty way - using, in particular, herbs, many of which are good. Source of nutrients ...

Mindful eating:

 By taking your time and savoring each bite, mindful eating is an effective technique for learning to rediscover the flavors of food, while reducing the proportion of foods absorbed during a meal.


Adopt chrono-nutrition: 

Chrono-nutrition consists of eating in a certain way according to the different times of the day. For example, it is advisable to eat fatty in the morning, dense at noon and light in the evening. Over the long term, this technique helps you regain your healthy weight and improve your health.


Managing your meals:

 For optimal nutritional intake and to avoid weight gain, it is essential to be organized. Indeed, unbalanced meals are often due to improvisation, which is why it is recommended to plan the content of breakfast the night before and each morning what the meals of the day will consist of.

Be careful with cooking: 

To preserve all the benefits of food, it is preferable to cook at a low temperature below 100 ° C because the high temperature distorts the properties of the food. It is advisable to limit grilling, which contains a lot of free radicals. The microwave should also be avoided because it denatures the chemical form of food.

Eat well: basic nutritional needs

The basic nutritional needs to know can be divided into two categories that we will develop below: macronutrients (proteins, lipids, carbohydrates) which provide energy, and micronutrients (vitamins, trace elements, etc.), which are essential for the assimilation, processing and proper use of macronutrients.

Macronutrients

The proteins

Proteins are essential for a balanced diet. They help the proper functioning of organs thanks to the amino acids of which they are made: isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, valine. Our cells need these eight essential amino acids, and the lack of just one of these amino acids blocks protein synthesis, which is essential for rebuilding our DNA.

Lipids

Lipids are the basis of the manufacture of all our cells, our hormonal system, and all of our cell membranes. They provide the energy necessary for the body to function and regulate multiple physiological functions. Omega 3s in food are essential for a good diet. You have to know how to choose your oils with quality fatty acids rich in monounsaturated (olive oil) and polyunsaturated (rapeseed oil) fatty acids.


Carbohydrates

Carbohydrates are just as essential for providing energy to our body. Food sources of carbohydrates are starches (cereals, legumes, potatoes, rich in starch), green vegetables, sweet products and fresh and dried fruits. The three types of carbohydrates are simple sugars, complex sugars, and fiber. It is best to avoid white sugar and brown sugar which are refined and addictive. These are present in sweets, confectionery and sugary drinks.

Micro-nutrients

Today's food is increasingly poor in micronutrients, because of the cultivation methods (use of pesticides, fungicides, etc.), the food extraction methods (refining, high temperatures), the cooking methods ( Microwave, frying) and preservation methods destroy these micronutrients. These cannot be manufactured by the body and must therefore be provided by a varied, balanced and good quality diet.

The major antioxidant vitamins are vitamins A E, C, which are contained in fruits, vegetables, green tea…
Vitamin A tones the eye area.
Vitamin C helps the body make collagen, which provides cohesion, elasticity and regeneration of connective tissue. It also has an action on the immune system and is present in the liver, brain and endocrine glands.
Vitamin E contained in vegetable oils plays an important role on the membrane of the intestines, therefore in the digestive process. A powerful antioxidant, it synergizes with vitamin C.
As for other vitamins, group B vitamins are useful for the nervous system, vitamin D enters into hundreds of functions in the body, vitamin K is essential for normal blood clotting and plays a role. Role in bone consolidation.
Care should be taken not to consume too many grains and legumes, which in large quantities cause maldigestion and block the assimilation of nutrients due to the anti-nutrients they contain (lectins, phytates, saponins, etc.).

Food assimilation

Digestion begins in the mouth and is not even completed 2 days later. During this process, countless chemical transformations take place in which various enzymes and several organs collaborate. In addition, many personal characteristics influence the way our body assimilates nutrients: age, state of health, food allergies or intolerances, the amount of fatty tissue, the nutrient reserves in the body, the type of work, physical activity, quality of sleep, smoking, emotional and nervous state, time of the meal, posture during meals, etc.

The assimilation process is so complex that, for a long time, all kinds of approaches have been recommended that are supposed to better suit our digestive system: vegetarianism, the choice of foods according to one's blood type, acid-base balance, Food combinations, raw food, various diets (Montignac method, Pritikin, Kousmine ...), not to mention Chinese dietetics, Ayurvedic diet, etc. In addition, public health organizations in most countries publish official food guides that are constantly evolving. But, even today, specialists do not get along with each other and new dietary hypotheses appear regularly.

The benefits of a good diet

The list of benefits of a good diet is long, depending on the environment, the emotions, the source of the food, the method of cooking, the physiology of the individual and his ability to assimilate nutrients, among them. :

Ensure the acid-base balance

As we age, tissues tend to acidify, which in turn demineralizes them. The liver is the most important deacidifying organ. According to most experts, the white sugars found in pastries, sweets, meats, sausages, canned goods, industrial drinks and many other foods are acidifying if abused. This is why it is essential to properly balance your diet with alkalizing foods (such as minerals), and to oxygenate the tissues by practising physical activity

Optimize digestion

Some tips can help digestion, such as taking the time to sit down during a meal (avoiding eating in front of the computer or television). Mindful chewing allows the brain to transmit the feeling of satiety, and the digestive system to perform its functions of salivary secretion in order to make crushed food more digestible.


Protect the intestinal ecosystem (or microbiota)

The intestinal ecosystem requires a nutritional and emotional balance in order to be optimal. It is made up of our intestinal flora, but also “friendly” bacteria, which ensure good digestion, contribute to the immune system and act on multiple functions in the body (appetite, assimilation of nutrients, etc.). In order to multiply, they need fiber, polyphenols, omega 3 fatty acids and vitamin D.


Avoid fatigue and food compulsions

Avoiding snacking helps ensure the proper functioning of our biological (circadian) rhythm. This helps regulate blood sugar and the overall metabolism to prevent fatigue and sudden cravings for food.


Preserve our liver with light and easy-to-digest diet

This, therefore, consists of limiting foods that are too fatty, overcooked, too sweet, alcohol. Favor a diet devoid of toxins and pollutants which can slow down the metabolism and make it sick.

Fight against certain cancers

Certain foods such as turmeric, green tea and pepper lower the risk of developing certain cancers. In contrast, excessive meat consumption promotes the development of colorectal cancer.

How to eat well in practice?

There are 7 major families of foods, all essential for a balanced diet:


Meats / fish / eggs

This family contains eggs, cold meats, seafood, meats ... These foods mainly provide proteins and lipids as well as certain vitamins essential for the functioning of the nervous system and for the mineralization of the bones (B1, B2, D).


Milk and dairy products

In this family, we find yogurts, cheeses and of course milk. These products provide proteins, lipids, calcium, phosphorus as well as vitamin A, D, B2 and B12. They are therefore mainly involved in the construction of bones. Too high a dose, dairy products can promote the development of prostate cancer.


Fruits and vegetables

Dried fruits, oleaginous, frozen, fresh vegetables ... The products of this family are very rich in water, which allows the body to stay hydrated. They provide carbohydrates, vitamins (A and C), calcium as well as dietary fibers, which participate in good digestion.


Fatty substances

This family contains the most caloric foods: butter, margarine, oil ... They provide energy, vitamins (A, D, E) as well as omega 3 and omega 6.


Sugar and sweet products

Mainly comprising carbohydrates and minerals (magnesium), sugary products provide energy. Even if they provide a lot of pleasure, it should not be abused because they do not have a very important nutritional value.


The drinks

Our body is made up of more than 60% water. It is the basis of a healthy diet because it helps dilute acids in the body. Good hydration is essential for good physical shape and for cleansing the body. Specialists consider that an adult should drink between 1.5 and 2 litres of water per day, i.e. 4 to 6 glasses of water, light tea, herbal tea, soup, or even more depending on the ambient heat and the activity. Physical.


Cereals and starches

Rice, pasta,  bread, potatoes ... Foods in this category satisfy the feeling of hunger and provide a lot of energy. They contain protein, carbohydrates, magnesium, iron, dietary fiber as well as vitamin B.


Some tips in practice:

It is preferable to consume the fruit outside of meals (ideal 5-6 p.m.) to avoid intestinal fermentation.

Favor white bread: in white flour, only the central part of the wheat seed (starch) is preserved. It is, therefore, preferable to consume bread with semi-wholemeal flour, which contains more vitamins and minerals. Even better, “natural sourdough” bread, which allows better assimilation of food.

Try the Mediterranean diet: it consists mainly of semi-complete or whole grains, olive oil, starches (pasta, rice, potatoes), legumes, green vegetables (5 to 15 varieties), Sheep's or goat's cheese, fruit and a little butter. Oilseeds (nuts, almonds, hazelnuts), condiments and aromatics (garlic, turmeric, onion, thyme, savoury, fine herbs, sweet spices) are added very regularly. Protein is provided mainly by poultry fish eggs and rarely beef or lamb. Very few sweets. The wine is consumed on a regular but moderate basis. The herbal teas are regular, and the coffee exceptional.



what is type 2 diabetes?

April 02, 2021 0 Comments

Type 2 diabetes 

Type 2 diabetes is a disease characterized by chronic hyperglycemia, that is, by having too much glucose (sugar) in the blood. This disease usually occurs in older adults, and more commonly affects people who are obese or overweight.



Type 2 diabetes: understand it all in 2 min

In a healthy individual, blood sugar is controlled by insulin, a hormone secreted by the pancreas. Insulin allows sugar to enter cells for use as fuel, especially in muscles and the liver. In a person with type 2 diabetes, the body becomes unable to regulate blood sugar, which is the level of glucose in the blood. This is when blood sugar levels rise (this is called hyperglycemia). In the long term, if blood sugar is not lowered by treatment, it can cause serious health problems, especially cardiovascular problems.

This chronic disease requires individualized treatment and close monitoring by the affected person and the medical team. Healthy lifestyles are the basis of treatment. If these habits are not enough to lower blood sugar, drugs can be used.


There are 2 main forms of diabetes, type 1 diabetes and type 2 diabetes, both characterized by chronic hyperglycemia.

Type 1 diabetes occurs in young people and often develops in childhood. It is caused by the autoimmune destruction of the pancreas that no longer produces insulin. The cause is poorly understood and there is currently no possible prevention. People with the condition are therefore dependent on insulin, which must be given by injection.

As for type 2 diabetes, which accounts for 90% of diabetes cases, it occurs later in life. It is mainly due to a state of insulin resistance and is associated with being overweight.

A rapidly growing disease

The number of people with type 2 diabetes is growing steadily, and this trend is attributed to the “western” lifestyle, which is associated with a sedentary lifestyle and obesity, as well as an ageing population. Globally, the International Diabetes Federation predicts that the number of people with diabetes could increase from 285 million in 2010 to 438 million in 2030.

In Canada, in 2009, 6% of people over the age of 12 reported having diabetes. This rate increases with age, reaching almost 18% among those 65 and over. In total, more than 9 million Canadians have diabetes or prediabetes, including 650,000 Quebecers. In addition, many cases of diabetes are unknown because they go undetected.

Type 2 diabetes usually begins after the age of 40 but is now affecting more children and adolescents, due to obesity affecting more and more young people.

Causes

Diabetes results from a combination of genetic and environmental factors, as well as lifestyle factors. In general, each person carries hereditary baggage which predisposes them to suffer from diabetes or, on the contrary, protects them. Researchers now know several genes that put an individual at risk for developing type 2 diabetes. In people genetically predisposed to the disease, it is generally overweight and particularly the accumulation of fat in the organs of the body. Abdomen that leads to insulin resistance, the first step to type 2 diabetes.

Initially, to compensate for insulin resistance, the pancreas begins to produce more insulin. However, over time the pancreas becomes exhausted and insulin secretion decreases. There is therefore a relative lack of insulin and blood sugar levels remain continuously elevated.

Type 2 diabetes is therefore the result of two phenomena: first, insulin resistance, then exhaustion of the pancreas.


Diagnostic

Because type 2 diabetes is rarely accompanied by symptoms in the early stages, it is often discovered incidentally during a routine medical examination.

Blood glucose tests can be used to detect this: a fasting or random blood sugar test and, sometimes, a test for induced hyperglycemia. This last test consists of a blood glucose reading 2 hours after having ingested a sweet juice containing 75 g of glucose. Often, fasting blood sugar gradually rises over the years from a normal level to an intermediate state of prediabetes and then to the threshold for diabetes.

Blood sugar can be measured by a blood test or estimated with a blood glucose meter (glucometer), which allows blood sugar levels to be analyzed on a drop of blood taken from the fingertip.

Even if the results are normal, it is usually recommended that you have these tests at regular intervals in order to find the disease as soon as possible.

Possible complications

For information on acute complications (hypoglycemia and hyperglycemia caused by adjustment of treatment and hyperosmolar hyperglycemia syndrome in untreated diabetics), see our Diabetes fact sheet (overview).

In the long term, many diabetics see their condition worsen as a result of their disease, especially if the diabetes is not well controlled and monitored. This is because chronically high blood sugar gradually damages nerves and blood vessels, mainly in the eyes and kidneys. Diabetes can therefore be the cause of cardiovascular disease, irreversible vision loss, pain due to nerve damage or kidney failure. For more information, see our Complications of Diabetes fact sheet.

Apr 1, 2021

Type 1 diabetes: what is it?

April 01, 2021 0 Comments

Type 1 diabetes: what is it?

 Type 1 diabetes accounts for 5-10% of all diabetes cases. This form of the disease appears most often in childhood or adolescence. At the very beginning, type 1 diabetes does not cause any symptoms because the pancreas remains partially functional. The disease does not become apparent until 80-90% of the pancreatic insulin-producing cells are already destroyed.



Type 1 diabetes: understand it all in 2 min

This is because individuals who have type 1 diabetes produce very little or no insulin at all due to an autoimmune reaction that partially or completely destroys the beta cells of the pancreas. The latter's role is to synthesize insulin, which is essential for the body to use blood glucose for energy. In this type of diabetes, it is absolutely necessary to take insulin regularly, hence the name that is often attributed to 'insulin-dependent diabetes (IDD)'. In fact, this disease was fatal before it could be controlled with insulin.

Causes

It is not known what exactly causes the immune system to respond to beta cells. Certain individuals would be predisposed to the disease, by their heredity. A family history of type 1 diabetes is found in just under 10% of cases. The disease is likely the result of a combination of genetic and environmental factors. Exposure to certain viruses or foods early in life could, for example, play a role in the onset of the disease.


Possible complications

For information on acute complications (hypoglycemia and hyperglycemia caused by treatment adjustment; ketoacidosis in untreated diabetics), see our Diabetes fact sheet (overview).

In the long term, type 1 diabetes increases the risk of several health problems: cardiovascular disease, kidney problems, loss of sensitivity in the fingers and feet, vision problems that can lead to blindness, etc.

The best way to prevent these complications is to regularly monitor your blood sugar, blood pressure and cholesterol regularly. For more information, see our Complications of Diabetes sheet.

Watch out for celiac disease

Celiac disease is particularly common in people with type 1 diabetes: 20 times more than in the general population, according to one study12. Celiac disease is another autoimmune disease whose symptoms (mainly digestive) are triggered by the consumption of gluten, a protein found in several grains. Therefore, screening for celiac disease is recommended in type 1 diabetics, even in the absence of obvious symptoms.

The main types of diabetes

April 01, 2021 0 Comments

Diabetes (overview)

 Diabetes is an incurable disease that occurs when the body fails to properly use sugar (glucose), which is an essential 'fuel' for its function. Glucose, poorly absorbed by cells, then accumulates in the blood and is then released into the urine. This abnormally high concentration of glucose in the blood is called hyperglycemia. Over time, it can cause complications in the eyes, kidneys, heart and blood vessels.



Diabetes can result from a partial or total inability of the pancreas to make insulin, which is a hormone essential for the absorption of glucose by cells. It can also arise from an inability of the cells themselves to use insulin to take up glucose. In both cases, the cells being deprived of their main source of energy, there necessarily follow significant physiological consequences, such as extreme fatigue or healing problems for example.

Glucose comes from 2 sources: foods rich in carbohydrates that are ingested and the liver (which stores glucose after a meal and pours it into the blood as needed). Once extracted from food by the digestive system, glucose passes into the bloodstream. In order for the body’s cells to be able to use this indispensable source of energy, they need the intervention of insulin.

The main types of diabetes

For a detailed description of the types of diabetes (symptoms, prevention, medical treatment, etc.), consult each of the sheets devoted to them.

Type 1 diabetes. 

Also known as “insulin-dependent diabetes” (IDD) or “juvenile diabetes,” type 1 diabetes occurs when the pancreas either no longer produces or does not make enough insulin. This can be caused by a viral or toxic attack, or by an autoimmune reaction that destroys the beta cells in the pancreas, which are responsible for the synthesis of insulin. This type of diabetes mostly affects children and young adults, although the incidence in adults appears to be increasing. It affects about 10% of diabetics.

Type 2 diabetes. 

Often referred to as “non-insulin-dependent diabetes” or “adult diabetes,” type 2 diabetes is when the body becomes resistant to insulin. This problem usually occurs in people over 45, but the incidence is growing sharply in younger people. This type of diabetes, by far the most common, affects nearly 90% of diabetics.

Gestational Diabetes.

 Defined as any diabetes or glucose intolerance that manifests itself during pregnancy, most often in the 2nd or 3rd trimester. Often, gestational diabetes is only temporary and goes away soon after childbirth.

Another form of diabetes is diabetes insipidus. 

This is a fairly rare disease caused by insufficient production of the antidiuretic hormone by the pituitary gland called 'vasopressin'. Diabetes insipidus is accompanied by an increase in urine output, while blood sugar levels remain completely normal. So, it has nothing to do with diabetes mellitus. It is called 'diabetes' insipidus because, like in diabetes mellitus, urine output is abundant. However, urine is tasteless rather than sweet. (The term comes from ancient diagnostic methods: urine tasting!)

Diabetics, more and more numerous

Although heredity plays a role in its onset, the increasing prevalence of diabetes is associated with the diet and lifestyle that prevails in the West: an abundance of refined sugars, saturated fat and meat, poor dietary fiber. , excess weight, lack of physical activity. The more these characteristics increase in a given population, the greater the incidence of diabetes.

According to the Public Health Agency of Canada, in a report published in 2008-09, 2.4 million Canadians were diagnosed with diabetes (6.8%), including 1.2 million between the ages of 25 and 64.

The pattern seems to be confirmed when studying the incidence of the disease in developing countries: as large sections of the population adopt a diet and lifestyle similar to ours, the incidence of diabetes, Both type 1 and type 2, increases1.

Possible complications of diabetes

In the long term, people with diabetes who have inadequate control of their disease risk a variety of complications, primarily because prolonged hyperglycemia causes tissue damage in the blood capillaries and nerves, as well as narrowing of the arteries. These complications do not affect all diabetics, and when they do, it is to varying degrees. For more information, see our Complications of Diabetes sheet.

In addition to these chronic complications, poorly controlled diabetes (for example due to forgetfulness, incorrectly calculated insulin doses, suddenly altered insulin requirements as a result of illness or stress, etc. ) can cause the following acute complications:


Diabetic ketoacidosis

This is a condition that can be fatal. In people with type 1 diabetes who are untreated or who receive inadequate treatment (eg lack of insulin), glucose remains in the blood and is no longer available for use as a source of energy. (This can also happen in people with type 2 diabetes taking insulin.) The body must therefore replace glucose with another fuel: fatty acids. However, the use of fatty acids produces ketone bodies which, in turn, increase the acidity of the body.

Symptoms:

 fruity breath, dehydration, nausea, vomiting and abdominal pain. If no one intervenes, difficult breathing, confusion, coma, and death can occur.

How to detect it: high blood sugar, most often around 20 mmol / l (360 mg/dl) and sometimes more.

What to do:

 If ketoacidosis is detected, go to a hospital emergency department and contact your doctor afterwards to adjust the medication.

Hyperosmolar state

When type 2 diabetes is left untreated, the hyperglycemic hyperosmolar syndrome can develop. This is a real medical emergency that is fatal in more than 50% of cases. This condition is caused by the accumulation of glucose in the blood, exceeding 33 mmol / l (600 mg/dl).

Symptoms:

 increased urination, intense thirst and other symptoms of dehydration (weight loss, loss of skin elasticity, dry mucous membranes, increased heart rate and low blood pressure).

How to detect it: 

blood sugar that exceeds 33 mmol / l (600 mg/dl).

What to do: If a hyperosmolar state is detected, go to a hospital emergency department and contact your doctor afterwards to adjust the medication.

Mar 30, 2021

Savez-vous ce qu'est le diabète?

March 30, 2021 0 Comments

Comprendre le diabète

Dans toutes les formes de diabète, la capacité du corps à fabriquer ou à utiliser correctement l'insuline est affectée. L'insuline est une hormone fabriquée par le pancréas et elle aide vos cellules à stocker et à utiliser l'énergie des aliments. Si vous êtes diabétique, le glucose s’accumule dans le sang mais n’est pas transporté dans les cellules. Ainsi, votre corps ne reçoit pas l'énergie dont il a besoin. En outre, les niveaux élevés de glucose circulent dans le corps, endommageant les cellules en cours de route. 

Le diabète augmente le risque de crise cardiaque ou d'accident vasculaire cérébral et peut entraîner des lésions rénales, oculaires et nerveuses.



Types de diabète

Les causes du diabète sont complexes et encore mal connues. Bien que la nourriture ne cause pas de diabète, elle fait partie de la stratégie de prise en charge de la maladie.


Il existe trois principaux types de diabète:


Diabète de type 1: 

le pancréas ne produit pas ou pas assez d'insuline. Le type 1 est une maladie auto-immune qui débute souvent dans l'enfance. L'apparition est soudaine. Seulement 5,2% des adultes atteints de diabète ont le type 1. Il ne peut être évité par l'alimentation ou le mode de vie, bien qu'ils puissent être utiles dans la gestion de cette condition.

Diabète de type 2: 

le pancréas ne produit pas suffisamment d'insuline ou le corps n'utilise pas l'insuline qu'il fabrique. Le type 2 se développe généralement lentement. Près de 89% des personnes atteintes de ce type de diabète ont un indice de masse corporelle considéré comme en surpoids ou obèse. D'autres facteurs de risque comprennent des antécédents familiaux de diabète, des antécédents de diabète gestationnel, une altération du métabolisme du glucose, un âge avancé et l'inactivité physique. Les Noirs non hispaniques, les Hispaniques / Latino-Américains, les Indiens d'Amérique et certains Américains d'origine asiatique et les Amérindiens hawaïens ou d'autres insulaires du Pacifique courent un risque plus élevé de développer le type 2 et ses complications.

Diabète gestationnel: 

avec le diabète gestationnel, le corps ne produit pas suffisamment d'insuline pendant la grossesse. On pense que d'autres hormones peuvent bloquer l'action de l'insuline. Le diabète gestationnel disparaît souvent après la naissance du bébé. Cependant, les femmes qui développent ce type de diabète sont plus à risque de développer un diabète de type 2 plus tard dans la vie.

Comment réduire votre risque de diabète

Vous pouvez prévenir ou retarder le diabète de type 2 en modifiant votre style d'alimentation, en étant physiquement actif et en perdant une certaine quantité de poids si vous avez un indice de masse corporelle (IMC) classé comme étant en surpoids ou obèse. Ces étapes réduisent également votre risque de complications du diabète. Consultez un nutritionniste diététiste agréé pour en savoir plus sur les changements de mode de vie qui peuvent réduire votre risque de diabète de type 2.

Signes, symptômes et tests

Les signes et symptômes du diabète comprennent le fait d'aller fréquemment aux toilettes, une soif inhabituelle, une perte de poids sans effort, une sensation de fatigue ou d'irritation, une vision trouble, une maladie ou une infection fréquente et une mauvaise circulation comme des picotements ou des engourdissements dans les pieds ou les mains. Si vous présentez ces symptômes, consultez immédiatement un médecin. 

Vous devrez peut-être passer l'un des tests suivants pour le diabète:


Glycémie plasmatique à jeun:

 indique la quantité de glucose dans un échantillon de sang prélevé lorsqu'une personne est à jeun (souvent, elle n'a rien mangé pendant huit à 12 heures).

Test A1C:

 mesure la glycémie moyenne d'une personne au cours des deux à trois derniers mois. Ce test montre la quantité de glucose qui adhère au globule rouge

Test de tolérance au glucose par voie orale: 

les résultats de ce test montrent comment le corps utilise le glucose au fil du temps. Ce test est effectué par un professionnel de la santé après un jeûne d'une nuit. Un échantillon de sang est prélevé, le patient boit une boisson à haute teneur en glucose, puis un échantillon de sang peut être prélevé toutes les heures pendant jusqu'à trois heures après avoir bu la boisson.

Gérer les niveaux de glycémie

Si vous avez reçu un diagnostic de diabète, un diététiste nutritionniste agréé, ou RDN, travaillera avec vous et d'autres membres de votre équipe de soins pour vous aider à gérer votre glycémie et à réduire votre risque de complications possibles. Certains objectifs sur lesquels votre équipe de soins peut travailler avec vous comprennent:


Maintenir la glycémie dans une plage normale. Ou, aussi proche que possible de la normale, ce qui peut prévenir ou réduire les complications.
Maintenir la pression artérielle dans des plages normales.
Travailler pour obtenir un taux de cholestérol sain.

Les personnes atteintes de diabète de type 1 ont besoin d'injections quotidiennes d'insuline ou d'une pompe à insuline. Les personnes atteintes de diabète de type 2 peuvent aider à contrôler leur glycémie grâce à des choix alimentaires, à l'activité physique et, pour certaines personnes, à une combinaison de médicaments et d'injections d'insuline.

Voici quelques conseils généraux sur une alimentation

 saine pour aider à gérer le diabète:


Limiter les aliments et les boissons riches en sucres ajoutés.
Sélection de portions plus petites, réparties sur la journée.
Faites en sorte que vos glucides comptent en choisissant des grains entiers, des fruits et des légumes, ce qui aidera à limiter les sources de glucides raffinés.
Bénéficiant chaque jour d'une variété d'aliments à grains entiers, de fruits, de légumes, de sources maigres de protéines et de produits laitiers faibles en gras ou sans gras.
Manger moins de graisses saturées et se concentrer sur des sources de graisses saines comme les avocats, l'huile d'olive et de canola, les noix et les graines.
Limiter votre consommation d'alcool, si vous choisissez de boire. Assurez-vous d'en discuter avec votre fournisseur de soins de santé.
Utiliser moins de sel.

Si vous avez reçu un diagnostic de diabète, un RDN peut créer un régime alimentaire simple pour vous. Ce plan tiendra compte de vos médicaments, de votre mode de vie et de tout autre problème de santé. Les conseils d'experts d'un RDN peuvent vous aider à atteindre vos objectifs de gestion de votre diabète tout en vous assurant d'obtenir les nutriments dont votre corps a besoin.

Les noix sont une excellente repas pour les enfants et les adultes atteints de diabète de type 1 ou de type 2.

March 30, 2021 0 Comments

Mon enfant diabétique peut-il manger des noix? 

Les noix sont une excellente collation ou un complément à un repas pour les enfants et les adultes atteints de diabète de type 1 ou de type 2. Les noix nous donnent du magnésium, des vitamines B, de la vitamine E, des fibres, des protéines, des graisses nourrissantes et plus encore!

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Contrôle de la glycémie

La combinaison de protéines et de matières grasses dans les noix peut être particulièrement utile lorsque vous essayez de gérer la glycémie, mais assurez-vous de surveiller la taille des portions car elles sont riches en calories. En combinant des noix avec un aliment riche en glucides comme des céréales, du pain ou des fruits, vous pouvez vous attendre à des lectures de glycémie plus faibles après avoir mangé que si vous ou votre enfant mangez seul l'aliment riche en glucides. Dans le cadre d'une étude de recherche, les personnes atteintes de diabète de diabéte type 2 avaient une glycémie plus basse après avoir mangé une once de noix mélangées avec du pain blanc, au lieu de manger le pain seul. Une étude similaire chez des adultes en bonne santé a montré que la consommation de pistaches avec du riz ou des pâtes limitait également l'augmentation des lectures de glycémie après avoir mangé.

J'adore aussi les noix pour leur teneur en magnésium. Parmi ses nombreux rôles, ce minéral peut affecter la libération et l'activité de l'insuline, l'hormone qui aide à contrôler la glycémie. Les grains entiers, les haricots et les épinards sont d'autres bonnes sources de magnésium.

Centrale nutritive

Il y a tellement de façons de plaire aux papilles gustatives et de nourrir le corps avec des noix. En plus de leurs goûts distincts, les noix ont chacune un profil nutritionnel unique. Et lorsque vous les associez à d'autres aliments riches en nutriments, vous obtenez une super dose de nutrition bonne pour la santé. Mélanger les pistaches hachées et les pêches coupées en dés dans le yogourt. Offrez aux enfants un demi-sandwich au beurre d'arachide et à la banane fait avec du pain de grains entiers. Mélangez des noix avec des cerises acidulées séchées pour un mélange montagnard simple, ou étalez du beurre d'amande sur des pommes tranchées. Vos enfants s'amuseront à apprendre les noms et à identifier les goûts d'une variété de noix. Mettez un petit bol avec des pistaches, des amandes, des noix de cajou, des cacahuètes, des pacanes, des noix, des noisettes et plus encore. Prendre plaisir!

Gérer le poids

Même si les noix sont riches en matières grasses, elles peuvent jouer un rôle important dans un programme de gestion du poids. Certaines études suggèrent que les mangeurs de noix fréquents sont plus maigres que ceux qui en mangent rarement. Pourquoi? Une théorie est que les noix sont satisfaisantes et suppriment la faim, ce qui entraîne une consommation alimentaire moindre. Les noix dans leur coquille peuvent offrir un autre avantage: casser la coquille fait durer la collation plus longtemps, augmentant vraisemblablement la satisfaction et diminuant la suralimentation.

Ne pensez pas que parce qu'un peu c'est bien, beaucoup c'est mieux. Trop peut entraîner une prise de poids. Les noix contiennent environ 160 à 200 calories par once, alors faites attention à la taille des portions. Une once de noix équivaut à environ 24 amandes, 18 noix de cajou, 48 pistaches ou 14 moitiés de noix. Deux cuillères à soupe de beurre de noix équivaut à une once. Demandez à vos enfants de s'en tenir à environ 1 à 1½ once par jour.

Il y a une mise en garde: pour les enfants de moins de 4 ans, les noix peuvent présenter un risque d'étouffement à moins qu'elles ne soient finement hachées.

Mar 29, 2021

comment renforcer la force et la masse musculaire avant l'âge de 30 ans?

March 29, 2021 0 Comments

 4 clés pour renforcer la force et la masse

 musculaire

Le muscle est plus difficile à construire et à maintenir avec l'âge. En fait, la plupart d'entre nous commencent à perdre du muscle vers l'âge de 30 ans. Les personnes physiquement inactives courent un risque particulier et peuvent subir une perte de 3 à 8% de masse musculaire maigre chaque décennie par la suite.

Antonio_Diaz/iStock/Getty Images Plus/Getty Images

Cela est dû à des niveaux de testostérone plus faibles chez les hommes et des niveaux d'œstrogènes plus faibles chez les femmes - deux hormones qui aident à développer les muscles. Les changements dans les cellules nerveuses et sanguines et la façon dont le corps transforme les protéines en tissu musculaire sont également des facteurs. Cependant, la perte musculaire n'est pas nécessairement inévitable: pour les hommes et les femmes adultes, des exercices d'entraînement en résistance réguliers sont essentiels pour développer et conserver les muscles.


Activités de renforcement musculaire et santé

Les hommes et les femmes devraient participer à des activités de renforcement musculaire qui font travailler les principaux groupes musculaires (jambes, hanches, dos, poitrine, abdomen, épaules et bras) au moins deux fois par semaine. Des exemples d'activités de renforcement musculaire comprennent la levée de poids, l'utilisation de bandes de résistance et les pompes, les tractions, les redressements assis et certains types de yoga. Même les activités quotidiennes telles que faire l'épicerie, jouer avec vos enfants et jardiner peuvent renforcer les muscles.

Une bonne alimentation est un moyen important de renforcer la force. Les aliments qui fournissent des protéines, des glucides et des graisses jouent un rôle majeur, tout comme le fait de consommer suffisamment de calories tout au long de la journée. Lisez la suite pour découvrir comment chaque macronutriment peut vous aider - et une estimation de la quantité à manger chaque jour.

Renforcement des protéines et des muscles

Lors de la construction musculaire, plus il y a de protéines, mieux c'est, non? Pas nécessairement. Les protéines devraient représenter 10 à 35% des calories totales des adultes. Pendant que vous travaillez à développer vos muscles grâce à l'activité physique, vos besoins peuvent se situer dans le haut de cette fourchette. Conserver la masse musculaire, en revanche, nécessite moins de protéines que de construire de nouveaux muscles.

Visez 3 portions de produits laitiers faibles en gras ou sans gras et 3 onces-équivalents d'aliments protéinés (comme le poisson, les haricots, la volaille ou la viande maigre) chaque jour, pour fournir des sources de protéines de qualité pour aider à atteindre cet objectif. Les céréales, en particulier les céréales complètes, fournissent également des protéines, mais elles ne sont généralement pas suffisantes pour répondre à elles seules aux besoins en protéines.


Renforcement des graisses et des muscles

Votre corps dépend de la graisse pour fournir de l'énergie aux muscles pendant certains types d'activité. La quantité de graisse dont une personne a besoin peut varier. En règle générale, les graisses devraient représenter 20 à 35% de vos calories totales.

Pour la santé globale et la force musculaire, concentrez-vous sur les sources de graisses saines pour le cœur, y compris les huiles végétales, comme l'huile d'olive et l'huile de canola et les avocats. Les noix et les poissons gras comme le saumon, le hareng, les sardines et la truite, qui sont toutes de bonnes sources de protéines, fournissent également des types de graisse plus sains.

Manger une variété d'aliments sains chaque jour peut vous aider à répondre à vos besoins nutritionnels. Pour un régime alimentaire personnalisé, consultez une diététiste nutritionniste de votre région.