2019年1月22日星期二

Can diabetics drink honey?

Honey is everywhere in our daily lives:

Many sugar friends have constipation, a cup of honey water in the morning;
When the sugar friend has a cold and cough, the oral cough syrup contains honey, and it also feels that the syrup is cool and cough, and the effect is very good;
Sugar friends eat Chinese medicine, which is a honey pill that is transferred with honey and Chinese medicine;

In daily life: bitter gourd with honey, honey hydrolyzed wine, honey water to improve sleep, etc.;

When a sugar friend travels abroad, foreigners often provide a small package of honey labeled "honey".

Honey is so sweet, can diabetic patients eat it, this article will tell you the answer. Honey is sweet, it will affect blood sugar, is this the case?

Sweetness, currently not measured by physical or chemical methods, can only be judged by people's taste perception. Typically, the sweetness of sucrose is 100 (white sugar has no direct sweetness, but it contains 95% sucrose), glucose has a sweetness of 74, and fructose has a sweetness of 170-180.

Don't take it for granted. The sweetness of the fruit is generally 10 degrees (the sweetness of the apple is 6-8), the 15 degree is very sweet (the sweetness of the peach is 10), and the 18 degree is rare and sweet. For example, the sweetness of cantaloupe is 19.7, which can be described as sweet as honey.

However, the main components of honey are fructose and glucose, the total content of which is about 70% to 80%, and the amount of sucrose in natural honey is very small, not more than 5%, so the sweetness of honey is mainly caused by fructose with a sweetness of 180.

As we all know, fructose is like a glucose, it is also a simple sugar, it is easy to digest and absorb, but after absorption, it does not directly become blood sugar.

Part of the fructose will increase blood sugar after the liver is converted to glucose. Therefore, fructose raises blood sugar very slowly, and the fructose index of pure fructose is only 23.0, which is much lower than that of cotton (83) and honey (73).
Do you understand it? In the case of equal sugar content, the honey containing the fructose component is sweeter, but the blood sugar is lower. Common sugars, honey has the lowest energy.

Among the sugars, honey is also the lowest in calories. Honey contains almost all the nutrients in vegetables and contains minerals such as potassium, calcium and phosphorus.

The main component of honey contains two kinds of monosaccharides, glucose and fructose, which can be directly absorbed without the secretion of digestive enzymes. But direct absorption does not mean that all directly affect blood sugar. In Table 1 below, among several common honeys, fructose is even higher in honey than in glucose, so it affects blood sugar and honey less than white sugar.

Choose sugar substitute, why not choose honey?

Sugar substitutes, or sweeteners, are a class of substances that only provide sweetness and do not provide calories. They are not involved in the metabolism of sugar and therefore do not affect blood sugar. Fresnel syrup, which is often added to foods, is a common sweetener. Its main ingredient is fructose (42% to 90%).

But the sugar substitute is not as good as imagined. The sweetness of the sugar substitute is significantly higher than that of the sucrose. The long-term use of the sugar substitute may change the taste habit and eat more sweet, especially it contains a high concentration of fructose. Fructose can not be eaten because it is not conducive to blood lipid control. Excessive fructose will synthesize fat in the liver, leading to an increase in triglycerides.

The honey contains fructose which is natural and is processed by the bee itself. The sugar is processed from sugar cane and sugar beet. The fructose syrup is processed from grain starch.

Therefore, it is not advisable for sugar friends to eat sugar instead of eating honey.
How to choose honey

It is recommended that diabetics choose honey with high fructose content. How do you judge which honey is glucose and which is fructose? There are two tips here - temperature and ratio:

Generally, honey will crystallize below 13 degrees Celsius, and crystals will be produced by glucose. The part that does not produce crystals is mainly fructose. If it is placed outdoors when the weather is cold (the heat is put into the refrigerator), the honey slowly crystallizes, and the non-crystallized part is naturally fructose.
Secondly, the higher the proportion of fructose, the less likely the crystallization is (the ratio of glucose to fructose is 1:0.9, the crystallization is fast, the 1:1 is slow, and the crystallization is generally not observed at 1:2). The nectar (glucose to fructose ratio of 2:3) is not easy to crystallize, and rapeseed honey (glucose to fructose ratio of 2:3) crystallizes quickly (the quality of honey may vary slightly).

Knock on the blackboard:

As a diabetes educator, diabetics are not recommended to eat honey.

Exclude hypoglycemia, if you can't get rid of honey, in the case of blood sugar, diabetic patients can use natural honey instead of sugar (a teaspoon, no more than 5 grams, 16 kcal), it is not recommended to eat white sugar, eat less Sugar (sweetener).
In addition, in the case of eliminating fake honey, it is more suitable for sugar lovers to choose honey that is not easily crystallized (high in fructose ratio and low in glucose content).

2019年1月20日星期日

Does acute renal failure require dialysis?

American scholars have found that in patients with acute kidney injury (AKI) with a significant increase in serum creatinine, initial dialysis is associated with increased survival. Conversely, for patients with AKI with lower serum creatinine, initial dialysis and mortality. Increase correlation. The paper was published online April 7 in the Journal of the American Society of Nephrology (Clin J Am SocNephrol).

The study included 6119 patients with severe AKI, of which 602 received dialysis. The results of the study showed that after matching the propensity scores, the covariates between the dialysis and non-dialysis patients were well balanced, and the total risk-to-risk ratio (HR) was 1.01 (P=0.89).

For every 1 mg/dl increase in serum creatinine concentration, dialysis increased survival benefit by 20% (P = 0.001). After correcting the severity of the disease, the results remained unchanged. When the serum creatinine concentration is ≥ 3.8 mg / dl, the benefits of dialysis exceed its drawbacks.

Hemodialysis vs peritoneal dialysis: Which is better?

Patients with end-stage renal disease usually require peritoneal dialysis (PD) or hemodialysis (HD). Although the medical cost of PD is lower than that of HD, the clinical application of PD is limited. Whether there is a difference in the survival of patients with end-stage renal disease receiving PD and HD is not clear. To determine if there is a difference in survival between HD and PD patients, Wong B from the University of Calgary, Canada, conducted a retrospective cohort study. The results of the study were published in AJKD.

The researchers selected 2032 ESRD patients who were suitable for HD and PD for treatment from 7 dialysis centers, comparing the survival of HD (n = 1579) and PD (n = 453) patients. The median follow-up time was 520 days.

During follow-up, there was no significant difference in all-cause mortality between HD and PD in patients >65 years of age. In patients <65 years of age, the risk of death in PD patients was 40% lower than that in patients receiving HD in the first 3 years of dialysis.

Excluding patients who were not eligible for PD, further analysis showed no significant difference in mortality between HD and PD patients (0.47 vs 0.38) regardless of age.

"At present, there are many studies on the survival of HD or PD patients, although most studies have shown no significant differences in mortality between HD and PD patients, but the study was conducted in patients with appropriate HD and PD, the researchers said. The deviation is small. When the end-stage renal disease patients who are suitable for two dialysis treatments cannot make a choice, the results of the study can be used to guide the decision of the doctor and patient, which is of clinical significance."

Dr. Simonetta Carla Genovesi from Italy commented that “the study subjects were suitable for both HD and PD treatments, and the study bias was reduced as much as possible. The researchers corrected the confounding factors and found that HD and PD patients had no mortality. Significant differences are beneficial to patients (no PD contraindications) free choice for their own dialysis.

However, it should be noted that compared to other industrialized countries, the Canadian national PD treatment rate is 22%, about twice that of the United States and Italy (10%). In other words, the Canadian national PD promotion rate is higher than other countries, and for those countries that cannot promote PD, the results may not be meaningful. ”

2019年1月19日星期六

What Is The Treatment for Kidney Cyst

Modern people face a variety of pressures, as well as a variety of diets, the body will always have such problems. Active and scientific treatment is the right thing to do when the disease strikes. So, what is the treatment of kidney cysts?

Kidney cysts, also known as cystic diseases of the kidneys, are a cystic lesion on the kidneys. The main symptoms of the disease are back pain, abdominal mass and hematuria. It occurs in young and middle-aged people. The proportion of patients is about 0.001%. Among them, the incidence rate exceeds 50 in people over 50 years old. %, so this group of people should pay special attention. In the clinical diagnosis of renal cysts, the examinations required for this disease include urine routine, B-ultrasound and intravenous pyelography. At present, the cure rate for medical treatment of the disease is about 70%. Depending on the patient's specific condition, as well as the patient's physical condition and other factors, the treatment time will be different, usually in about 3 months.

Kidney cysts are not contagious as a urological disease. So how do you specifically treat the disease?

Most people have a cold, and it is considered to be a very small disease. It can even be ignored and no treatment is given. In fact, many small things can often play a very important role. Kidney damage, a cold is a major cause of illness. Therefore, patients with renal cysts should pay attention to the cold disease, and timely treatment to avoid major damage to kidney function.

Renal cysts are mainly treated with surgery. If the patient has symptoms such as waist and abdomen pain, the diameter of the cyst is greater than 4 cm, resulting in a sense of oppression, or cystic secondary bleeding, infection, rupture, etc., medically considered to require surgery. Laparoscopic renal cyst decompression, in the current medical clinical, is the main surgical treatment of renal cysts. The risk of this type of surgery is relatively small, the treatment is also very effective, and the trauma is small, the body recovers quickly after surgery, and the recurrence rate is also low. Therefore, this type of surgery is widely used in the clinical surgical treatment of renal cysts.
Patients with renal cysts, if excretory urography, renal tomography, ultrasound imaging and CT have not made a definitive diagnosis, then should be done angiography, percutaneous cyst puncture. The aspirate can be examined by cytology to determine the amount of fat. If the fat content is increased, it is a kidney cyst. The cyst fluid is then drained and replaced with a contrast agent. Before the contrast agent is withdrawn, 3 ml of iodine ester lipid is injected into the cyst to reduce the possibility of fluid volume pressure causing lesions. According to medical data, if 95% of alcohol is injected into the empty capsule, only 1 of 29 patients have recurrence.

Kidney cysts also have the possibility of cancer, so it is necessary to conduct surgery through exploration. According to medical data, in 1971, when Ambrose performed surgery on 55 patients with renal cysts, 5 cases were confirmed to have cancer, accounting for 9%. In this case, only the extrarenal part of the cyst can be removed. If the kidney damage is really serious, it is quite possible to remove the kidney.

If the condition of the renal cyst is mild, or the rate of development of the lesion is slow, there is no lesion such as compression obstruction. Under normal circumstances, there is no need for surgical treatment, that is, surgery, and there is no need to take some drugs. Because this phenomenon does not affect the daily life and the safety of life, it is only necessary to review the B-ultrasound every six months or one year.

2019年1月18日星期五

How To Find Uremia In Early Stage of Kidney Disease

Uremia (uremic syndrome) is a serious complication of chronic kidney disease and acute kidney injury (which used to be known as acute renal failure). It occurs when urea and other waste products build up in the body because the kidneys are unable to eliminate them. These substances can become poisonous (toxic) to the body if they reach high levels.

Summarize the clinical manifestations of uremia mainly include: digestive system symptoms are nausea, nausea, diarrhea or constipation, mouth urine taste; cardiovascular system symptoms are hypertension, congestive heart failure, uremic pericarditis, cardiomyopathy; blood system symptoms are significant anemia, bleeding tendency; nervous system symptoms are early stage; Neuromuscular disorders, peripheral polyneuropathy, uremic encephalopathy, respiratory symptoms of uremic pneumonia, skin itching and urea cream. In addition, metabolic acidosis often occurs, and it is manifested by high potassium or low potassium, low calcium and high phosphorus.

The chief cause of uremia is damage to the kidneys, which has a variety of causes. Diseases that can affect kidney function include Bright disease (glomerulonephritis), chronic hypertension, and diabetes mellitus. Blockages of the flow of urine due to urinary stones or, in males, enlarged prostate glands can also cause uremia. The treatment of uremia rests on the identification and treatment of the disorder that is the underlying cause. Patients whose kidneys are diseased and who are waiting for kidney transplants often suffer varying degrees of uremia. In such cases, treatment typically is with dialysis—i.e., the artificial filtering of the blood by a machine outside the body.

In the past 30 years, a great deal of research has been done in the diagnosis, treatment and prevention of uremia all over the world. Many modern techniques have been applied and good results have been achieved. In addition to drugs, renal replacement is a fast-growing discipline. The development of hemodialysis, peritoneal dialysis, kidney transplantation, chinese herbal medicines, which have saved a large number of uremic patients facing death and brought them back to life.

If you want to know more information, please leave a message below or send the medical reports to us. We will try our best to help you.

Is Creatinine 6.65 Dangerous For Stage 4 Kidney Failure Patients

Creatinine is one of important indicators on showing kidney disease. Not all patients know about the meaning of creatinine level, in recent years, more and more patients asking that is creatinine 6.65 dangerous for stage 4 kidney failure patients. Following this article to get the answer, or you can consult ONLINE DOCTOR directly in free.
Some scientific experiments and clinical studies have proved that traditional Chinese medicine has a better role in protecting residual renal function. Rational treatment and health care of traditional Chinese medicine can significantly alleviate the loss of residual renal function in uremic patients and bring benefits to their long-term health.

Creatinine 6.65 means that there are lots of toxins and excess wastes in body, which will cause a series of complications. Patients need to pay attention on it, and take treatments as soon as possible to clear away toxins and excess wastes out clearly.

To improve renal function, we strongly recommended Micro-Chinese Medicine Osmotherapy. It is one of the unique treatments of Chinese Medicine in our hospital. The Chinese Medicine refined Powder and then placed in two medicinal bags. It connects with the Advanced Technology of the Machine of osmosis. Two medicated bags are placed in the shenshu area of patients, and you only need to lie in the bed for 40-50 minutes. The Machine of the osmosis helps the active ingredients in Chinese Medicines entering the kidney damage directly through the shenshu acupoint and skin permeation. It can Clean Your Blood to provide a good Environment of Blood to recover renal function. With a clean environment of micro - Blood, Micro-Chinese Medicine can stimulate the self-healing capacity of damaged renal tissues and renal function gradually improved through the expansion of blood vessels, Improving Blood Circulation, degrade The Matrix former Tracelular, prevent the inflammation and coagulation.

After several times of treatments, creatinine 6.65 can be reduced and complications can be relieved.

If you want to know more information, please leave a message below or send the medical reports to us. We will try our best to help you.

2017年12月1日星期五

Is Kidney Function 35% Reversible

Kidney function 35% means you are at Stage 3 Chronic Kidney Disease (CKD), with moderate kidney damage. Can that count or number be reversed?

Kidneys a pair of vital organs in body,performing a number of important functions.The most important function is to filter out waste products and extra fluid from blood.Also,they can help regulate blood pressure and secrete certain hormone.Just name a few here.

In stage 3 kidney disease,the kidneys are impaired moderately with renal function between 30-59% of normal.At this stage,a host of early kidney damage symptoms begin to appear like high blood pressure,edema,early bone disease etc.
How to improve kidney function 35% naturally?

To improve your illness condition, you’d better do as follows:

● Develop a kidney-friendly diet

A healthy diet is to help you prevent some symptoms or control some critical levels. During this process, you have to reduce your intake of sodium and protein intake, but should take high-quality protein. Fish, egg white, milk, cucumber, cauliflower, cranberry, etc are good choices.

● Control blood sugar and blood pressure levels

It is very necessary to make the two levels under control. No matter keeping a restricted diet or taking medicines, do it well.However, you should taken medicines under your doctor’s advice, since long term and large dosage of drugs will cause further kidney damage.

Micro-Chinese Medicines Osmotherapy

To improve renal function in stage 3 CKD with renal function 35%,Micro-Chinese Medicines Osmotherapy will be applied. Micro-Chinese Medicines Osmotherapy is an externally applied Chinese herbal medicine,in which a variety of Chinese herbs are applied based on a patient’s specific illness condition.

Firstly,the effective medicines can dilate blood vessels to improve blood circulation in kidneys.So more blood will flow through kidneys and be filtered there.Meanwhile,more blood supply to kidneys will bring more nutrients and oxygen to kidney tissues and cells,which can help the self-repairing of the impaired kidney structure.

Secondly,Chinese medicines can stimulate the releasing of inflammatory factors and activate the self-healing system of the body.When the impaired kidney tissues and cells are repaired,renal function will be improved remarkably and fundamentally.

If you are interested in Micro-Chinese Medicines Osmotherapy and want to learn more about it, you can leave a message below.

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