Diseases diabetes

Prior to this work, dietary fiber, of which ceUulose is oae of the more important constituents, was considered important primarily as a means of preventing or overcoming constipation. Otherwise, dietary fiber was considered to be a metaboHcally iaert substance. A large variety of diseases such as appendicitis, hiatus hernia, gallstones, ischemic heart disease, diabetes, obesity, dental caries, and duodenal ulcers are now suspected to be associated with the consumption of a highly refined diet (42). 

Sugar is one of the purest foods made, from natural sources, and has never been known to contain any toxic or harmful components. Intensive investigations by the U.S. Food and Dmg Administration resulted in a book in 1986 on the health and safety factors of sugar (cane and beet) in the diet (18). The conclusion was that sugar has no deleterious effect on health in regard to heart disease, diabetes, or other metaboHc disorder. 

Most of the herbal drugs that are used medicinally are comprised in these five groups of indications. Relative few are employed in a limited number of other areas occasionally in skm remedies, liver remedies, coronary remedies, blood circulation remedies, and in other groups of medicines. Summarizing, it can be said that the possibilities of treatment with herbal drugs are limited for a number of reasons for a series of illnesses like severe cardiac insufficiency, tumours, infectious diseases, diabetes, etc., herbal drugs arc not adequate remedies, even though, in contravention of the law, such claims are made in many publications. In a series of further cases, they only find use in support of the actual medical treatment they are nevertheless of value. 

Patient databases with genetic profiles, e.g. for cardiovascular diseases, diabetes, cancer, etc. may play an important role in the future for individual health care, by integrating personal genetic profile into diagnosis, despite obvious ethical problems. The goal is to analyse a patient s individual genetic profile and compare it with a collection of reference profiles and other related information. This may improve individual diagnosis, prophylaxis, and therapy. 

The gold compounds are used cautiously in patients with a history of hypersensitivity to other drugs, previous kidney or liver disease, diabetes, or hypertension. 

Loop diuretics are used cautiously in patients with renal dysfunction. The loop diuretics are Pregnancy Category B (ethacrynic acid and torsemide) and C drugp (furosemide and bumetanide) and must be used cautiously during pregnancy and lactation. Furosemide is used in children but should be used cautiously. The loop diuretics are used cautiously in patients with liver disease, diabetes, lupus erythematosus (may exacerbate or activate the disease), or diarrhea. Patients with... 

Wear a medical alert tag identifying the disease (diabetes insipidus) and the drug regimen. 

Reviews schedule of administration and prescribed number of sprays to each nostril based on signs and symptoms of disease (diabetes insipidus), such as frequency of urination and increased thirst. 

Human immune globulin intravenous (IGIV) products have been associated with renal impairment, acute renal failure, osmotic nephros s and death. Individuals with a predication to acute renal failure, such as those with preexisting renal disease, diabetes mellitus individuals older than 65 years or patients receiving nephrotoxic drugs should not be given human IGIV products... 

In addition to the NOD mouse, Entelos has models for several human metabolic diseases (diabetes, obesity, and metabolic syndrome), inflammatory diseases (rheumatoid arthritis), and respiratory diseases (asthma and COPD). 

The above scientific information on rice bran phytochemicals indicates that a multitude of mechanisms are operating at the cellular level to bring about specific health effects. Several health benefits of rice bran appear to be the result of the synergistic function of the many phytochemicals, antioxidants, vitamins and minerals which operates through a specific immune response. Their role in the biochemical mechanisms at the cellular level which result in major health effects is shown in Fig. 17.1. A short overview summarizing the effect of the various phytochemicals on major health issues such as cancer, immune function, cardiovascular disease, diabetes, altered liver function and gastrointestinal and colon disease will be given below. 

Creatinine clearance < 60 mL/min/1.73 m2 (stages III-V chronic kidney disease), diabetes mellitus (with renal insufficiency), hypertension, chronic heart failure, cirrhosis, nephrosis, age >75 yr, cholesterol emboli syndrome, multiple myeloma (questionable)... 

The 23-valent pneumococcal polysaccharide vaccine is recommended for use in all adults 65 years of age or older and adults less than 65 years who have medical comorbidities that increase the risk for serious complications from S. pneumoniae infection, such as chronic pulmonary disorders, cardiovascular disease, diabetes mellitus, chronic liver disease, chronic renal failure, functional or anatomic asplenia, and immunosuppressive disorders. Alaskan natives and certain Native American populations are also at increased risk. Children over the age of 2 years may be vaccinated with the 23-valent pneumococcal polysaccharide vaccine if they are at increased risk for invasive S. pneumoniae infections, such as children with sickle cell anemia or those receiving cochlear implants. 

Chemical, biological, and pharmacological properties of lipoic acid as well as its therapeutic effects in several diseases (diabetes mellitus, liver cirrhosis, polyneuritis, etc.) are reviewed [198,199], It is evident from the chemical structures of LA and DHLA that only DHLA may be an efficient scavenger of all oxygen radicals, while LA should be active only in the reactions with highly reactive hydroxyl radicals. On the other hand, DHLA must be easily... 

Hypertension, coronary artery or other atherosclerotic vascular disease, diabetes, obesity, metabolic syndrome... 

Atenolol, betaxolol, bisoprolol, and metoprolol are cardioselective at low doses and bind more avidly to /Ij-receptors than to /J2-receptors. As a result, they are less likely to provoke bronchospasm and vasoconstriction and may be safer than nonselective /1-blockers in patients with asthma, chronic obstructive pulmonary disease, diabetes, and PAD. Cardioselectiv-ity is a dose-dependent phenomenon, and the effect is lost at higher doses. 

Women with controlled dyslipidemias can use low-dose CHCs, with periodic monitoring of fasting lipid profiles. Women with uncontrolled dysiipidemia (LDL greater than 160 mg/dL, HDL less than 35 mg/dL, triglycerides greater than 250 mg/dL) and additional risk factors (e.g., coronary artery disease, diabetes, hypertension, smoking, or a positive family history) should use an alternative method of contraception. 

Comorbidities (chronic obstructive pulmonary disease, diabetes, renal or congestive heart failure, malignancy)... 

Patients with chronic conditions that cause limited immune deficiency (e.g., renal disease, diabetes, liver disease, and asplenia) and who are not receiving immunosuppressants may receive live attenuated and killed vaccines, and toxoids. 

The history and physical examination should be obtained while initial therapy is being provided. A history of previous asthma exacerbations (e.g., hospitalizations, intubations) and complicating illnesses (e.g., cardiac disease, diabetes) should be obtained. The patient should be examined to assess hydration status use of accessory muscles of respiration and the presence of cyanosis, pneumonia, pneumothorax, pneumomediastinum, and upper airway obstruction. A complete blood count may be appropriate for patients with fever or purulent sputum. 

Medical indications Chronic pulmonary disease (excluding asthma) chronic cardiovascular diseases, diabetes mellitus chronic liver diseases, including liver disease as a result of alcohol abuse (e.g., cirrhosis) chronic alcoholism, chronic renal failure or nephrotic syndrome functional or anatomic asplenia (e.g, sickle cell disease or splenectomy [if elective splenectomy is planned, vaccinate at least 2 weeks before surgery]) immunosuppressive conditions and cochlear implants and cerebrospinal fluid leaks. Vaccinate as close to HIV diagnosis as possible. 

Associations have also been made between areca and cardiovascular disease, diabetes, and asthma (Winstock et al. in press). Areca may affect cardiovascular disease by increasing homocysteine concentrations and/or through areca copper concentrations and interaction with the lysyl oxidase enzyme (Trivedy et al. 1999). Areca chewing has been associated with cardiac dysrhythmias in a few cases and a case of myocardial infarction was temporally associated with areca use (Hung and Deng 1998 Chiang etal. 1998). 

Subsequent studies in experimental animals have yielded provocative results. Resveratrol is known to extend the lifespan of a number of organisms from yeast to vertebrates. Resveratrol is also known to prevent or slow the progression of cancer, cardiovascular diseases, diabetes, inflammation, and ischemic injuries in experimental animals. In short, the suggestion that resveratrol in red wine may be responsible for favorable outcomes in human health is supported by a number of studies in experimental animals. However, the support is suggestive but certainly not definitive. Carefully controlled clinical trials in people will be required to establish the role, if any, of resveratrol or related small molecules in human health. Such clinical trials are currently underway. 

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