Gula Darah Tinggi Memicu Penyakit Jantung

Bagi kebanyakan penderita diabetes, meningkatnya gula darah sesudah makan sering dianggap suatu yang lumrah, sekalipun angkanya menembus batas normal yakni 140 mg/dL. Namun, pada tahun 2007 International Diabetes Federation (IDF) mengeluarkan satu rekomendasi bagi penyandang diabetes yang menekankan petingnya menjaga gula darah sesudah makan. Karena tingginya gula darah sesudah makan, dilaporkan berkaitan erat dengan komplikasi penyakit jantung koroner. Penyakit jantung diketahui merupakan penyebab kematian terbesar bagi para penderita diabetes.

Pada orang normal, kondisi gula darah telah diatur sedemikian rupa oleh tubuh, sehingga jika gula darah meningkat sesudah makan, maka akan dilepas hormom insulin untuk menurunkannya. Gula darah naik sesudah makan pada orang normal tidak akan melebihi 140 mg/dL, dan akan turun dalam 2 jam sesudanhnya karena dimetabolisme oleh tubuh.

Namun pada penderita diabetes, kontrol tubuh terhadap kenaikan gula darah sangat buruk. Setelah makan gula darah yang naik akan tetap bertahan tinggi dalam jangka waktu yang agak lama, hal ini dikarenakan tubuh tidak cukup memiliki hormon insulin yang bertugas menurunkan gula darah atau mungkin tidak ada insulin sama sekali yang diproduksi oleh organ pankreas

Mengendalikan gula darah sesudah makan

Gaya hidup
Aktivitas fisik mengatur pola makan dan menjaga berat badan merupakan elemen penting dalam manajemen diabetes yang efektif. Aktivitas fisik berguna dalam memperbaiki kerja insulin dan menurunkan gula darah, terutama sesudah makan. Memakan makanan yang sehat, diet rendah lemak dan tinggi serat akan membantu menurunkan tingkat gula darah sesudah makan dan memperbaiki nilai kolesterol dan tekanan darah. Menurunkan berat badan juga membantu pasien untuk meningkatkan sensitivitas sel tubuh terhadap kerja insulin.

Obat-obatan
Terhadap banyak macam obat yang secra spesifik berkerja menurunkan gula darah sesudah makan, antara lain golongan penghambat alfa glucosidase, golongan glinid, insulin kerja cepat, insulin reguler, exenatide, penghambat DPP-4 dan analog amylin. Namun demikian, tetap fokus utama dokter adalah mengarahkan pasien aga menjaga gaya hidup sehat

Pentingnya pengendalian gula darah

IDF merekomendasikan target HbA1Cnl adalah tidak boleh melebihi 6,5%. Sedangkan target nilai gula darah sesudah makan adalah tidak boleh melewati 140 mg/dL.

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Reduce the Effects of Salt by Sport

A diet containing sodium or salt that is too high can lead tohypertension or high blood pressure. However, in fact, adverse effects of sodium could be inhibited by regular exercise.
Those who exercise regularly are generally more rarely experiencesensitivity in high-salt diet. The risk is 38 percent lower than peoplewho do not exercise at all.

Research by a team from Tulane School of Medicine, Louisiana,USA, defines someone as sensitive to salt if blood pressure levelssistoliknya up 5 percent or more after changing his diet than 3,000mg per day to a high salt (about 18,000 mg of sodium per day).
American Heart Association (AHA) recommends U.S. citizens notto consume more sodium than 1,500 mg per day.

The data used in this study originated from the 1906 health data of Chinese people who average 38 years old.
During the 7-day diet of the respondents regulated by salt intake3000 mg per day, then the next 7 days sodium levels increased to 18,000 mg. The researchers measured blood pressure monitorthem 9 times during the study period to determine the level of theirsensitivity to salt.

The people who never exercise blood pressure increased 5.27 ml of Hg. However, people who diligently exercising tensinyaincreased by about 3.88 mm Hg.
A person is suffering from hypertension if their blood pressure over120 mm Hg/80 mm Hg, according to AHA standards.

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Source of Fiber Wheat Bread

Public awareness of healthy lifestyle also influence the choice of foods diasup, one of them on the type of bread. Bread wheatrecently been chosen by those who wish to maintain health. "Compared with white bread, wheat bread does contain fewercarbohydrates, but rich in fiber," said Hastie Fardianty, MarketingManager of PT Nippon Indosari herein, which produces brandsSari Roti bread with this.

He said that while bread wheat market in Indonesia is still small, inrecent years recorded good growth. "So far, fans of bread wheat isan established adult or those who are concerned with health, such as diabetics," he explained, which met on the sidelines of thepress conference breakfast program Double Power Blue Bandand Sari Roti in Jakarta (10 / 5 / 2011).

Wheat bread made ​​from whole wheat flour is in the process ofremoving only the outer skin penggilingannya. Besides having acharacteristic dark-colored, coarse-textured bread wheat as well."Bread made ​​from good quality wheat is usually a little heavy," he said.
Fiber contained in whole wheat bread has been proven to givegood benefit on blood pressure. In addition, high in fiber alsocauses carbohydrates in bread wheat longer digest the body so that the stomach feel full longer and do not quickly raise bloodsugar.
Hastie suggested that wheat bread should not be eaten with jam."You can add butter or milk is consumed directly by nonlemak," he said.

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Obesity Reduce Sexual Satisfaction

Extra-plump-bodied aka obesity is not just more prone to diseasebut can also reduce sexual satisfaction. Research shows thatobese people, especially women, feel bland sex life.

Researchers from Duke University studied 91 obese men and 134obese women who fill out questionnaires about their sexual function. The list of questions includes passion, libido, interest,orgasm, satisfaction, habit, relationship with a partner,masturbation and sexual problems.

"We found sexual satisfaction and sexual quality of the obesewomen is lower than the men. But in general people who are obese have a lower quality of sex life," said Dr.Truls Ostbye,professor of the department of communication and family, who conducted the research.

The researchers also compared the results of a survey group that heavy fat people with cancer survivors and people from the generalgroup.

As a result, obese women who still have a low value of sexualsatisfaction than other groups. Meanwhile, obese men who havesexual satisfaction among a group of cancer survivors and the general population.

"These survey results add to evidence that obesity is closelyassociated with decreased sexual function and quality of sex, both men and women," Ostbye said the research results published in the Journal of Sex and Marital Therapy.

Sexual problems experienced by the XL is partly due to poor bloodflow due to obesity. Not only in men, but also women. Researchshows encouragement and obese female sexual desire is influenced by poor blood flow, particularly those toward vital organs.

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Breakfast, Time Eating the Most Important

Nutritious breakfast in the morning will fill the back of the brain andbody so that energy is also a day of activity become more fluent.That's why breakfast is not just important for adults but especially in children.

Research shows that children often skip breakfast are more likely to miss school than children who routinely breakfast.

'After 8 hours of sleep, in morning glucose reserves would fall so that cause us difficulty concentrating, sleepy and less alert. If this isexperienced by children in school certainly hampered its ability tocapture lessons, "said dr.Inge Permadhi, Sp.GK, a lecturer in the Department of Nutritional Sciences Faculty of Medicine, University of Indonesia.

The time invested to prepare a nutritious breakfast menu wasactually very small compared with the benefits we get.

"The selected breakfast menu is the menu that should not be tooheavy or excessive calories, but still important to note the composition of nutrients. Select the existing carbohydrate, fat,protein and vitamins," said Inge.

He cited such nutritious breakfast menu, fresh bread andmargarine dioles added egg whites and a little vegetable. "If youdo not want too much carbohydrate can be replaced by breadwheat," he said.

Another example is a bowl of oatmeal with banana slices and lowfat milk. "Avoid the breakfast menu that is too much fried because it can increase levels of bad cholesterol," he explained.

Inge suggested that children accustomed to breakfast early as possible, even since they began to recognize the solid food."Breakfast menu for babies aged 6 months upwards of courseadjusted for age, but still have the same nutritional compositionand varied," he said.

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Alcohol Trigger Uric Acid?

Uric acid (gout), which cause intense pain in the joints due toaccumulation of uric crystals. One of the triggers of uric acid is afood that contains high levels of purines, such as organ meats,vegetables, nuts, and animal products.

Alcohol also contain purine. In addition, alcohol will triggerdischarge thus increasing the levels of uric acid in the blood.Alcohol can also trigger certain enzymes in the liver that breaks down proteins and produce more uric acid.

However, the actual disease of uric acid are classified into two categories, namely gout primary and secondary gout. In primarygout, 99 percent of its cause remains unknown, allegedly due to a combination of genetic and hormonal factors that interfere withmetabolism.

Secondary gout caused by increasing the production of uric aciddue to dietary factors that contain high levels of purines.

Generally attacked uric acid were men. This is because the femalehormone estrogen has helped disposal of uric acid through the urine. During a woman to have the hormone estrogen, aciddisposal uratnya participate controlled. When entering the age ofmenopause, did women exposed to uric acid.

Normal uric acid levels in men ranged from 3.5 to 7 mg / dl and inwomen from 2.6 to 6 mg / dl. Uric acid levels above normal is called hiperrurisemia.

Several studies have shown a link between coffee consumptionand uric acid levels are low. However, researchers still continue toconduct a study on this subject.

Vitamin C is also effective to reduce uric acid levels in the blood.Those who are at high risk are advised to consume the fruit sourceof vitamin C.

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