Type 2 diabetes can lead to a range of serious complications, so it's important to understand what can happen and how to recognize the symptoms.

Right now, you might be experiencing some of the symptoms of type 2 diabetes, which include :

  • Frequent urination
  • Unusual thirst
  • Extreme hunger
  • Unusual weight loss
  • Extreme fatigue and irritability
  • Blurred vision
  • Cuts/bruises that are slow to heal
  • Tingling/numbness in the hands and feet
  • Skin, gum, or bladder infections

As you bring your blood-glucose levels under control, these symptoms will begin to abate. However, like many people with type 2 diabetes, you might not have any symptoms at all ? which can sometimes make it harder to grasp the seriousness of your diagnosis.

Whether you have symptoms or not, over time uncontrolled levels of high blood sugar can lead to tissue damage throughout your body, from your eyes to your toes. When you have diabetes, you will be seeing your physician on a regular basis to monitor your progress. And it will become more important than ever to get regular dental and eye exams. That's because diabetes can lead to a range of complications, which you need to know about and be on the lookout for because they are so serious. Fortunately, controlling your blood-glucose levels can help prevent many of these secondary problems.

Diabetic Complications

  • Gum disease and infections
  • Vision problems, including a risk of cataracts, glaucoma, and eye infections; a condition called diabetic retinopathy can lead to vision loss or blindness
  • Neuropathy, or nerve damage, that can cause pain or numbness in your hands and feet
  • Circulatory problems that can eventually lead to amputations (feet, legs)
  • Heart disease
  • Kidney problems
  • High blood pressure

Remember: Taking control of your blood-glucose levels can help prevent many of these secondary problems. Work closely with your care team to maintain a proper diabetes management plan and to watch carefully for troubling symptoms or signs of a developing problem.

Next step: Type 2 Diabetes: A Race for Cure

Although fruit contains sugar, it's also loaded with essential vitamins, minerals, and fiber. Learn how fruit can be part of a healthy type 2 diabetes diet.

Most people with type 2 diabetes know that they can't indulge in a daily chunk of chocolate cake for dessert or sip sugar-laden drinks. But is all sugar off limits in a type 2 diabetes diet, even the natural sugar found in fruits?

"In general, for most patients, all kinds of fruit are fine," says dietitian Nora Saul, MS, RD, a certified diabetes educator at the Joslin Diabetes Center in Boston. Fruit is a healthy snack, packed with the fiber, vitamins, and nutrients essential for good health.

But that doesn't mean that people with type 2 diabetes can eat all the fruit they want ? fruit will affect their blood sugar levels. "Every single fruit has carbohydrates," says Lorena Drago, a certified diabetes instructor and consumer adviser for the American Association of Diabetes Educators. Following a few simple guidelines will help you make the right choices.

Diabetes and Fruit: The Glycemic Index

If you have diabetes and fruit is on your preferred menu, you'll need to pay attention to its glycemic index ranking.

The glycemic index is a numerical rating assigned to carbohydrate foods and indicates how quickly a food will affect blood sugar levels. Low-glycemic-index foods raise blood sugar levels at a slower rate than higher glycemic index foods, says Saul. So low-glycemic-index foods will help you keep your blood sugar levels more stable ? the goal for everyone with diabetes.

Apples, oranges, and pears are some of the fruits with a low glycemic index and may be a good choice if you need to limit your carbohydrates on a particular day.

Diabetes and Fruit: Go for the Berries

If you're looking for the most nutritional bang for your carbohydrate buck, opt for berries, says Drago. Strawberries, blackberries, blueberries, and other berries are nutrition powerhouses in terms of nutrients.

But just because they're healthy, remember not to overdo it on the carbohydrates, as carbs will affect blood sugar levels. It's important to stay within your daily carbohydrate budget, which is specific to every individual with diabetes. When you're selecting your fruit, it's also good to go for variety.

"Different fruits provide different vitamins and minerals," says Saul. "You just have to watch the portions and not eat too much at once." If your favorite fruits have a very high glycemic index, eat them in smaller portions or include them in a meal that has an overall low glycemic index, she suggests.

A wide variety of fruits is the best choice for a type 2 diabetes diet, says Saul, but she suggests being sure to include fruits high in vitamin A and C and rich in fiber.

Diabetes and Fruit Juice

Drinking juice doesn't not provide the same nutritional benefits of the whole fruit, Saul says, so tread carefully around fruit juices.

"Most juices don't have any protein, any fiber, or any fat," Saul says. And because they're liquid, they leave the stomach very quickly. With "nothing to slow down absorption, they tend to spike blood sugar levels very quickly," she points out.

Saul explains that fruit juice isn't totally off limits, but moderation is key for any type 2 diabetes diet. If you do choose juice, "it should be small quantities, 4 ounces or less," she says. You'll get the same vitamins that you'd get from eating the whole fruit, but you will miss out on the more complete nutrition provided by whole fruit.

You don't have to skip nature's sweet treats when you have diabetes. You can, and should, enjoy fresh fruit as part of a healthy type 2 diabetes diet. Just remember that moderation rules when you're factoring in these carbs.

TELL US: What's your favorite fruit?

For more diabetes news, follow @diabetesfacts on Twitter from the editors of @EverydayHealth.

DAVENPORT, Iowa - Dec. 19, 2014 - Genesis Health System has become the first Iowa health system to earn a Gold Achievement, the highest level of recognition from the Iowa Recognition for Performance Excellence.

Genesis Health System, which had previously earned Bronze and Silver recognition, is one of just three health care organizations to earn Gold Achievement since the Iowa Recognition for Performance Excellence began recognition of performance excellence in Iowa organizations in 2000.

Only six Iowa organizations have earned the Gold Achievement level in the history of the state awards.

Genesis is progressing toward a goal of recognition as a Malcolm Baldrige National Quality Award winner. Baldrige Awards are the highest national recognition for performance excellence and management for organizations.

"We are proud of everyone within Genesis Health System; not because they earned Gold recognition, but because they deserved to earn Gold recognition,'' said Doug Cropper, President and CEO, Genesis Health System. "Genesis has become a better, more patient-focused organization than ever before because of the processes put into place to earn this recognition. It is patients who benefit from this rigorous examination of our processes and efficiency.''

The purpose of the Iowa Recognition for Performance Excellence process is to recognize role-model organizations completing a rigorous organizational assessment leading to sustainability and maintaining a future focus on performance excellence.

"The leaders of these organizations have made a commitment to attaining higher levels of performance by receiving feedback from volunteer examiners willing to spend more than 140 hours of assessment time to help build quality and competitiveness in Iowa-based organizations,'' said Gary Nesteby, Executive Director, Iowa Recognition for Performance Excellence.

IRPE achievement winners this year were:

Gold - Genesis Health System, Davenport; Mary Greely Medical Center, Ames, Iowa

Silver - Firestone Farm Tires, Des Moines.

Bronze -- Iowa Donor Network, North Liberty, Iowa; Urbandale Community School District, Urbandale, Iowa.

For more information about Iowa Recognition for Performance Excellence, go to www.iowaqc.org.

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One of the easiest, least expensive ways to stay healthy is often one of the most overlooked. Avoiding the common cold, or worse the flu, can be as easy as washing your hands. Many people wash their hands, but do so ineffectively with just a quick rinse of water.

Read the entire article here: www.tricare.mil/HealthWellness/HLArticles/Archives/12_17_14_WashYourHands.

Today was an important step forward in the fight against Alzheimer's, and YOU made it happen! Thanks to the hard work of Alzheimer's advocates, the Alzheimer's Accountability Act was fully incorporated in to the recently signed funding bill. Because of this critical legislation, scientists at the National Institutes of Health (NIH) will now directly tell Congress how much funding they need, on an annual basis, to reach our national goal to prevent and effectively treat Alzheimer's by 2025. The Alzheimer's Association and its sister organization, the Alzheimer's Impact Movement (AIM), were the only Alzheimer's advocacy groups to work on this key legislation.

Additionally, the funding bill includes a $25 million increase for Alzheimer's research, coming on the heels of an unprecedented $122 million increase for Alzheimer's research, education, outreach and caregiver support earlier this year.

Passage of the Alzheimer's Accountability Act is an incredible milestone for our movement, but we can't let up. In the weeks ahead, Congress and President Obama will prepare the federal budget for next year, and they need to hear from you.

Take a moment and tell your elected leaders to continue their support in the fight against this devastating disease.

The current political environment in Washington is challenging, and it's hard to win such a significant victory, but your tireless efforts made all the difference in the halls of Congress this year.

Continue the fight and tell President Obama and leaders in Congress to make Alzheimer's a national priority.

From the Alzheimer's Association and our partners at the Alzheimer's Impact Movement, thank you again. We look forward to working together with you in 2015.

Want To Keep Momentum Going? Join Us Next Year In Washington D.C. for the Alzheimer's Association Advocacy Forum!

By Erin Palinski-Wade, RD, CDE, LDN, Special to Everyday Health

If you were recently diagnosed with type 2 diabetes, or even if you have had diabetes for a long time, you may be confused about how to eat to manage your blood glucose levels. It seems that everyone has an opinion, and many of these opinions contradict each other.

So what are you to believe? And what truly works at helping you maintain your glucose levels in a healthy range?

Let's take a look at some of the biggest diabetes diet myths, why they don't work, and what actually will.

Myth No. 1: If You Have Diabetes, You Must Avoid All Sugar

The Truth: Excess sugar good for anyone's diet, regardless of whether they have diabetes or not. However, just because you have diabetes, not all sugar and sweets are off limits. All carbohydrates, including simple sugars as well as complex carbohydrates, are broken down into glucose during digestion. This glucose is then used as energy in your cells. Because all forms of carbohydrates break down into glucose and therefore raise your glucose levels, you need to monitor your total carbohydrate intake, especially at one sitting, for optimal glucose management.

Although you must be careful not to overeat carbohydrates at one sitting, you can still indulge in a few sweet treats at times. Complex carbohydrates such as whole grains, whole fruits and vegetables, and low-fat milk are the best choices for everyone, due to their rich nutrient and fiber content. But you can enjoy a food containing simple sugars, such as a cookie, in moderation without spiking your glucose levels, as long as you keep the portion under control. Keep in mind, however, that when it comes to simple sugars, moderation is key for everyone, not just people with diabetes.

Myth No. 2: Any White Food Is Bad

The Truth: When you think of white foods, what comes to mind? White flour, white sugar, white bread? What about white potatoes, cauliflower, and onions? Are all of these white foods bad for glucose levels? Definitely not! Sure, some white foods are highly processed, such as enriched flour and sugar. But just because a food is white in appearance doesn't mean it will be rapidly converted into glucose in the body and therefore spike your levels. In fact, white vegetables such as cauliflower and onions are excellent for blood glucose control as they are very low in calories and high in fiber, and provide few carbohydrates.

White potatoes get a bad rap as well. It is true that sweet potatoes are digested more slowly and prompt a smaller elevation in glucose levels after eating, but that doesn't mean you need to avoid white potatoes if you have diabetes. In moderation, and as part of a balanced meal - with vegetables, lean proteins, and healthy fats - you can enjoy white potatoes as your starch and still maintain healthy glucose levels.

Myth No. 3: The Only Way to Lower Glucose Levels and Weight Is to Follow a Low- or No-Carb Diet

The Truth: If you are newly diagnosed with diabetes, you may feel as though everyone around you is telling you to steer clear of all sources of carbohydrates. Since carbohydrates are found in everything from fruit to bread to milk and even vegetables, you may feel as though there's nothing left to eat. But the good news is that you can still eat carbohydrates. Managing diabetes is about keeping your glucose levels in a healthy range. Too-high glucose levels can damage your body, but too-low levels can be dangerous as well. Eating carbohydrates as part of a well-balanced diet will help you keep your levels within a healthy range.

Instead of avoiding carbohydrates, focus instead on choosing the healthiest types. Select whole vegetables and fruits, whole-grain bread, and low-fat dairy for a diet rich in nutrients and fiber. Space your carbohydrate intake out throughout the day by balancing your plate with carbs, lean protein, and healthy fat at each meal. A balanced diet will not only help you achieve optimal glucose levels, it will also improve your overall health.

Myth No. 4: Sugar-Free Foods Won't Impact Blood-Sugar Levels

The Truth: Sugar-free foods do not necessarily equal carbohydrate-free foods. Many foods marketed as sugar-free have replaced sugar with sugar alcohols. Sugar alcohols provide fewer calories and make less of an impact on glucose levels than regular sugar, but they can still elevate glucose levels if you consume them in large amounts. In addition, bread-based sugar-free foods, such as sugar-free desserts, are typically rich in carbohydrates from sources such as flour and grains. It's essential to read labels carefully on sugar-free foods. Look at the total grams of carbohydrates and not just grams of sugar. If you focus only on the marketing claims, such as "sugar-free," you may struggle to lower your glucose levels without knowing why.

As you can see, there are many diet myths surrounding diabetes. But managing your glucose levels doesn't have to be complicated. A balanced diet rich in whole foods and limited in processed foods and simple sugars - the same diet that we should all follow, regardless of whether we have diabetes or not! - can help you keep your glucose levels in a healthy range.

Erin Palinski-Wade, RD, CDE, LDN, is a nationally recognized nutrition and fitness expert who has contributed to national media outlets such as the CBS Early Show, The Doctors, and the Chicago Tribune. She serves as a media spokesperson, nutrition consultant, and speaker. Erin is the author of multiple publications including Belly Fat Diet For Dummies and 2-Day Diabetes Diet, and co-author of Flat Belly Cookbook For Dummies. She specializes in the areas of diabetes, adult and child weight management, sports nutrition, and cardiovascular disease. Follow her on Twitter and Facebook.

The long-term effects of type 2 diabetes can be challenging, but the right treatment and support can help you succeed through these setbacks.

Living with type 2 diabetes is a full-time job. When you also are experiencing complications from your condition, the job gets even harder. That's why, with your doctor's help, you need to develop and stick to a comprehensive health plan.

You have diabetes complications because your elevated blood sugar took a toll on either your circulatory or nervous system, or both. Keeping your blood-sugar levels under control remains central to your battle to stay healthy. It's also critical to keep your blood pressure and your cholesterol within a normal range

Know the Risks

People with diabetes have twice the risk of developing heart disease compared to people without diabetes, and diabetes is the leading cause of kidney failure among Americans. Neuropathy, or nerve damage that causes burning, numbness or complete loss of feeling in your hands and feet is another problem. The loss of feeling can put you at risk for burns and sores that you are unaware you have. Untreated, these sores may develop into tissue damage that leads to amputation.

People with type 2 diabetes also are at increased risk for serious eye problems that may threaten their vision, including diabetic retinopathy, glaucoma, and cataracts. Diabetes can also make you more prone to dental problems, including gum disease.

Know the Signs of Danger

With such serious problems, it's important to know the signs of trouble and be ready to act when they happen.

Heart attack: Symptoms may be severe and appear suddenly or they may be subtle, with only mild pain and discomfort. If you experience any of the following heart-attack warning signs, call 911:

  • Chest discomfort that feels like pressure, squeezing, fullness, or pain in the center of your chest and that lasts for a short time or goes away and returns
  • Pain elsewhere, including the back, jaw, stomach, or neck; or pain in one or both arms
  • Shortness of breath
  • Nausea or lightheadedness

Stroke: Immediate emergency treatment can mean the difference between life and death when someone has a stroke. Call 911 if you suddenly experience any of the following stroke symptoms:

  • Sudden numbness or weakness in the face, arm, or leg, especially if it occurs on one side of the body
  • Feeling confused
  • Difficulty walking and talking and a lack of coordination
  • Developing a severe headache for no apparent reason

What You Can Do

To keep track of the constellation of problems that can accompany type 2 diabetes, it's critical to stick to a schedule of medical visits:

  • See your primary care doctor or endocrinologist every three or four months.
  • See your dentist every six months.
  • See your ophthalmologist every six months or more often if you have active eye problems.
  • See your podiatrist once a year or more often if you have active foot problems.
  • Consult with your dietitian, exercise physiologist, or mental health counselor as needed.

Managing the complications of diabetes is daunting ? but doable. Advances in medical care in recent decades have made type 2 diabetes and its side effects more treatable ? and new solutions are being developed all the time. Don't give up!

Davenport, Iowa (December 10, 2014) - The Scott County Sheriff's Office has taken a pledge to keep tobacco, alternative nicotine and vapor products out of the hands of Scott County youth.

Known as I-PLEDGE, the program is a partnership with the Iowa Alcoholic Beverages Division (ABD) to educate local retailers and to enforce Iowa's tobacco, alternative nicotine and vapor product laws. Due to a change in Iowa law, alternative nicotine and vapor products are now considered age-restricted products and will be part of the I-PLEDGE program's compliance initiatives this year. Since the program's inception in 2000, the statewide tobacco compliance rate has grown to 93%. By participating in the program, the Sheriff's Office has committed to do its part to increase the compliance rate even more this year.

I-PLEDGE places emphasis on retailer training. Clerks who successfully complete an online training course and then pass an exam will become I-PLEDGE certified. This allows a retail establishment to use an affirm­ative defense against a civil penalty if the certified clerk makes an illegal sale. Although not required to retake the training if currently certified, ABD encourages clerks to repeat the training after October 3rd, in order to familiarize themselves with the newly age-restricted products.

"I-PLEDGE's retailer training is a great way for clerks to prepare themselves to refuse illegal tobacco, alternative nicotine and vapor product sales," Sheriff Dennis Conard said. "The training also assists retailers to ensure they maintain a compliant and responsible establishment."

Deputies will also be conducting compliance checks on local establishments as part of the I-PLEDGE program. Underage customers, under the supervision of law enforcement officials, will enter establishments and attempt to buy tobacco, alternative nicotine and vapor products. Clerks who make the illegal sale will be cited on the spot.

Criminal penalties for selling tobacco, alternative nicotine and vapor products to a minor include a $100 fine for a first offense, a $250 fine for a second offense and a $500 fine for third and subsequent offenses. However, handing out citations is not the intent of the I-PLEDGE program.

"By partnering with the Iowa Alcoholic Beverages Division, we hope to educate clerks and maintain a com­pliant retail environment in our community," Sheriff Conard said. "Moreover, we pledge to help keep tobacco, alternative nicotine and vapor products out of the hands of Iowa's youth."

To take the I-PLEDGE training or search certification records go to www.iowaabd.com.

Muscatine, Iowa (December 2014) - Gilda's Club and Komen Quad Cities are partnering to host Judy Howell, Trinity Nurse Navigator who will discuss strategies to manage treatment side effects such as fatigue, hair loss, anemia, infection and pain. Learn how to manage emotional distress and optimize your quality of life during and after cancer treatment. The workshop will take place on Thursday, December 11th at 1st Presbyterian Church in Muscatine 401 Iowa Avenue, Muscatine, IA. Dinner will be served at 5:30 Presentation at 6:00.

Advanced Registration is preferred as dinner is included.

For more details and registration call Gilda's Club at 866-926-7504

Physician Explains What's Missing From Most Protein Shakes

Every New Year inspires a wave of self-improvement, which for many people includes improving their overall health.

Unfortunately, a recent study from the University of Scranton's Journal of Clinical Phycology says only 8 percent of those who make a New Year's resolution see their goals come to fruition.

Regardless of the specific goal, people establishing resolutions to improve their health need to start with a foundation. A nutritional foundation is required for anyone who is setting out to improve his or her 'health'," says Dr. John Young, M.D., a physician specializing in the treatment of chronic illnesses through biochemical, physiological and nutraceutical technologies, and the author of "Beyond Treatment: Discover how to build a cellular foundation to achieve optimal health," (www.YoungHealth.com).

"Many of us want to lose weight, gain muscle and improve our cardiovascular endurance, but those goals cannot be accomplished without addressing the body's fundamental needs. A healthy body begins with a healthy cellular foundation, and a healthy cellular foundation begins with what we're putting in our bodies."

A protein shake is a common way some people like to supplement their health plans, but Dr. Young says those health drinks are usually missing one or more essential components. He lists them and explains why they're so important.

1.  Whey protein: Can be a great option for protein supplementation assuming it's of the highest possible quality. Look for protein powder that is cold processed (non-denatured), meaning it's never heated to temperatures above 130 degrees. Also makes sure it's made with milk from cows that haven't been pumped full of hormones and that have been grazed on pesticide-free, chemical-free, natural grass pastures. Make sure the protein is completely free of chemicals, artificial flavors and artificial sweeteners.

2.  Omega oils: Because of their molecular makeup, Flax Seed oil and Cod Liver oil are two of the most important oils you can consume. They supply a number of important nutrients for nearly all systems of the body, including the heart and immune system as well as the brain. In order for these oils to be effectively incorporated by the body, they need to be "hidden", or emulsified into a protein so they aren't destroyed during the digestive processes. This is a huge key that most people completely miss.

3.  pH stabilization: pH is a measurement of the acidity or alkalinity in your body and ranges from zero on the acidity end to 14 on the alkaline end. Evidence suggests that a healthy balance in pH increases strength in muscle and bone, improves brain function and decreases the risk of chronic disease. Because our diets are so acidic these days, I use a pH balancing formula in my practice to help keep my patients in the stable pH range.

Along with the three pillars of Dr. Young's approach to healthy protein shakes, he recommends appropriate amounts of fruits and vegetables and an overall balanced diet.

About Dr. John Young, M.D.

Dr. John Young is a medical doctor with more than 15 years' experience working in emergency rooms and pediatric burn units. He's the Medical Director of Young Foundational Health Center, specializing in treating patients with chronic diseases such as diabetes by addressing the physiological issues. He's also the Medical Director of Young Health Products, a company that produces nutritional products developed by incorporating the latest biochemical, physiological and Nobel Prize-winning protocols. Dr. Young is the author of "Beyond Treatment." He answers questions via a call-in conference call every Tuesday at 8:30 p.m. Eastern time by calling 760-569-7676 and using access code 772967

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