When will you give insulin in type 2 diabetes.

The term diabetes means there is increased blood sugar level above the normal range.
There are mainly two type of diabetes .
Type 1 diabetes - Which is due to reduced insulin level in the body
Type 2 diabetes - Where the basic defect is not the reduction of insulin but due to reduced action of insulin.
In Type 1 diabetes treatment of choice is only insulin.
In Type 2 diabetes initial treatment of choice is anti diabetic tablets. Insulin is given only in the following situations

(a) Newly diagnosed symptomatic type 2 diabetes with severe hyperglycemia.
(b) Poor glucose control while taking maximal doses of a combination of oral medications.
(c) Intercurrent illness (eg - myocardial infarction, infection) or operation.
(d) Pregnancy.
(e) Kidney disease.
(f) Liver disease.
(g) Allergy to or inability to tolerate oral antidiabetic medication.

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Home Remedies - How to get pink beautiful lips by natural method ?

Pink and beautiful lips will make your smile pretty and attractive , that make your personality more impressive. Natural remedies give long lasting effect. It is without any side effects. If you wish to have pink and soft lips you can try these easily at home and they are cheap also.

Why lips need special care?

Lips are the only part of face that cant produce oil itself to moisturize it. So dryness and chapping occur easily and if you fail to treat it at right time it causes pigmentation and darkness. So you need to apply moisturizer and give special care to keep it pink and soft. Pink lips also is an indicator of good health. Here are the most effective ways to get pink soft lips.

Basic things you need are 

Exfoliation with lip scrubs make it soft

Exfoliation means removing dead cells from the lips that will make it soft and supple.It should be done at least 2 times a week.

How to do scrub

(a) Honey and  sugar lip scrub - Dip finger in a mixture made of one teaspoon of honey two teaspoon of sugar and one teaspoon of olive oil. Rub it on your lips in circular movements and leave it there for sometime then wipe off with damp cloth or cotton.

(b) Take a toothbrush with smooth bristle with a bit of toothpaste, remove the dead cells with gentle rubbing in circular movements on lip, and wash the lips.
Moisturization of the lips hydration external and internal 

Since lips cant produce oil itself it will become dry easily, dryness take away all its beauty. To avoid dryness you need to apply moisturizer. Dryness can lead to dark lips. Following are the best lip moisturizers. Well hydrated lip has juicy appearance,while dry lip appears dull.

(a) Apply glycerin on your lips before you go to bed at night. Glycerin help to keep the lip hydrated. It will prevent darkness.

(b) Adequately hydrate your body, drink 8-10 glass of water daily.

(c) Application of Vitamin E to the lip also keep it soft.

(d) Lip balm also help to maintain hydration. Avoid Petroleum containing Lip balms. It is better to use lip balm containing Natural Beeswax, Cadillac Wax, Almond Oil and Vitamin E,  glycerin.
Lightening agents-Remove the darkness and give pink colour to your lips.

(a) Lemon honey lip serum - Mix  equal amount of lemon juice and honey and coat it  on your lips, keep it for 1 hour and wipe off with soft wet cloth. Do it daily to remove the tan from lips. This lip serum can be kept in refrigerator and used for 1 week. 

(b) Take the slice of beetroot and rub gently on your lips.

(c) Almond oil application at bedtime lighten the lips.

(d) Cucumber juice if applied daily removes tan from your lips.
Protection from harmful things

(a) Avoid lip products that are cheap and allergic

(b) Avoid excessive sun exposure

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Foods that keep you young

Most beautiful phase of human life is youth. While you are young you will have fit body beautiful skin, and a healthy mind. It is the most energetic phase of life. Even then we don't realize its significance and value. We rapidly loss this phase due to wrong diet and lifestyle. If you want to prolong this you should follow healthy food habits.

Experience the change, your food can cause magic. There are several foods that prevent ageing. To avoid fat accumulation eat low calorie foods. Do not eat up to a level that your stomach is completely filled.

1. Antioxidants - Food that contain antioxidants are the strongest anti ageing agents. Fruits that are dark colored and vegetables are rich in antioxidants. Consume vegetables and fruits of different color. Examples are apple, orange, papaya, beetroot, grapes, mango, capsicum. This food habit is called rainbow food.Weekly fruits and vegetables of 3 different colors are advised.

2. Vitamin C - Vitamin C rich foods help to prevent pigmentation of skin. Citrus fruits are rich in vitamin C. Drink lime juice daily. Eat a gooseberry daily.

3. Daily drink at least 8 glass of water. Body should be adequately hydrated.

4. Green tea - Green tea is a rich source of antioxidants. If you drink it daily, it will increase the antioxidants level in the blood. Green tea is more effective if it is mixed with a teaspoon of lemon juice.

5. Garlic improve the immunity of the body. Can be consumed with or food or can be chewed.

6. Red wine helps to prevent ageing. It enhance the absorption of food. Daily consumption of grape wine 15 ml will give good result.

7.Include nuts(almond, cashew nut, ground nuts ) in daily menu. Consume one spoon (30 gm) of nuts daily. This will keep the skin tight by maintaining the collagen level.

8. Broccoli the magic food prevent ageing. This will give you good mood.

9. Wheatgerm in whole wheat Prevent ageing of skin.

10. As the salads and soups are poor in protein, to get adequate protein consume skimmed milk,low fat meat, soya beans and fish.

11. To protect your heart omega 3 fatty acids are essential. Include omega 3 rich foods mackerel, sardines and tuna twice weekly.

12. Avoid white poison that is sugar, trans fatty acid example vanaspathy, oily foods and sauce.

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Most effective ways to strengthen your bone

Osteoporosis is one of the most disabling problem in elderly, especially in females. In osteoporosis there is weakness of bone strength. Inorder to escape from osteoporosis you should take care of your bones from childhood itself. 

Following tips will help you to strengthen your bone.

1. Growing phase of bone is up to 21 years, you should consume foods with maximum calcium content this phase. Here are some foods that are rich in calcium.

(a) Milk and milk products.

(b) Green leafy vegetables.

(c) Foods with high vitamin C will help in calcium absorption.

(d) Orange.

(e) Gooseberry.

2. Consumption of foods that's rich in calcium is better than consuming calcium supplements, take calcium supplements if prescribed by doctor and ensure balanced diet.

3. For strong and healthy bones regular physical exercise is essential. Walking and swimming are best for bone strengthening.

4. Give more attention in bone strengthening from 30 years onward.

5. In females postmenopausal osteoporosis is common, estrogen replacement help to reduce it. Hormone replacement therapy contains phytoestrogen, which functions as estrogen in the body.

6. Reduce the salt intake, excessive salt causes weakening of bone strength.

7. Avoid excess sugar, carbonated drinks and coffee. The phosphoric acid in them cause loss of calcium through urine.

8. Avoid physical activities that create over burden to bones after 45 years.

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Lower your cholesterol without drugs

Health problems due to high cholesterol is on rise due to change in lifestyle and food habit.

To lower your cholesterol the following measures are available 

Dietary changes

Regular exercise

Drug

Here are few tips that will help to lower your cholesterol without drugs.

1. Reduce the intake of fried food especially fried meat and fish.

2. Do not reuse the oil that is once used to fry the food.

3. Reduce the oil intake as far as possible.It is better to use olive oil or sunflower oil for cooking.

4. Vegetables and fruits contain large amount of dietary fibers, that will inhibit the cholesterol absorption.Increase the daily intake of vegetables and fruits.

5. Oats.barley,cashew nuts also help to lower cholesterol.

6. Daily intake of Green tea will help to control cholesterol.

7. Fish such as sardine contain omega three fattyacid which can lower the cholesterol level.

8. Eating curry leaves ,and garlic are also useful.

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Why exercise is advised in diabetic patients

Diabetes mellitus is a condition characterized by elevated blood sugar value. Apart from that there is alterations in blood lipid value and blood pressure. In diabetic patients exercise will help to decrease the blood sugar and also increases the sensitivity to insulin.

Other positive effect of exercise in diabetic patients

1. Decrease the heart attack risk

2. Decrease the blood pressure.

3. Exercise will help to reduce the muscle mass.

4. Reduce the body fat.

5. Produce weight loss.

Recommend exercise in diabetes

Diabetic people are advised exercise 150 minutes/week that is distributed at least over 3 days, moderate aerobic physical activity and resistance training.

Precaution before starting exercise in diabetic patients.

Since  diabetic patients are at high risk for heart disease without pain exercise tolerance test may be done in the following situations.

1. Age  more than 35 yrs

2. Duration of diabetes more than 15 yrs in type 1 diabetes and more than 10 yrs in type 2 diabetes.

3. If the patient has complications of diabetes such as kidney disease ,eye disease

4. Blood vessel occlusion in limbs.

5. Other risk factors for heart disease.

Those patients who have proliferative diabetic retinopathy should avoid vigorous exercise because of the chance of bleeding in to eye. 

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