Diabetic Cake and Insulin Available

  Generic Name                   Analog*                                     Administration Options       
Rapid-acting insulin  
Humalog (insulin lispro)            yes                            insulin pen 3 mL, vial, and 3mL pen catridge
NovoLog (insulin aspart)          yes                            insulin pen 3 mL, vial, or 3mL pen catridge
Apidra (insulin glulisine)            yes                           insulin pen catridge or Opticlick pen system    

Short-acting insulin  
Humulin R (regular)                  no                               100 units, 10 mL vial; 500 unit, 20 mL vial
Novolin R (regular)                   no                          Insulin pen, vial, or 3mL pen catridge, and InnoLet    


Intermediate-acting insulin (NPH)  
Humulin N                                no                                              Vial, prefilled pen
Novolin N                                no                                  Vial, prefilled pen, and InnoLet    
Long-acting Insulins
Lantus (insulin glargine)            yes                                     Vial, 3mL OptiClick pen system
Levemir (insulin detemir)          yes                                  Vial, 3mL pen catridge and InnoLet


Premixed insulins  
Premixed insulin analogs
Humalog Mix 75/25                 yes                                          Vial, prefilled pen
(75% neutral protamine
lispro, 25% lispro)          
Novolog mix 70/30                 yes                                  Vial, prefilled pen, 3mL pen catridge
(70% aspart protamine
suspension, 30% aspart)    
Humalog Mix 50/50                 yes                                                         3 mL pen
(50% neutral protamine
lispro, 50% lispro)
NPH-regular combinations
Humulin 70/30                          no                                                Vial, prefilled pen
Novolin 70/30                          no                                        Vial, pen catridge, InnoLet
Humulin 50/50                          no                                                      Vial    


Other Injectable preparations  
Exenatide (Byetta)                    no                              5 mcg/dose and 10 mcg/dose, 60 dose prefilled pen
Pramlintide (Symlin)                 yes                                  5 mL vial, 1-5 mL and 2-7 mL SymlinPen

NPH, neutral protamine Hagedorn
* All insulins available on US are made by human recombinant DNA technology. An insulin analog is a modified human insulin molecul that imparts particular pharmacokinetic adventages.

source : Pharmacotherapy Handbook, 2009, 7th Ed, by Dipiro et all

image : http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/articles/health_tools/diabetes_type-2_slideshow/istock_photo_of_diabetic_treatments.jpg

Diabetic Cake Nutrition and Exercise

Medical nutrition therapy is recommended for all patients. For individuals with type 1 DM, the focus is on regulating insulin administration with a balanced diet to achieve and maintain a healthy body weight. A meal plan that is moderate in carbohydrates and low  in saturated fat, with a focus on balanced meals is recommended. In addition, patients with type 2 DM often require caloric restriction to promote weight loss. Bedtime and between-meal snacks are not usually needed if pharmacologic management is appropriate.

Aerobic exercise can improve insulin resistance and glycemic control in most patients and may reduce cardiovascular risk factors, contribute to weight loss or maintenance, and improve well-being. Exercise should be started slowly in previously sedentary patients. Older patients and those with atherosclerotic disease should have a cardiovascular evaluation prior to beginning a substantial exercise program.

source : Pharmacotherapy Handbook, 2009, 7th Ed. by Dipiro et all
image : http://www.keyvive.com/wp-content/uploads/2010/10/Diabetic-foods-diet-nutrition.jpg, http://www.astepbehind.com/wp-content/uploads/2009/05/aerobics.jpg

diabetics cake low sugar

We know diabetics are prohibited from consuming food with high sugar levels. A high sugar content in foods will cause people develop hyperglycemia. If this happens then people with diabetes will feel limp body and is generally followed with his eyes dizzy.
Diabetic cake is good and interesting can be made if we have high creativity.
Diabetics actually require sugars as nutrients and energy. But if the body needs sugar is too high then this condition will worsen diabetes.
Then how to meet the nutrition for diabetics? If we eat fruits if sugarneeds to be sufficient?

fresh fruits and interesting can be an alternative as a diabetic cake.consumption of fruits on a daily basis so that the needs of vitamins,minerals, and nutrients in you are met. Healthy regards .... <Hg>

image : http://www.garys-diabetes-management.com/images/fruit2.jpg

Nata de Suweg for Diabetic Cake

You must know the name of nata de coco. O nata de coco coconut water is processed with the help of microbes acetobacter xylinumin fermentation process. Nata de coco in general are mixed in drinks or beverages prepared food. Nata de coco can beconsumed as a diabetic cake.
In my writing some time ago "Suweg Cake for diabetics", we know that suweg flour has a low GI. Moreover, the content of the flour in suweg also high. In principle, processing of nata is the content of starch or flour in a food. if there is juice in the flour then the result can be nata de suweg.

You've heard of nata de cassava? Is currently booming because of the manufacturing process is easy and fairly abundant rawmaterials. Suweg because it is a tuber crops such as cassava, then it should be also be processed into nata for diabetic cake. Nata de cassava processing time-consuming for 6 days. if we want to make nata de suweg experimented, we can make a diabetic cake that is safe for diabetics.<Hg>

"suweg" cake for diabetics

"Suweg" is one form of grass-umbian found on the island of Java, Indonesia. Suweg can be used for diabetics because have low IG that 42. Suweg has characteristics similiar to yams for growing in the soil. A fresh taste and a little savory is a feature that has been boiled suweg. Suweg very easy to grass cultivated for easy planting.

GRASS-UMBIAN SUWEG

 http://jelajahdesa.files.wordpress.com/2010/10/1085903_bonggol-31.jpg

Suweg processed products that have been circulating in the market is suweg crackers, noodless, gelatin, glue materials, cosmetics. Development to serve the other processed products is still minimal. Although there have been bread with suweg basic ingredients, but not many are found in market. If it can be processed more, it will increase the selling value of suweg known as a safe food for diabetics

SAMPLE of  "CAKE SUWEG"

http://www.umy.ac.id/wp-content/uploads/2010/02/roti-suweg.jpg

CLINICAL PRESENTATION of DIABETES MELLITUS

Type 1 Diabetes Mellitus

• Individuals with type 1 DM are often thin, prone be diabetic ketoacidosis if insulin is under condition or severe stress.
• 20% to 40% of patients diabetes mellitus presents with polyphagia, polydipsia, polyuria, and weight loss after several days.

Type 2 Diabetes Mellitus

• Asymptomatic, but presence of complication may indicate they have had diabetes mellitus for several years.
• Lethargy, polyuria, nocturia, and polydipsia. weight loss is less common.

HOW TO DIAGNOSE BY YOURSELF?

You can buy and use a tester "Blood Glucose Tester" which can be purchased at drug stores. Its use is pretty easy. Typically use only a little blood sample at your fingertips. Just wait 5 seconds than the results will appear.
This tool can only be used to test for type 2 diabetes mellitus. Recomendation for normal condition are :
1. normal fasting blood sugar is less than 100 mg/dL
2. postprandial blood sugar is less than 140 mg/dL
3. glucose tolerance is less than 199 mg/dL

http://www.cheapmedicinechest.com/wp-content/uploads/2011/01/Diabetes-mellitus.jpg

Diabetes Mellitus

DEFINITION

Diabetes Mellitus (DM) is a group of metabolic disorder characterized by hyperglycemia and abnormalities in carbohydrate, fat, and protein metabolism. It results from defects in insulin secretion, insulin sensitivity, or both. Chronic microvascular, macrovascular, and neuropathic complication may ensue.

PATHOPHYSIOLOGY

• Type I Diabetes Mellitus accounts for 5% to 10% of all diabetes case. It generally develops in childhood or early adulthood and result from immune mediated destruction of  pancreatic B-cell, resulting in an absolute deficiency of insulin. There is a long preclinical period (up to 9-13 years) marked by the presence of immune markers when B-cell destruction is thought to occur. Hyperglycemia occurs when 80% to 90% of B-cells are destroyed. There is a transient remission ("honeymoon" phase) followed by established disease with associated risk for complication and death. The factors that initiate the autoimmune process are unknown, but the process is mediated by macrophages and T lymphocytes with circulating autoantibodies to various B-cell antigens (e.g islet cell antibody, insulin antibodies).
• Type 2 Diabetes Mellitus accounts for as many as 90% of DM cases and is ussualy charactherized by the presence of both insulin resistance and relative insulin deficiency. Insulin resistance is manifested by increased lipolysis and free fatty acid production, increased hepatic glucose production, and decreased skeletal muscle uptake of glucose. B-cell dysfunction is progressive and contributes to worsening blood glucose control over time. Type 2 DM occurs when a diabetogenic lifestyle (excessive calories, inadequate exercise, and obesity) is superimposed upon a susceptible genotype. <Hg>

source : Pharmacotherapy Handbook 7th, 2009

image : http://sukrassiecio.files.wordpress.com/2011/03/diabetes-mellitus.jpg

Diabetic Cake Recipe

Diabetic cake recipe made with flour with a low Glycemic Index. A variety of processed flour is being carried out research to obtain a small flour Glycemic Index.

Here is one of the display cake with a base material of low Glycemic Index.

Could anyone help materials following diabetic cake recipe?
What flour is appropriate to make this cake that is safe for diabetics?

image from : http://diabetic-dessert-recipes.com/wp-content/uploads/2009/01/cream-frosting-300x300.jpg