TYPE II DIABETES: FOOD AND EMOTIONSHow you feel about food and how your emotions affect your eating habits have a lot to do with the shape you’re in now and the success of your efforts at weight control in the future.You won’t find your ideal weight in a container on your supermarket shelves. You will find your ideal weight by looking inside yourself, determining the role food plays in your life, and then changing your lifestyle to reflect your desire to lead a healthier and happier life.You can lose excess kilograms and keep them off. It’s not easy, but it can be done. You need to cut down on the amount of food you eat. You need to change the type of food you eat and how you prepare these foods. You need to set goals and achieve them. You need to add physical activity to your lifestyle.You are not alone. There are thousands of persons with Type II diabetes in this country who have the same problem you have and are trying, like you, to solve these problems. Some of them live in your community and are ready and willing to discuss problems and solutions with you. Check with your doctor, diabetes educator, hospital or diabetes association about support groups you can join. You’re not alone. There are many health professionals who are experienced in helping people like you who are interested in following an eating plan that will enable you to lose excess weight and keep it off.*19/210/5*

INSULIN INJECTION TECHNIQUES: CONTINUOUS SUBCUTANEOUS AND IMPLANTABLE PUMPS
Continuous subcutaneous insulin infusion pumpsThe new device that everyone asks about is the continuous subcutaneous insulin infusion (CSII) pump. This is the first step towards the portable artificial pancreas. Put simply, the pancreas needs to be able to do two things as tar as the diabetic is concerned. First, to sense the blood glucose level. Second, to increase or decrease insulin output in response to that glucose vel. People involved in diabetes research in Japan, and elsewhere, have succeeded in making a fine   needle sensor that can be inserted subcutaneously to register the concentration of blood glucose in tiny blood vessels (capillaries). This device can then activate an insulin pump to release the correct amount of insulin. As yet this is not ready for widespread use. There are teething troubles with the glucose sensing part of the artificial pancreas. The insulin infusing part is, though, already on the market.Insulin infusion pumps slowly and continuously push down the plunger of a syringe or vial of insulin at a preset rate. Extra squirts of insulin can be given through a button on the pump, whenever necessary Fast-acting insulin is always used. The pump is set up so that it delivers a background or basal infusion over a twenty-four hour period, then at each meal and sometimes at snack times the wearer presses the button to give the correct amount of insulin to cope with that particular meal. Sally, for example, is on abase rate of twelve units per twenty-four hours (or 0.5 units per hour). She has four units before breakfast, four before lunch and six before her evening meal, which is the largest of the day.
Implantable pumps Heart pacemakers – whose technology is being used to develop CSII pumps – are implanted under the skin. This approach has been tried with a specially adapted CSII pump, which is entirely buried beneath the skin. The pump has a flexible reservoir that can be filled with insulin injected through the skin and the wall of the reservoir. Its batteries keep the small pump going and it can be programmed by external computer, another contribution from pacemaker technology. This device is still at the research stage.
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