The single most effective treatment for people with celiac disease is to follow a gluten-free diet for life. If they do, either for lack of diagnosis or they do not meet the dietary advice, the disorder involves increased risk of mortality, caused mainly by cancer and cardiovascular disease. So says a study published in “Journal of the American Medical Association.”

Most of the patients with this disorder are not diagnosed because sometimes no symptoms and therefore are not treated. In these cases, the more likely that “the medium term, appear complications such as osteoporosis or diabetes mellitus type I, for example, long-term, cancer (intestinal lymphoma, tongue, esophagus explains …)”, Isabel Polanco, Chief of Pediatric Gastroenterology and Nutrition, Hospital de La Paz. “This disease is multisystemic, ie affects all organs and body systems. Hence, there is increased mortality among untreated patients,” added the specialist.

Given this association, a team of scientists at the University Hospital of Oreb (Sweden) conducted a study to examine the mortality risk of these patients compared with the general population. Is not the first time it is, but “the earlier work, unlike this one, had included a small sample of participants,” said Peter Green, Medical Center Columbia University (New York, United States), an editorial accompanying the research.

Celiac disease develops in genetically predisposed individuals and is a permanent intolerance to gluten (a protein that forms part of the wheat, barley, oats and rye and other cereals). “For the diagnosis, clinical suspicion leads her on a serological study. If markers are positive, then proceed to a biopsy, a definitive test that will determine whether the small intestinal mucosa is atrophic (loss of villi),” says Eduardo Arranz, president of the Spanish Society of Celiac Disease and professor of the Faculty of Medicine of Valladolid.

The ultimate test
This research analyzed data from the second test: small bowel biopsies taken between 1969 and 2008 in Sweden and fell into three distinct groups: those with atrophy of the intestinal mucosa (confirmed cases of celiac disease), those showed only inflammation of the gallbladder (with intestinal atrophy, the changes that occur when a person ingests gluten celiac) and, finally, those who, although they had a positive serologic test, the normal intestinal mucosa (latent). “These are patients who could develop the disease over time,” he adds Arranz.

All were suspected of having the disease, so none had begun to follow a diet without gluten. “We note that in three cases increased the risk of mortality,” say the authors of the research. The results showed that the highest risk had it affected by inflammation, which had 72% more likely. Patients with celiac disease, 39% and those with latent 35%.

“The high risk of mortality in the inflammation is not due to sensitivity to gluten, to other more serious diseases are those that increase the figure. Inflammation is a feature it shares with other diseases,” says the President of the Company.

Attention to symptoms
Given the results of this latest study, which again shows an increase in mortality among those with no treatment, the study authors opt to pay more attention to these patients and try to refine the early diagnosis.

In line with the conclusions of the study, Arranz insists that “no patient with intestinal inflammation or atrophy should remain untracked. Confirmed the diagnosis with a gluten-free diet, the mucosa will be normalized and the patient is out of danger.”

In the same vein, Dr. Polanco says that “we must maintain a high index of suspicion. There are signs that until now were not considered. We must remember that different circumstances, such as anorexia, anemia, impotence, repeated abortions, and so on. may be symptoms of celiac disease. In this sense, a new diagnostic protocol approved by the Ministry takes into account symptoms to those who must make the relevant evidence. ”

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For symptoms must differentiate the types of Diabetes Mellitus. On one side is the Type 1, which occurs in people who have a zero level of insulin production. The main symptoms of this disease are abdominal pain, rapid weight loss and constant thirst.

Type 2 is more difficult to detect because the symptoms marked as explained above. This type of disease is known as “insulin resistance”, since the pancreas produces the hormone but is still not able to bring glucose into cells.

Within this type is also Gestational Diabetes, which is common in pregnant women and can lead to a type 2 years after delivery. The best thing is to make annual checks to see if everything is in order.

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The oil provides the same calories fried oil. It does take some vegetables sauteed in seasoned oil, cold with the same amount of this fat.

Neither influenced the degree of acidity or the source of oil in energy intake. Olive oil has the same calories as corn, sunflower, sesame or peanut.

Non-Alcoholic Beer has no calories

Beer ‘no alcohol’ has a number of alcohol less than 1 per cent and very few carbohydrates, 2 to 5 g per 100 cc. This provides for each beer consumed between 40 and 80 kcal.

This is a drink high in phosphorus, sodium and potassium, but must be approached with caution in cases of diabetes, hypertension or renal failure.

The bitter tone and low in calories

The bitter tonic and contain the same calories as soft drinks, mainly carbohydrate in composition. Each 200 ml contain 80 to 150 kcal. The bitter taste has nothing to do with your caloric intake, but with quinine and plant extracts are added.

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For this there are several paths to take, and if you prefer to move in the field of natural medicine the results of new research with animals will interest you.

We refer to the aronia, a genus of plants that give a fruit of exquisite taste and high antioxidant content, which was used in laboratory rats to test their preventive effects of diabetes.

The aronia was given to a group of rats with levels of blood sugar above normal and slightly overweight for six weeks, and compared with a control group who continued with their normal diet. Compared with the control group, rats that consumed aronia stopped gaining weight and levels of blood sugar were reduced at the end of the study.

These results highlight the role of antioxidants aronia, which are also present in other fruits and can be decisive when facing a diabetes treatment.

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Beans, she said, also allows to decrease in diabetic patients type I and II the loss of insulin-producing cells, and this allowed us to conclude that the bean also has the property of preventing the development of evil, despite being genetically prone to disease.

These results have been carried out jointly with the National Institute for Forestry, Agriculture and Livestock (INIFAP), with the aim of generating new varieties of beans and provide a product with nutritional benefits but by promoting the health benefits (prevention and control obesity, diabetes and colon cancer among others).

Finally, Rose Camacho noted that due to the findings of both grains, it was decided to extend the current research and work already done on the impact of beans and corn directly in humans suffering from high levels of glucose and lipid abnormalities, thus expected to corroborate the results obtained.

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Important measures is the control of certain habits among them the exercise, maintain proper body weight, which goes hand in hand with a balanced diet and supplemented with food components that will provide health benefits, in addition to their properties feeder. In response, he explained, is required to identify and rejoin food diet to improve diabetes control when we suffer, but also to avoid it.

“Thus we find that above the Mexican diet consisted largely beans and corn of various types of pigmentation, same as they were consumed in large quantities in past decades when the chronic degenerative diseases did not mean a big problem for the population .Currently, they have different life styles between highlighting the food, the national diet is more western style and chronic diseases have impacted more strongly to our country, “explained the expert of the UAQ.

Such a correlation, Reynoso said Camacho, are what put us in order to study the properties of prevention and control of certain foods from the traditional Mexican diet and that’s how we identify, in the specific case of diabetes, but the corn mainly beans have properties that control the blood glucose levels and in addition reduce complications such as renal and cardiovascular diseases. These foods cannot be regarded as a medicine, but must be integrated into the daily diet to help control the patient.

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Concerned by this situation, scholars from the Autonomous University of Querétaro (UAQ) have been given the task of studying the condition with the aim of finding appropriate strategies for its prevention and control to prevent complications.

“It has been shown that one of the main factors for the development an complication of diabetes in the Mexican population is the pre-genetic availability. However, are the other risk factors among which we can mention the bad habits of food, triggering presence, “the researcher said Rosalia Reynoso Camacho, Faculty of Chemistry of the UAQ.

The teacher also this house of studies pointed out that various analysis on it reveal that Mexicans have taken the food culture of countries like the U.S., which consists of a diet rich in fat and refined sugars mainly, which in turn accentuates and triggers the development of diabetes. In this regard explained that the national population has stopped using certain products that were once the staple of your diet as are beans and maize, have been identified ourselves with properties that help keep diabetes under control but mostly help prevent its development.

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One of 4 patients with diabetes during their lifetime will have foot injuries and will undergo major or minor amputations. The 5-year mortality in major amputations is 50% and the risk of limb loss of the other 33% . Postoperative mortality is 12% .

According Apelqvist, 50% of patients who survive a unilateral amputation in 4 years undergo a contralateral amputation.

Amputation of lower limb non-traumatic causes is 15 times higher in diabetics than nondiabetics and 60% of amputees are diabetic. In diabetics 67,000 amputations are performed annually in the U.S.

What is the possibility of rehabilitation for amputation?

80% of amputees below the knee can be rehabilitated, but in high amputation this is unlikely. Because fewer than 65% of patients obtained successful rehabilitation. 25% need more than 300 days to walk again.

The figures quoted give an indication of the importance of trying to save the limb by all available means, including high tech.

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