Diabetes and Gestational Diabetes

Financial Independence, Retire Early

noreply@blogger.com (Desi) — Fri, 07 Apr 2023 14:41:00 +0000

Financial Independence, Retire Early means Financial Freedom, Early Retirement or often abbreviated as FIRE, is a movement for those who prioritize saving and investment to prepare themselves to achieve financial freedom, plus being able to retire early from work to enjoy their old age without being burdened and burdening themselves and others. This movement actually emerged in 1992 when a book entitled “Your Money or Your Life” written by Vicki Robin and Joe Dominguez, discussed the concept of financial independence and early retirement. The word “FIRE” which means “API” is just an abbreviation of the jargon created by the community of those who agree with the movement.

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To achieve independence or financial freedom, so that finally you can retire early, in the sense that you are no longer busy and confused about making money, of course this requires struggle while you are young and productive, and maybe not everyone can make it happen, depending on what and who the person is. how was his work when he was young and productive. Those who have an above average income, if we talk in Indonesia above the UMR or UMP, of course the path will be much easier to achieve this, if indeed the arrangements or financial management are carried out strictly and well.

For example, let's take an example, a worker with a salary of Rp. 10 million per month, starts working at the age of 25, taking into account all monthly living expenses, with a residual salary of for example Rp. 3 million per month, and routinely saves and invests this Rp. 3 million for 20 years, then at least at the age of 45 or for 20 years of saving and investing, he has managed to collect as much as IDR 720 million, maybe this is higher if the return on investment is high. Whether this Rp. 720 million is enough for him to retire early at the age of 45, this will really depend on the perspective and lifestyle of that person in the future, but we are talking about the concept.

But of course this cannot be forced on those with low incomes, for example like a construction worker with a salary of IDR 100,000 per day, can he set aside money to save for old age? very hard to do. I'm alone with a salary of Rp. 5 million, sometimes it runs out even minus. Let's say I can save Rp. 500 thousand per month, for 20 years, I collect Rp. 120 million, can this make me financially independent and retire early, I think with that kind of money it will be very difficult, so there will be people who cannot do things it in his life.

But we have to look at the context that the idea of this movement wants to convey, that people are required to be more productive, to produce more, to seek additional income in order to make this happen. This will certainly encourage people to plan and achieve these goals before they get old. By dedicating part of their lives to saving and investing, followers of the early retirement financial independence movement, of course, will really hope to be able to quit their jobs, not work all their lives just to make money, but can enjoy the results of work that has been done years before, and this many encourage millennials to live extremely frugally, hoping to retire early by having lots of money in hand.

When they finally decide to stop working, and they have a lot of money in hand, in order to survive, consumption or expenses will also continue to be suppressed, maybe they will also only use a little of the money they have, given that there is no more financial income. This of course also requires a hard struggle, getting used to living very frugally, while monitoring every expense that is made, while continuing to invest to increase existing money, because basically inflation will definitely erode their purchasing power, year after year and will increase.

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For this reason, there are several types of this FIRE class, including:

Fat FIRE, namely those who save and invest more than the average savings and investment of existing workers, but do not reduce their quality of life. This group generally has a very high income, for example there is a friend of mine whose salary is currently the head of a branch of an insurance company, take home pay Rp. 25 million, in a month can set aside around Rp. 15 million, meaning for only 10 years of work , already has old age savings of IDR 1.8 billion.

Lean FIRE, namely those who try very hard to save and invest with existing income, even very extreme, saving here and there, maybe sacrificing a little quality of life. This group generally has a slightly higher income than the average worker

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FIRE which stands for Financial Independence Retire Early literally means financial freedom and early retirement. So, from language alone, it can be concluded that this is a term that describes the condition of a worker who has achieved financial independence and then decides to retire early prematurely.

FIRE itself is a movement initiated by Vicki Robin and Joe Dominguez. This movement calls on the millennial generation to encourage them to allocate a large portion of their income for savings and investment. Do various ways so that a number of 30 times the annual expenditure is reached. Only then, retire from work, and live using those savings and investments. Sounds interesting and easy right? Yes, but hard to put into practice.

No kidding, in the FIRE movement, we are advised to allocate 70% of our income for savings and investment. Only after that, 30% of income is used to meet all living needs including an emergency fund. It literally takes one's life below the threshold, and is an extreme way of managing income.

Actually, how many proportions of income are used for savings and investments depends on the retirement target as well. The longer the target retirement time, we can reduce the amount of income allocation for savings and investment. But of course in the FIRE movement, the sooner the better, that's why it is recommended that 70% of income be allocated for savings and investment. In addition, we are also encouraged to actively seek additional income to accumulate more of our savings and investments.

By living hard like that, the target of 30 times the annual expenditure can indeed be achieved. Not to mention if our investment grows, of course investment growth will also shorten the achievement of targets. However, the FIRE concept is not just a concept of managing income, but how to be able to retire early as soon as possible. This is the difference between FIRE and other personal finance concepts.

Customer Acquisition Cost

noreply@blogger.com (Desi) — Mon, 03 Apr 2023 10:34:00 +0000

Customer Acquisition Cost is the cost of customer acquisition, which refers to the costs that must be incurred by a business in convincing potential customers to buy products, whether in the form of goods or services produced. When you want to produce a product, a company cannot simply make it without going through research or analysis of market needs. After careful consideration, the product may be launched, but at this stage, the company cannot just sit idly by and wait for the product to be bought by others. Companies must do various ways, starting from introducing these products through various marketing methods.

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All efforts made by businesses starting from the research stage to marketing products to get the attention and trust of consumers, of course, require costs. When conducting research, companies must incur research and research costs, when production is carried out, the goods or services must then be introduced to potential customers, for example by advertising them in various print media, and of course the work does not stop there, to convince consumers to buy the product , companies must carry out various marketing strategies that are effective and right on target, and all of the things or actions carried out above certainly require costs, and this is what is called customer acquisition cost, namely the cost of acquiring consumers.

How to calculate customer acquisition cost can be done by dividing the total costs required to carry out marketing and sales and then dividing it by the number of customers obtained, or it can be written using the following formula:

Customer Acquisition Cost = Total selling and marketing costs / total number of customers

For example, a Korean clothing production company spends Rp. 1 billion in sales and marketing costs in 2022, and in that year the number of buyers is recorded at 100 thousand people, so with this data the customer acquisition cost is Rp. 1 billion / 100 thousand, which is equal to IDR 10 thousand. Calculation of customer acquisition costs can be done based on a certain period, for example monthly, quarterly, per semester, or annually.

The following is included in the customer acquisition cost:

Sales and marketing personnel salaries or wages
Equipment and supplies used by sales and marketing personnel
Sales and marketing applications used
Cost of marketing consultants or 3rd parties used to assist marketing
Marketing and sales costs such as print media advertising costs, brochures, advertising on social media, and so on
The cost of sponsoring an event
Discounts or discounts on product purchases

Customer acquisition cost (CAC) or customer acquisition cost is the cost incurred by a company to get one new customer in a certain period. The costs in question are related to marketing and sales operations to attract new customers, such as advertising costs, promotion costs, product development costs to sales costs.

Customer acquisition cost is one of the most important metrics in measuring the effectiveness of a company's marketing and sales strategy at any given time. Ideally, companies can get new customers with smaller marketing costs. However, the fact is that every company that reduces marketing costs is slowly being abandoned by consumers.

Calculating customer acquisition costs

To calculate CAC, a company can divide the total costs spent on marketing and sales by the number of new customers it has acquired in a certain period of time.

Customer acquisition cost: Total marketing and sales costs / Number of new customers

Illustration:

Suppose company A budgets a total marketing and sales cost of $100,000 over a period of one month by hiring the services of Raffi Ahmad. During that period of time, A managed to get 10,000 new subscribers. Thus, customer acquisition costs can be calculated as follows:

CAC = Total cost of marketing and selling / Number of new customers

CAC = $100,000 / 10,000

CAC = $10

In this illustration, company A's CAC per customer is $10. That is, the company spent an average of $10 to acquire one new customer during the one-month time period.

Criticism of calculating Customer acquisition cost

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Cannot be used as a reference for the next marketing project

For example, company X's CAC in January per customer is $10. The company's management then plans to acquire 10,000 new customers by budgeting a $100,000 February marketing project. But until early March, it turned out that only 3,000 new subscribers had been obtained. Scenarios like this are not uncommon in every company. They forget that the CAC in one month may not be the same in the next.

Does not take into account customer retention costs

CAC only measures the costs incurred to acquire new customers, but does not take into account the costs incurred to retain existing customers. Even though the cost of maintaining new customers is also crucial for the company. Therefore, CAC does not provide a complete picture of total customer value.

Does not take into account the time factor

CAC calculates the average cost of acquiring a new customer over a certain period of time, but does not take into account the time it takes to acquire the new customer. This could give the impression that the CAC per customer is low, but in the long run the cost of acquiring a new customer could be higher than the customer's lifetime value.

Does not consider the customer's quality factor

CAC only calculates the costs incurred to get new customers, but does not consider the quality of these customers. A customer acquired at a low cost does not always have a high lifetime value, and it may cost extra to retain that customer.

Customer Acquisition Costs or also known as customer acquisition costs are costs incurred by a company to acquire a new customer. These costs include various things such as marketing costs, advertising, promotions, and other activities carried out by companies to attract the attention of potential customers.

A simple example, if you have an online store that sells health products. To get new customers, you need to do some marketing efforts, such as advertising on social media or sending promotional emails. All of this effort comes at a cost, such as the cost of buying advertising or the cost of paying staff to create promotional content.

After doing marketing efforts, some new customers come and buy products from your online shop. Customer Acquisition Cost (CAC) is the total cost you incur to acquire the new customer. So, CAC includes all marketing costs that you have incurred, such as advertising costs, promotional content costs, product sample delivery costs, and so on.

For example, if you spent $1000 on Facebook ads for a month and got 10 new customers from those ads, your CAC would be $100. By knowing the CAC, you can measure the effectiveness of your marketing strategy and decide whether the marketing costs are worth the profits earned from these new customers.

So the question is, why do companies need to make efforts such as marketing, advertising, promotions, and other activities to attract the attention of potential customers?

YUPS!, Because for promotion and advertising it is mandatory and it has become a recipe for the concept of remarketing.

Even if your product or service is good, if it's unknown to potential customers, they won't buy it. These costs are used to reach the desired target audience through various marketing channels, such as advertising on social media, television, radio, print or online.

Without advertising, potential customers may not know your product or service exists, or may even choose a competitor's product or service that is better known because it appears more frequently in advertisements or promotions. Therefore, actively advertising and promoting products or services can help increase brand awareness and reach potential customers, even though the costs involved may be quite high.

Conclusion

Customer Acquisition Cost is an important indicator for companies to know because it can help them calculate the profitability of their business. The lower the cost of customer acquisition, the greater the profit margin a company can get. However, companies must also ensure that customer acquisition costs are not so low as to compromise the quality of the product or service they offer.

Customer acquisition cost (CAC) is the cost incurred by a company to get a new customer. CAC covers all marketing and selling expenses necessary to attract, attract attention and sell products or services to new customers. These costs can include advertising, promotion, direct selling, trade show attendance fees and costs for producing marketing content. Calculating CAC is important for determining the effectiveness of a company's marketing and sales strategy and ensuring that costs incurred do not exceed the customer value generated.

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Functions of Customer Acquisition Cost

Customer acquisition cost (CAC) has several important functions in business operations, including:

1. Evaluation of marketing effectiveness.

By calculating CAC, companies can evaluate how effective their marketing and sales strategies are in attracting new customers. Companies can compare marketing costs with the number of new customers they have acquired to determine whether the marketing and sales costs incurred are commensurate with the customer value generated.

2. Marketing budget planning.

By knowing the CAC, companies can plan marketing and sales budgets more effectively. Companies can set a more realistic marketing budget and prioritize resources for marketing strategies that are most effective in attracting new customers.

3. Determine the right selling price.

CAC can also help companies determine the right product or service selling price. By knowing the CAC, a company can ensure that the price set is sufficient to cover the cost of acquiring a new customer.

4. Increase operational efficiency.

By monitoring CAC, companies can identify areas that can be optimized to improve operational efficiency and lower the cost of acquiring new customers.

Customer Acquisition Cost formula with examples

The formula for Customer Acquisition Cost (CAC) is as follows:

CAC = Total marketing and sales costs / Number of new customers acquired

Example:

MPS companies spend Rp. 50 million for marketing and sales expenses during a certain period and managed to get 500 new customers during that period. How much CAC per new customer?

CAC = Rp. 50 million / 500

CAC = Rp. 100 thousand per new customer

With this information, MPS companies can evaluate the effectiveness of their marketing and sales strategies and ensure that the costs incurred to acquire each new customer are commensurate with the customer value generated. If the CAC is too high, companies can look for ways to lower marketing costs or increase the effectiveness of their marketing strategy. Conversely, if the CAC is too low, the company may want to allocate more resources on marketing and sales to acquire more new customers.

Customer Acquisition Cost (CAC) is a metric used to calculate the costs incurred by a company to acquire a new customer. CAC is an important indicator for companies, especially in the digital industry, because it reflects marketing and sales efficiency and business profitability. In simple terms, CAC can be calculated by dividing the total cost of marketing and sales by the number of customers that have been obtained in a certain period.

Understanding CAC is very important because it determines how expensive or cheap a company is to acquire its customers. In financial management, companies must ensure that the CAC is lower than the customer lifetime value (CLV), so that the business remains profitable. The lower the CAC, the more efficient the company's marketing and sales strategy.

The following is an example of how to calculate the Customer Acquisition Cost:

An e-commerce startup company wants to know how much it costs to acquire each new customer. During the last quarter, they incurred the following expenses:

1. Advertising costs on various digital platforms: IDR 50,000,000

2. Print advertising costs: IDR 20,000,000

3. Marketing team salary: IDR 100,000,000

4. Cost of promotional events and discounts: IDR 30,000,000

Total marketing and selling costs: IDR 200,000,000

During this period, the company managed to get 1000 new customers. Then, to calculate CAC:

CAC = Total marketing and sales costs / Number of new customers

CAC = IDR 200,000,000 / 1000 customers

CAC = IDR 200,000 per customer

From the calculation above, it is known that the cost incurred by the e-commerce startup to get one new customer is IDR 200,000. As a next step, these companies should compare CAC with CLV to evaluate whether their marketing and sales strategies are efficient enough and whether their business has good profitability.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/13835843-apa-itu-customer-acquisition-cost?p=13837024#post13837024

To optimize Customer Acquisition Costs, companies can make various efforts, such as increasing marketing targets, optimizing sales strategies, using better technology in the marketing process, and investing in team training to be more efficient and effective in carrying out marketing strategies. In addition, companies also need to consider conducting more specific market segmentation, so that marketing efforts are more targeted and easier to attract relevant new customers. Changes to product or service offerings can also help attract new customers more efficiently.

Overall, Customer Acquisition Cost is an important metric in managing a business, because it provides an overview of the investment required to acquire a new customer. In carrying out marketing and sales strategies, companies must focus on efforts to minimize CAC while increasing Customer Lifetime Value so that the business remains profitable.

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Mutual Funds

noreply@blogger.com (Desi) — Wed, 29 Mar 2023 23:46:00 +0000

Hm... According to what I know, bro! These two things are different types of investments, so I don't think there are mutual funds that are managed in the foreign exchange market or forex trading. Indeed, sometimes many people think that trading is the same because ordinary people see it only from charts and there is access to buying and selling there, but here it is quite different. Before I discuss further, do you already know what mutual funds really are?

Mutual funds are a form of investment product such as deposits in a bank. One of the investment media for the investor community, which is especially for those who have minimal capital or for people who have capital but don't have a lot of time and expertise who are lacking in considering the risks of an investment they are making.

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What you need to know too, bro! there are 3 things related to the definition of mutual funds,

First, there are funds deposited by the public or investors.

Second, then the funds are invested in a securities portfolio.

Third, Finally, the funds will be managed by investment managers provided by mutual funds.

So, in simple terms, the funds in mutual funds are shared funds with investors, while the investment manager is a party entrusted with managing these funds so that they grow and develop in accordance with the risks and rewards of investment.

Then what are the types of mutual funds?

In general, the types of mutual funds are divided into 4 types, namely:

Money market mutual funds (Money Market Fund).

Fixed income mutual funds (Fixed Income Fund).

Mixed mutual funds (Balance Mutual Fund).

Equity Fund.

For the discussion this time I will allude to the money market mutual fund "Money Market Fund". So many people think that this type of mutual fund has an element of buying and selling foreign exchange. I don't think so, why? In this type of mutual fund, investment activities or activities are in money market instruments with maturities of less than one year. The investment instruments are time deposits "time deposits", certificates of deposit "certificates of deposit", Bank Indonesia Certificates "SBI". , Money Market Securities "SBPU" and others. So there is no forex or foreign exchange market there. Because the main thing that exists in forex in terms of maturity is no limit! as long as the trader still opens a position and does not close the position.

What's the difference between Forex and Mutual Funds?

To find out the difference in general, I will explain briefly below, friend! hopefully this discussion will be a little brighter about Forex or Mutual Funds.

From the Capital Side

For forex trading, you generally have to deposit quite a lot of funds because they are converted into USD. So all forms of transactions will use Foreign or Foreign currencies. Usually it's in USD, but some are made in GBP or EUR. for 1 USD now worth 14,000 rupiah. And the minimum deposit for each broker is usually an average of 100 $. the exception is for CENT type forex accounts.

As for Mutual Funds for capital issues, which can be said to be quite low, you can start with IDR 100,000. Here, with relatively low funds, people can reach these investments.

From the side of Fund Management

In general, forex trading can be done by anyone, either independently or with a forex copy, of course, for trades made in forex trading, not just anyone can do it because of the need for insight or high knowledge in terms of reading prices and fundamentals of a country, to carry out activities buying and selling currencies such as EURUSD, GBPUSD, AUDUSD and others.

Then if our Mutual Funds do not manage the funds to become funds when they are deposited with the mutual fund, then the investment manager or a team of experts will conduct the assessment and management of investment products. So customers or investors don't need to bother analyzing the investment products that have been provided.

In terms of profits and risks.

Of course, you already know that we can get unlimited profits in the world of forex trading, but behind that there is also a big risk that awaits us, so overall capital loss can occur if we are not good at financial management wisely in trading activities. the. Here, because price fluctuations are quite high on the market, accuracy or expertise is needed to open trading positions.

Then if this mutual fund can be said to be the opposite in general, the benefits offered are relatively lower if we compare it with forex trading. This is because capital turnover in the money market for deposits and short-term debt securities has a stable movement of assets with low levels of fluctuation.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

Mutual funds in forex trading are very rare in any part of the world. This mutual fund is a collection of funds from investors which will then be managed by investment managers by investing in several assets such as bonds, stocks, ETFs, and others. So, it is very rare for mutual funds to invest their assets in currency assets.

Why don't investment managers invest their funds in currency assets? This is because currency assets have a very low value growth every year, in contrast to other instruments. Indeed, many forex traders can get a lot of profit from trading currency assets, but they use margin and leverage which makes changes in the value of currency assets very large accompanied by a large level of risk.

However, some brokers provide services namely PAMM accounts. The PAMM system is almost the same as the pooled fund system of mutual funds and managed assets that tend to focus on futures assets such as currencies, commodities, indices and others, where the average trading system uses margin and leverage.

This PAMM account because the trading system used is using margin and leverage, so it has a high level of risk as well. However, there has never been a case of a PAMM account scam or committing fraud, because the traders who manage the investors' funds are closely monitored by the broker. Except, cases of losing money due to PAMM traders losing are very common and this cannot be concluded that the PAMM account is a scam.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

Then there is a social trading system where investors can open a trading account which can then copy transactions from other traders. If what you mean by this is mutual funds, then you are very wrong because this system is very different from the mutual fund system. This copy trading system does offer a type of investment that trades forex, but all of the funds available are fully managed by investors and are very different from the mutual fund system in general.

Conclusion

So, there are no mutual funds that trade currency assets or other commodity futures assets. This is because it deviates from the principle of mutual fund investment which offers investment with a low level of risk.

There may be another alternative, namely a fund investment system using a broker service called PAMM. Here investors can deposit a number of funds which then these funds will be managed by traders to be traded on the forex market, commodities, indices, and others. However, investors must be careful in choosing a PAMM so that funds are not lost due to funds managed by traders who are not credible.

In the PAMM system it is very rare to find a fraudulent system or just chasing commissions. PAMM traders are all closely monitored by the broker in terms of risk management. However, this does not rule out the possibility that the trader will experience big losses and lose all of his capital. This is natural because the forex trading system is at high risk.

To find PAMM traders, you can look at the Instaforex broker, which has a large selection of PAMM traders spread all over the world. This Instaforex broker offers a PAMM system with return on profit sharing based on the invested capital.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

The simple answer is none. This question refers to whether there are Mutual Fund managers who use their managed funds to play in Forex Online Trading derivative instruments. Legally this is not possible. Managed funds will of course be accounted for, and may only be played in the Indonesian capital market. So you can buy bonds or debentures, buy shares, or buy ETFs and so on.

However, it is possible for investment companies or mutual fund fund managers to place their funds in foreign companies. In this case, the deposited funds will be managed by a foreign entity in which the foreign entity will circulate its funds in foreign capital markets. An example is the Mandiri Global Sharia Equity Dollar Mutual Fund, where PT Mandiri Investment Management has deposited its funds at JP Morgan Asset Management. Of course, Mandiri still holds firm control of funds, but the execution of asset purchases will be carried out by JP Morgan for securities assets abroad.

In the narrative that I described above, it is possible for JP Morgan to transact derivatives with one of the Market Makers in the United States for example, but this is very rare. Why? Because actually Mandiri and JP Morgan are also Market Makers, why do they have to do derivative transactions with other Market Makers. Of course there is also a liquidity problem. Funds of that size would certainly be difficult for Retail Forex Market Makers to be able to hold back their funds.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

Based on my explanation above, not only is it not legally possible, but even if there is a case like the one above where there is a deposit of funds, then of course the Mutual Fund manager will not want to transact with other Market Makers. Besides that Forex instruments are very slow. And Forex is not an investment tool. The giants and investment managers actually don't need the leverage facilities offered by market makers in the derivatives market because their funds are actually super rich.

Mutual funds are investment instruments that collect investor funds and are then managed by investment managers to buy investment instruments available on the capital market, while mutual fund investors themselves are parties who own part of the managed funds in the form of mutual fund participation units.

There are several things that we need to pay attention to from mutual funds, namely:

The source of mutual funds comes from the public.

Funds are managed by investment managers.

Funds are invested in securities.

Related to the question in this thread, namely are there mutual funds that are managed in forex trading? We must know what forex trading is, which we also know as forex trading. Forex trading is the activity of buying and selling currency pairs, which uses a margin system, and does not involve physical delivery of currency. Since there is no physical delivery, forex trading is more of a speculation than an investment.

Transactions in forex trading occur in the forex market, while the forex market itself is decentralized, so it is not concentrated in one place. Currency pairs or forex pairs are not securities, because they are not tradable securities. basically in forex transactions what we trade is the value of the currency pair, there is no currency that we actually trade.

In mutual funds, funds collected in mutual funds by the Investment Manager (MI) are invested in securities, while currency pairs are not securities, so mutual fund funds cannot be used to buy currency pairs. The assets purchased by MI from mutual funds are a form of investment while forex trading is speculation, so mutual funds cannot be used by MI for forex speculation transactions.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

Mutual funds can buy investment instruments on the money market, but this money market is different from the forex market. the money market is a market where lenders and those who need funds meet, and what is traded on the money market is not foreign exchange or forex, what is traded are bonds, time deposits, SBI, and others.

There are forex mutual funds, but they are not available abroad yet in Indonesia. In Indonesia, there are money market mutual funds, where funds are placed in safe financial instruments such as Bank Indonesia Certificates, private bonds, government bonds, and so on. However, there is no real forex yet.

The way forex mutual funds work is the same as mutual fund products in general. Where investment managers collect funds from investors and use them to trade various instruments on the currency market, including options and futures. Investors interested in forex mutual funds can buy the NAV of forex mutual fund products. The NAV value itself will follow the amount of funds managed by the investment manager which is then divided by the number of available NAV sheets.

Now let's go to a real example of forex mutual funds. Here I take three examples of forex-based mutual fund products in the international market, namely:

- FX Concepts Currency Fund: This forex mutual fund was established in 1981 and was once recognized as the largest forex-based mutual fund manager in the world. The investment method adopted is a quantitative strategy based on fundamental data and technical analysis. Unfortunately, currently the FX Concepts Currency Fund no longer exists due to bankruptcy in 2013.

- G10 Currency Fund: this forex mutual fund is devoted to investing in currencies from G10 member countries, such as Canada, the United States, Japan, and European countries. The returns on this forex mutual fund fluctuate quite a bit following the volatile forex market conditions. However, at least the performance of this mutual fund is positive, even though it was in a bad shape.

- Forward Management's Global Macro Fund: this forex mutual fund is managed with a top down strategy. This means that the analysis is based on the global economy (macro economy) to determine the state of a country's domestic economy. The rate of return on this forex mutual fund is also quite volatile, sometimes positive and sometimes negative.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

So it's pretty clear right, forex mutual funds are true. However, the risk level of this type of mutual fund is relatively high compared to stock mutual funds or money market mutual funds. Just look at the FX Concepts Currency Fund which went bankrupt despite decades of track record. But it's comparable to the returns from forex mutual funds which are far more attractive because of the very high volatility of the forex market. Only for Indonesian investors, you need to be careful when investing in forex mutual funds, because this product does not exist in Indonesia and there are opportunities for regulatory differences between the location where the funds are managed and our country.

PAMM Accounts Scam ?

Is the question "any PAMM Accounts exit scam" a serious question? From statements like this, I dare TS not know and even seem to have never opened a PAMM Account.

PAMM Account, in this case PAMM Trader, cannot commit a scam nor can it withdraw as much commission as possible.

First, why won't PAMM Accounts be scammed? Because the money is not held by the trader but by the broker. This means that all this time you have been wrong in thinking that just because money is transferred to a trader's trading account, traders can simply withdraw your money and turn it into a scam.

The money that can be withdrawn by PAMM Trader is only his own money and the profits.

Second, it can attract as many commissions as possible. CAN'T. The PAMM system is profit sharing, not commissions. Revenue sharing can be done if there is a profit that exceeds the value of the trader's deposit plus the follower's deposit. If the account loses, the trader will also lose, the loss is proportional depending on the percentage ratio between the trader and the follower.

As for the commission, it is charged in the FOREXCOPY system. There is an option that the commission will be charged per position opened, whether you want to lose or gain the commission will be deducted at the start. But this scheme is rarely used by traders, because it doesn't sell well. Followers also think, is it true that there will be profits? It's better to share profit, profit and loss equal to loss.

Scam Or Loss?

Between scam and loss is very much different. You say consistent like the big boys? Means it's called loss not a scam. If it's a matter of loss, no matter how big the institution is, there must be a loss. The oldest investment institution in the world is called Lehmann Brothers to death.

If you say it's difficult to find consistent PAMM Accounts, the question is where do you look for PAMM Accounts? And what is the method of finding it?

If only you looked in the right place and with the right method you would find it. For example, the Instaforex broker offers a PAMM Accounts scheme, so the broker in this case provides trader statistics. What's the rating? How old is the account? big or small profit? Consistent or not. the easiest way is to look for the top 10 ratings.

Forex mutual funds ?

NO Forex Mutual Funds. There are money market mutual funds. What is the difference ? Looking at TS's statement that he is looking for mutual funds whose composition is forex pairs, is it true or false?

Meanwhile, money market mutual funds are not just buy and sell pairs in metatrader. Money market mutual funds, especially in Indonesia, are allocated to purchase Bank Indonesia Certificates (SBI), Time Deposits and other bonds with a tenor of less than 1 year.

The average profit rate for money market mutual funds throughout 2020 was 20%, higher than deposits. But remember, mutual funds fluctuate not fixed income. Not impossible in 2020 20% profit in 2021 minus 20%.

However, PAMM Accounts are more profitable than mutual funds because we have control of the account for 24 hours. If it is felt that the performance has decreased, you can withdraw it right away, the money will immediately go back into your trading account, and there are no commissions, only minus positions.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/43896-apakah-ada-reksadana-yang-di-kelola-di-perdagangan-forex?p=13760049#post13760049

As for mutual funds, you only get monthly reports. Money can indeed be withdrawn but the deductions are too large. There's even a gap of days from a withdrawal request until the money returns to your savings account.

Even if it comes to a scam, the scam is the broker, not the trader. If the broker has scammed, it's not only you as a PAMM follower who loses, but PAMM traders also experience losses.

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Exchange Rate

noreply@blogger.com (Desi) — Wed, 29 Mar 2023 15:25:00 +0000

Currency value is determined through a demand and supply mechanism that occurs because of the needs of both parties, buyers and sellers. Of course, when discussing the value of a country's currency, it is very complex because we will be dealing directly with all factors, aspects, elements, and economic variables. In the context of forex trading, one side of a currency is goods and the other side is a means of payment, so we can make a simple illustration of how the value of this currency is formed.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/41200-bagaimana-nilai-tukar-mata-uang-di-tentukan-dan-di-mana?p=13761372#post13761372

A simple example is how the price of citrus fruits in the market. Initially, the orange traders got the price from the orange farmers, say Rp. 5,000 per kilogram. The orange traders then add a profit margin of Rp. 5,000 to the price, resulting in a selling price of Rp. 10,000 to consumers, and this price is accepted by the consumer. In this condition there is a balance between oranges and prices.

In one condition, there was an increase in demand for oranges, which made their existence rare, and farmers and traders took advantage of this to raise the price to IDR 12,000 per kilogram, and buyers agreed to accept because they needed it. Yield production was also increased, until at one point, demand began to decrease, but the supply of oranges on the side of farmers and traders was still abundant. Profit margins were also reduced to stimulate purchases, and the price of oranges fell below IDR 12,000.

The currency exchange rate is an index that describes the number of units of a country's currency that can be exchanged for another country's currency. For example, if the exchange rate of the US dollar against the rupiah is 15,000, this means that one dollar can be exchanged for 15,000 rupiah. Currency exchange rates determine how much a country's currency is worth compared to other countries, and also affect the prices of goods and services traded between countries.

The process of determining currency exchange rates is influenced by several interacting factors, such as interest rates, international trade, inflation rates, and political and economic stability. For example, if a country has a high interest rate, there will be a greater demand for that country's currency, so the exchange rate will increase. On the other hand, if the country is experiencing a political or economic crisis, there will be a tendency for investors to stay away, so that the currency exchange rate will fall.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/41200-bagaimana-nilai-tukar-mata-uang-di-tentukan-dan-di-mana?p=13761372#post13761372

This also applies to international trade, where a country that has a trade surplus will have a stronger currency exchange rate than a country that has a trade deficit. The inflation rate also affects currency exchange rates, where if a country's inflation rate is high, there will be a tendency for that country's currency to weaken. Thus, the process of determining currency exchange rates is very complex and is influenced by various interacting and changing factors. Therefore, central banks and governments often intervene to influence currency exchange rates and ensure the country's economic stability.

Places for determining currency exchange rates can be found at several financial institutions, such as the Foreign Exchange Market (Forex Market), Futures Exchanges, and Central Banks. For example, the Foreign Exchange Market (Forex Market) is the largest market in the world where currencies are traded and currency exchange rates are determined. On the other hand, the Futures Exchange also facilitates currency trading with an orderly and transparent system. The Central Bank also plays an important role in determining currency exchange rates, where the central bank has a monetary policy that can affect currency exchange rates. For example, the central bank can sell or buy currency to influence currency exchange rates and ensure the stability of the country's economy.

The mechanism for setting currency prices is almost the same as the mechanism for pricing oranges in the story above, only from the demand and supply side it is certainly more complex because it involves many factors, aspects, elements and economic variables, and the determination is of course collectively related to all of the above. For example, exports and imports that require other countries' currencies as a means of payment, the influence of incoming and outgoing foreign capital, inflation rates, foreign exchange reserves, public savings in banks, and other things that have a direct or indirect effect.

Because the determination and formation of the value of foreign currency occurs due to market mechanisms, then of course it also occurs in the market, namely a collection of sellers and buyers who come with their own interests.

Under current market economic conditions, business actors and economic groups conduct transactions between countries based on exchange rates. Exchange rates are influenced by many economic and financial factors in the country and have their own characteristics that users should pay attention to when trading. The exchange rate is also known as the foreign exchange rate i.e. as the rate at which one currency can be converted to another, the exchange rate between two currencies is the number of units of currency needed to buy one unit of foreign currency.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/41200-bagaimana-nilai-tukar-mata-uang-di-tentukan-dan-di-mana?p=13761372#post13761372

This exchange rate is established on the basis of supply and demand for foreign currency under State regulations, and is determined by the State Bank. In the banking and financial industry, exchange rates reflect the relationship between the values of two countries' currencies.

Exchange rates are seen as a special kind of price, the value of money, not the value of goods.

The first currency is understood as the base currency, the second currency is called the quote currency. In the exchange rate example above, USD is the base currency and IDR is the quote currency. The exchange rate is also considered as a comparison of the country's currency according to certain standards. Under the gold standard, the currency in circulation for business operations was gold coins and paper and exchanged for gold based on the gold content. Therefore, the exchange rate can be understood as a comparative relationship between the gold coins of the two countries.

In the current government printed paper money is no longer used, so gold parity is no longer the basis for forming exchange rates. Thus, a comparison of different currencies is carried out in the form of comparing the purchase rates of the two currencies.

How to classify exchange rates

For today's foreign exchange market, there are many types of exchange rates. After memorizing the concept of what the exchange rate is, now let's look at how to divide the exchange rate.

Based on the exchange rate

Based on the exchange rate can be divided into 2 types:

The Real Exchange Rate is the rate of inflation and purchasing power in a currency pair reflecting the prices of correlated goods, which are sold abroad and consumed domestically. This figure represents the country's international competitiveness.

Nominal exchange rate is the value of a currency at current prices, excluding the effects of inflation

Based on the foreign exchange transfer method

Based on the concept of foreign exchange transfers, we can divide them into 2 types:

Letter exchange rates

The exchange rate is the difference in value that is usually listed at the bank. That's the exchange rate for currency exchange. The exchange rate is the difference in the base value to determine other exchange rates

Based on forex trading time

It can be divided into 2 types as follows:

The buying rate is the bank's exchange rate for buying foreign currency

Selling Rate is the difference in selling value of foreign currencies sold by banks

Based on the payment term

Based on maturity divided into:

Forward exchange rate Is the exchange rate calculated and agreed upon by the credit institution but must be within the specified range of the current Bank Negara forward exchange rate at the time of signing the contract.

The spot rate is the rate quoted by the credit institution at the time of the transaction or agreed upon by the two parties, at which the rate determined by the State bank must be ascertained. Payment between the parties must be made within the next two working days, after the date of the commitment to buy or sell

Based on the object to determine the exchange rate

Based on the object of determining the exchange rate and conceptual information "What is the exchange rate" we can divide it into:

The market rate is the exchange rate formed based on the relationship between supply and demand in the foreign exchange market.

The official exchange rate is the exchange rate determined by the country's central bank. On the basis of this exchange rate, commercial banks and credit institutions will set foreign exchange rates for spots, terms and swaps.

In addition, there are 2 types of exchange rates that you should pay attention to, including:

Bilateral exchange rates: Bilateral exchange rates are the price of one country's currency relative to another country and do not refer to inflation between the two countries. If NEER > 1 then the currency depreciates for all other currencies, if NEER < 1 then the currency appreciates against all other currencies.

Effective exchange rate: The effective exchange rate (NEER–Nominal Effective Exchange rate) is also known as the multilateral nominal effective exchange rate. Knowing the exchange rate, we can understand the effective exchange rate as the average of one currency relative to another

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The nature of the exchange rate is the price of one unit of currency and depends on the supply and demand for that currency in the market, so the exchange rate will change if supply and demand change. There are many different methods of determining exchange rates depending on business objectives, developments in money markets and markets for goods and services in the world.

Determining exchange rates based on gold parity is a method of comparing the gold content between two currencies.

Determining the exchange rate on the basis of purchasing power parity (Purchasing Power Parity) is This method is based on the comparison of purchasing power between two currencies, used to compare prices of goods and services, establish import and export business project methods and carry out customs activities.

Factors affecting the exchange rate

Now that you know how to determine foreign exchange rates, let's look at the factors that affect exchange rates.

Commercial elements

There are two main aspects as follows:

Situation of economic growth i.e. When the price growth rate of export products is higher than the growth rate of imported products, the trade exchange rate increases, which leads to an increase in the value of the domestic currency and a decrease in the exchange rate. Conversely, the import growth rate is higher than the export growth rate, the trade balance decreases, causing the exchange rate to rise.

Balance of Payments i.e. If the balance of payments is high, the foreign currency will increase and the domestic currency will decrease, causing the exchange rate to rise.

Inflation factor

Domestic inflation is one of the important factors affecting international trade activities and directly affects the supply and demand for foreign currencies and changes exchange rates. This is also a factor to answer the question what factors affect the exchange rate?.

Example :

If somewhere domestic has a higher inflation rate than a foreign country (US). At that time, Indian consumers will tend to choose American goods because the cost of goods will be cheaper and the market will increase imports of US goods, which will increase the demand for foreign currency (US dollars). In the US, people will limit the use of goods from India because high prices and reduced imports reduce the supply of foreign currency (US dollars). With a lower domestic inflation rate than abroad, the exchange rate will decrease and the value of the domestic currency will increase.

Income factor

If you know the exchange rate, it can be said that the income of each country is also a significant factor affecting the exchange rate.

The immediate effect is that if the country's income increases, people will tend to want to use more imported goods, thereby increasing the demand for foreign currency, causing the exchange rate to rise.

The indirect impact is high income, people will increase domestic spending, causing a high inflation rate, causing the exchange rate to rise.

Conversely, when a country experiences a decrease in income, the demand for foreign currency will decrease, causing a decrease in the exchange rate

brand name factor with interest

Interest rates have a partial influence on securities investment activities abroad, which in turn directly affect exchange rates.

Contoh:

When country A has a lower interest rate than a foreign country like China. Then investors in country A will tend to invest in the Chinese market or save their savings in the foreign bank. This will help them earn bigger profits than investing in the domestic market. At that time, China's foreign currency will increase and country A's foreign currency supply will decrease. When domestic interest rates are higher than foreign ones, domestic finance will be very attractive, and the exchange rate will decrease while the value of the domestic currency will increase.

The impact of the exchange rate on the economy

What is the impact of exchange rates in today's market economy? This is a big question, but there is an answer. Let's look at the impact and role of exchange rates or foreign currency exchange rates in today's economy.

The exchange rate affects imports and exports: If the domestic currency depreciates (the exchange rate increases), the price of that country's exports will be cheaper, so the competitiveness of goods in international markets will increase. When the exchange rate increases, the economy will acquire more foreign currency, thereby helping to improve the international balance of trade and balance of payments.

The effect of the exchange rate on business: For large enterprises, the influence of the exchange rate on business is not small, directly affecting business profits. In particular, companies with loans denominated in USD will inevitably be affected when the USD/IDR exchange rate fluctuates, causing the loss of exchange rate differences due to re-evaluation of the principal balance in foreign currencies having balances in USD have to bear the exchange loss.

Exchange rates affect inflation and economic growth: When a country experiences inflation, the purchasing power of the domestic currency decreases, the exchange rate remains constant, and domestic goods and services are more expensive than those in foreign markets. . As a general rule, people in the country will use more foreign goods because cheap prices lead to increased imports, increased demand for foreign currency, and increased exchange rates. On the other hand, due to rising prices, foreign consumers will use less imported goods. The decline in export activities led to a decrease in the supply of foreign currency in the market, which caused the exchange rate to rise. Therefore, inflation affects the supply and demand for foreign currency in the direction of increasing the price of foreign currency, the cumulative effect of causing the exchange rate to rise more rapidly. In the currency market, inflation makes the currency depreciate, people will switch to holding more foreign assets, demand increases pushing currency exchange rates up. A country with a higher inflation rate, the country's domestic currency will depreciate relatively and the exchange rate will increase.

Many factors determine currency exchange rates, and all of them have to do with trade relations between two countries. The thing to remember is that these exchange rates are relative, and are expressed as a comparison of the currencies of two countries. These factors are also not in a particular order, like many aspects of economics, the relative importance of these factors is still the subject of much debate among economists.

1. Inflation Differentiation

As a general rule, a country with a consistently low rate of inflation will show its currency's value increasing, as its purchasing power increases relative to other currencies. Over the past half century, countries with low inflation have included Japan, Germany and Switzerland, while the United States and Canada have achieved low inflation as long as the countries mentioned earlier. Countries that have higher inflation will usually see a depreciation in their currency in relation to the currency of their trading partner. This is also usually accompanied by higher interest rates.

2. Differentiation of Interest Rates

Interest rates, inflation and currency values have a very high correlation. By setting interest rates, the central bank tries to regulate the effects of inflation and currency values, and changes in interest rates will affect inflation and currency values. Higher interest rates offer creditors in the economy a higher yield relative to other countries. Therefore, higher interest rates will attract foreign capital and cause the value of the currency to increase. The impact of higher interest rates is reduced if one country's inflation is higher than that of another, or if additional factors pull down the currency's value. And so is the opposite, whereby lower interest rates tend to depreciate the value of the currency.

3. Current Account Deficit

The current account is the balance of trade between a country and its trading partners, which reflects all payments between countries for goods, services, interest rates and dividends. A deficit in the current account indicates that a country buys more from abroad than it sells, and borrows capital from foreign sources to finance the deficit. In other words, the country needs more foreign currency than it receives from sales for exports, and supplies more of its own currency than the level of foreign demand for its products. Excessive levels of demand for foreign currency will lower a country's currency exchange rate until domestic goods and services are cheaper for foreign market participants, and foreign assets are not too expensive to generate sales for domestic interest.

4. Public Debt

The state will generate a large-scale deficit financing to finance public or community projects and government funding. Although such activity stimulates the domestic economy, countries with large public deficits and debts are less attractive to foreign investors. The reason? Large debts will fuel inflation, and if inflation rises, these debts will be repaid at a low exchange rate in the future.

In the worst case scenario, the government may print more money to pay off some of the debt, but this will increase the money supply which will inevitably increase inflation. Furthermore, if a government is unable to address a deficit through domestic efforts (such as selling bonds and increasing the money supply), then they must increase the amount of securities to sell to foreign market participants, thereby lowering the exchange rate. Finally, a large debt will cause anxiety to outsiders if they believe about the risk of defaulting on a country. For this reason, a country's debt rating (as provided by Moody's Investors and Fitch Ratings) is an important determinant of currency exchange rates.

5. Terms of Trade

A ratio that compares export prices to import prices, trade terms relating to the current country and the balance of payments. If the price of a country's exports increases more than it imports, it can be said that its terms of trade are improving. Improving terms of trade indicates a higher level of demand for that country's exports. This, in turn, will result in an increase in export earnings, which will provide an increase in the demand for the country's currency (and will increase the value of the currency). If the price of exports increases at a smaller level than imports, the value of the currency will decrease compared to its trading partners.

6. Political Stability and Economic Performance

Foreign investors will definitely look for stable countries with good economic performance where they will invest their money. A country with such positive attributes will attract investment funds from other countries that have a higher level of political and economic risk. Political turmoil, for example, can cause a loss of confidence in a currency and a shift of capital towards currencies from more stable countries.

https://investsocial.com/id/forum/area-diskusi-trading/ensiklopedia-forex-kontes-jawaban-terbaik/41200-bagaimana-nilai-tukar-mata-uang-di-tentukan-dan-di-mana?p=13761372#post13761372

The currency exchange rate will determine the real investment return. A depreciating currency will obviously reduce the purchasing power of the income and capital gains that come from any type of investment. Furthermore, currency exchange rates will affect other income factors such as interest rates, inflation and even capital gains from domestic securities. Currency exchange rates are indeed generated from a number of complex factors that can even make many economists still confused, investors must more or less understand how currency values and exchange rates play an important role in the level of investment they make.

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Treatment for Diabetics

noreply@blogger.com (Desi) — Sat, 26 Nov 2016 14:10:00 +0000

The main thing that should be known by diabetics

Education

the patient should know that the diabetes disease is not curable, but can be controlled and the control should be done for lifetime.

Food

If the input / bad input, output / outcome will be bad, as well as when eating exceed the prescribed diet, the blood sugar levels will rise.

Sports

Important sports activities in addition to avoiding obesity may also lower blood sugar levels. At the time of moving energy use increased thereby reducing obesity and insulin work better because blood sugar can get into the muscle cells to be burned.

Medicine

Only if it necessary, but if the blood sugar levels have dropped by taking medicine, does not mean it cure, but should consult with a doctor if adherence to treatment with a fixed level or taking medicine similar to levels derived or taking other medicine, at least you have to do it for every three months until your blood sugar is in control, once it’s under control, your numbers and medication regimen should be reviewed every six months.

There is no doubt that education is a continuous and sustainable becomes very important for diabetics, treatments are designed to help the body to control the sugar levels in the blood. Studies have shown that good control of blood sugar is the key to avoiding diabetic complications.

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Fact : Diabetes Gestational Diagnosed

noreply@blogger.com (Desi) — Fri, 11 Nov 2016 17:18:00 +0000

Test Period for Pregnant Women

Usually these tests are performed when the woman is between 24 to 28 weeks pregnant, however it may be done earlier for women with many risk factors for gestational diabetes. Most women are diagnosed after special blood tests. A Glucose Challenge Test (GCT) is a screening test where blood is taken for a glucose measurement one hour after a glucose drink. If this test is abnormal then an Oral Glucose Tolerance Test (OGTT) to check their blood glucose levels. For an Oral Glucose Tolerance Test a blood sample is taken before and two hours after the drink.

Danger Of Diabetes You Have to Know

noreply@blogger.com (Desi) — Sun, 23 Oct 2016 17:41:00 +0000

Here are some of the serious danger caused by diabetes

Long Term Complications

Diabetes can lead to long-term complications such as heart attack, stroke, blindness due to glaucoma, kidney disease, and injuries that can not be recovered until the infection so it had to be amputated. Even the most terrible stage is death. These complications are caused by damage to blood vessels, nerve damage, and the inability of the body to fight infection. However, not all people with diabetes have problems of this long-term.

Hypoglycemia

Although it is not good when a high sugar lever, but a person with diabetes mellitus or diabetes can also suddenly have a very low blood sugar below the normal threshold is called hypoglycemia. It is also very dangerous because it can make the sufferer shaky, sweaty, tired, hungry, irritable, or confused or fast heart rate, blurred vision, headache, body numbness, or tingling around the mouth and lips. It could even seizures or fainting. Often, proper diet and regular meal times can prevent the onset of these problems. Consume glucose, for example, juice or glucose tablets, can raise blood sugar levels to a safe level to other foods can be consumed.

Ketoacidosis

If glucose can not be processed properly by the body, the fat and protein in the body is used by the body for energy. But when the body burns fat, forming a combustion residue called ketones. Ketones accumulate in the blood and into the urine flow. Because of this ketone is more acidic than healthy system, high levels of ketones in the blood can cause a serious condition called ketoacidosis. The early symptoms of diabetic ketoacidosis is thirst and frequent urination, nausea, vomiting, fatigue and abdominal pain (especially children). Breathing becomes deep and rapid as the body attempts to repair the blood acidity. Patient breath smells like the smell of acetone. Diabetic ketoacidosis can fell into a coma, sometimes within just a few hours.

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You Have To Know : Pre Diabetes

noreply@blogger.com (Desi) — Tue, 27 Sep 2016 09:27:00 +0000

Pre Diabetes is a condition where the blood sugar is higher than normal but not yet high enough to be classified as diabetes.

A person in this category when fasting blood sugar ranges between 100-125 mg / dl. Blood sugar 2 hours after administration of 75 g glucose solution (in the oral glucose tolerance test) ranged between 140-199 mg / dl, have hinger risk to type 2 diabetes next, unless they change the life style by reducing excess weight and active to exercise.

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Symptoms of Gestational Diabetes

noreply@blogger.com (Desi) — Sat, 20 Aug 2016 03:41:00 +0000

Scientific research and argumentation

The researchers until now do not know exactly why some women sustain gestational diabetes. To understand how this condition occurs, you need to understand how pregnancy affects glucose levels in your body.

One factor that is believed to be the trigger for gestational diabetes is the presence of a hormone released by the placenta to the developing fetus. Hormones are believed prevent the work of insulin in the body cells of pregnant women. This leads to insulin resistance.

That is, the cells in the body of pregnant women have difficulty using insulin, so blood sugar levels rise and affect the production of energy in the body.

In most cases, gestational diabetes generally does not cause the typical symptoms so that symptoms are often ignored. But there are some symptoms that might be considered include:

Many urination (polyuria), Many urination (polyuria), Many drinking (polydipsia) and Many eating (polyphagia).

Complaints are often about this condition: frequent of boil, itching in the skin and genitals, whitish, tired, sleepy, and tingling. If some of the above symptoms occur, it is important to carry out the examination and routine blood tests during pregnancy. Blood tests help detect gestational diabetes and help you avoid complications arising out well for you and your fetus.

Who is at increased risk of gestational diabetes?

- Women over 30 years old.

- Overweight women.

- Women who have a family history of type 2 diabetes.

- Indigenous Australians and Torres Strait Islanders.

- Certain ethnic groups are also at increased risk:

• Indian • Vietnamese • Chinese

• Middle Eastern • Polynesian/Melanesian

- Women who have had difficulty carrying a pregnancy to term.

- Women who have had gestational diabetes during previous pregnancies.

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Warning : Diabetes Effect to Baby

noreply@blogger.com (Desi) — Tue, 16 Aug 2016 17:18:00 +0000

Women with diabetes during pregnancy can still have a healthy baby. But if diabetes is not well controlled, it is likely there will be serious consequences for a baby.

Diabetes that occurs in pregnant women due to pregnancy hormones in your body makes insulin more difficult to use, so that the pancreas has to work harder.

For pregnant women who pancreas can work well, then the condition would not be a problem pregnancy. But when the pancreas is not able to request insulin demand, the blood sugar levels may increase, causing diabetes during pregnancy (gestational diabetes).

Most diabetes disappears after the baby is born, although higher risk of getting pregnant again when the woman returned.

there is some impact on the baby if the mother is diabetic:

1. Excess blood sugar and insulin can cause the baby bigger and fatter, especially in the upper part of his body so that his weight becomes large.

This condition is called macrosomia and the possibility of the baby is too big to be born through the normal process so have to cesarean process.

Sometime after the baby is born, there is the possibility of the baby having a low blood sugar levels (hypoglycemia). This is due to excess body still produces insulin in response to high glucose intake of the mother.

If doctors know that his mother suffered gestational diabetes, the newborn will be tested for blood sugar levels by taking a drop of blood from the baby's heel. If the level is low, the baby will be fed, but if the baby is too severe given the possibility of IV glucose solution.

2. Infants have hinger risk of jaundice (jaundice), polycuthemia (increase in the number of red blood cells in the blood) and hypocalcemia (low calcium levels in the blood).

3. If control of blood sugar levels worse, there is the possibility of cardiac function of the baby could be affected.

4. As for the pregnancy the mother of two times higher risk of pre-eclampsia.

In general, gestational diabetes does not have any specific symptoms. That's why almost all pregnant women need to check glucose levels at 24-28 weeks gestation. If the result is positive, it is necessary to control blood sugar and keep food intake.

Pregnant women with diabetes are vulnerable if overweight, have a history of gestational diabetes before or have a history of strong diabets in the family.

Diabetics Weight Loss Management

noreply@blogger.com (Desi) — Wed, 20 Jul 2016 14:42:00 +0000

Losing weight can improve your blood glucose and blood pressure

From a study it was found that a combination of diet and exercise cuts the risk of developing diabetes by 58%. If someone with diabetes loses 5-10% of their weight, they will significantly reduce their blood sugar. Moderate weight loss (5% of body weight) can improve insulin action, decrease fasting blood glucose concentrations, and reduce the need for diabetes medications.

Weight loss has important additional health benefits in patients with diabetes because it improves other risk factors for cardiovascular disease by decreasing blood pressure and improving serum lipid concentrations (decrease in serum triglycerides, total cholesterol, and LDL cholesterol and increase in serum HDL cholesterol concentrations).

If you’re having trouble in losing weight, talk with your doctor or a registered dietitian.
Ideas to Maintain a Healthy Weight

Cut out drinks containing sugar
Don’t skip meals
Measure your portions
Eat slowly
Get enough sleep
Add exercise to your day

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8 Sex Tips For Diabetics

noreply@blogger.com (Desi) — Tue, 19 Jul 2016 17:52:00 +0000

What's happening with your glucose can hugy affect how you feel between the sheets—and not positively. "Restorative conditions, for example, diabetes can bring about your sexual coexistence to take a dive," says Lauren Streicher, MD, a collaborator clinical educator of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and creator of Slip Sliding Away:

A Gynecologist's Guide to Turning Back the Clock on Your Sex Life. "As a diabetic, you have numerous deterrents for accomplishing a wonderful sexual coexistence that other individuals don't have."

The uplifting news is that once you see how to manage the side effects that might put a damper on your sexual coexistence, you can help your sexual fulfillment no doubt. Here's assistance:

1. New toys.

On the off chance that sex feels a bit (or a considerable measure) less serious recently, diabetes might be to be faulted. "Diabetics regularly have diminished blood stream to the vagina in light of vein changes, which prompts less excitement and sensation," says Streicher. "

Considers demonstrate that diabetics don't climax as effectively as others because of vascular changes and nerve harm." In short: What used to work for you as far as achieving climax may not work any all the more, so it's an ideal opportunity to have a go at something new.

The speediest approach to get the incitement you need is with a vibrator. "Ensure the model you utilize offers clitoral incitement, since it won't help much to have something hard or excessively capable inside your vagina," Streicher says

2. Consideration on pH.

Expanded glucose levels can toss the pH equalization of your vagina twisted, increasing your chances of endless vaginal contaminations. "

At the point when pH goes up, the sound lactobacilli in your vagina can no more survive, and you get terrible microorganisms development like bacterial vaginosis and yeast contaminations," says Streicher.

One approach to keep your microorganisms in parity is with an OTC vaginal gel twice per week. Attempt RepHresh, which is FDA-affirmed to reestablish typical vaginal pH and it likewise goes about as a lotion for more solace amid intercourse.

3. Eat to get in the mood.

Aphrodisiacs aren't simply something your hipster cousin let you know about—there's some science to go down the prominent thought that eating certain sustenances can positively affect your sex drive. The mineral zinc may act as a moxie enhancer by assisting with testosterone generation, and shellfish hold more zinc than whatever other nourishment.

Other great wellsprings of zinc incorporate red meat (which is sound with some restraint, particularly in the event that you go grass-bolstered), crab, and cashews.

4. Control your glucose levels.

Clearly you have to do this for your general wellbeing, however your vagina will thank you for it, as well. "Keeping up glucose in the typical reach ensures veins, avoid nerve harm, and makes it less demanding for your vagina to battle off contaminations," Streicher says.

That implies discarding high-glycemic carbs for entire grains, protein, and foods grown from the ground. Paying consideration on calories is likewise fundamental. "Taking in less nourishment puts less request on the insulin-delivering cells so they're more effective, and also taking out additional fat in the pancreas that represses insulin creation," says David Kendall, MD, boss investigative and therapeutic officer at the American Diabetes Association.

5. Get moving.

Research indicates exercise assumes a part in turning around diabetes side effects—and it additionally works ponders for your sexual coexistence by reinforcing your heart, enhancing adaptability and stamina, and expanding blood stream to those terrifically imperative ranges.

No compelling reason to agree to a marathon; low-affect workouts like yoga can expand dissemination, notwithstanding arousing sensation in ranges where you may have encountered nerve harm, similar to your fingers and toes

6. Use a sugar-free lubricant.

Grease ought to be a piece of everybody's sexual arms stockpile, however diabetics need to watch which lubes they pick. "A few greases really contain types of sugar, for example, glycerin and propylene glycol, which will divert from your vaginal pH and potentially trigger yeast contaminations," says Streicher. "The exact opposite thing you need in the event that you as of now have larger amounts of sugar in your vagina is to add more sugar to it." Check the fixings list and pick a silicone-based lube.

7. Love your body.

In case you're similar to numerous individuals with diabetes, you've been exhorted by your specialist to get more fit—which can prompt some dreadfully basic sentiments about your body.

Not that you should be diabetic to have those worries: A late study found that both men and ladies in long haul connections reported feeling occupied by negative contemplations about their bodies amid sex, and ladies specifically said they were concerned in regards to what their accomplice thought

8. Get some rest.

Most Americans don't get enough rest, and for diabetics, getting your zzz's is particularly critical. Rest has been found to assume a part in controlling glucose—one study found that consistently getting under 6 hours of rest a night made individuals three times more inclined to have lifted glucose levels. In the event that you experience difficulty dozing, these basic tips can offer assistance.

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Does Fat Causes Diabetes?

noreply@blogger.com (Desi) — Tue, 19 Jul 2016 17:18:00 +0000

In studies traversing mice and people, Dr. Marth's group found a pathway to malady that is actuated in pancreatic beta cells, and afterward prompts metabolic imperfections in different organs and tissues, including the liver, muscle and (fat). Together, this means diabetes.

"We were at first astonished to figure out how much the pancreatic beta cell adds to the onset and seriousness of diabetes," said Dr. Marth."The perception that beta cell breakdown altogether adds to different infection signs, including insulin resistance, was unforeseen. We noted, be that as it may, that studies from different research facilities distributed in the course of recent decades had suggested this plausibility."

In solid individuals, pancreatic beta cells screen the circulatory system for glucose utilizing glucose transporters moored as a part of their cell films. At the point when blood glucose is high, for example, after a dinner, beta cells take in this extra glucose and react by discharging insulin in a coordinated and measured reaction. Thusly, insulin fortifies different cells in the body to take up glucose, a supplement they have to create vitality.

In this newfound pathway, large amounts of fat were found to meddle with two key translation elements - proteins that switch qualities on and off. These interpretation components, FOXA2 and HNF1A, are typically required for the creation of a catalyst called GnT-4a glycosyltransferase that changes proteins with a specific glycan (polysaccharide or sugar) structure. Appropriate maintenance of glucose transporters in the cell layer relies on upon this change, yet when FOXA2 and HNF1A aren't working legitimately, GnT-4a's capacity is significantly lessened. So when the analysts sustained generally ordinary mice a high-fat eating regimen, they found that the creatures' beta cells couldn't sense and react to blood glucose. Safeguarding of GnT-4a capacity could hinder the onset of diabetes, even in hefty creatures. Reduced glucose detecting by beta cells was appeared to be a vital determinant of malady onset and seriousness.

"Since we know all the more completely how conditions of over-sustenance can prompt sort 2 diabetes, we can see all the more unmistakably how to intercede," Dr. Marth said. He and his partners are currently considering different techniques to increase beta cell GnT-4a chemical action in people, as a way to counteract and conceivably cure sort 2 diabetes.

"The ID of the sub-atomic players in this pathway to diabetes recommends new restorative targets and methodologies towards building up a successful deterrent or maybe therapeudic treatment," Dr. Marth proceeded. "This might be proficient by beta cell quality treatment or by medications that meddle with this pathway keeping in mind the end goal to keep up ordinary beta cell capacity."

In the United States, more than 24 million kids and grown-ups - about eight percent of the populace - have diabetes. In grown-ups, sort 2 diabetes represents around 90 to 95 percent of all analyzed instances of diabetes. This study was essentially supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health (NIH). Co-creators of this study incorporate Kazuaki Ohtsubo at Sanford-Burnham and Mark Z. Chen and Jerrold M. Olefsky from the University of California, San Diego.

How to Cure Type 2 Diabetes

noreply@blogger.com (Desi) — Wed, 02 Mar 2016 18:42:00 +0000

Dr. Jay Wortman is a physician with a long practical experience. Although it has a high risk of diabetes because loss weight and family history from the mother's which many diabetics, hardly believe when he really have the early symptoms of diabetes type 2. The illness has progressed quite a long time when he felt the very tired, his eyes are blurred, often feel thirsty and often to the bathroom to urinate, especially at night. When he took a blood sugar test showed he had diabetes, he was surprised. When he was 52 years old his son 2 years oled. He worried that will not live long enough to see his son to grow up. He knew that people with diabetes have a shorter life expectancy and high risk of developing complications and cardiovascular disease.
He tried to fight the disease by stopping consumption carbohydrates while conducting a study on the proper medication to be taken. Foods containing starch, pasta, potatoes, sugar and anything sweet including fruits avoided. He never advised his patients on a low-carb diet, but he is living it. Some time after the diet, his blood sugar became normal and all her symptoms disappeared. His energy was increased.
He was amazed by the efficacy of the diet. Medical education never taught it. He taught himself from various sources in 2002, which among other things led him to contact some doctors who learn about diet for the treatment of diabetes. His wife tell story by Dr. Atkins that teaches low-carbohydrate diet also known as "the Atkins diet". It is not a specific diet to cope with diabetes, but for weight loss and general health. What is taught in the Atkins diet was the same as he lived, thus making it more determined to continue the diet.

Due to the low carbohydrate diet consisting of foods that are high in fat, good fat fish or meat, he worried that cholesterol (lipid) high blood. It turned out that lipid test results showed normal blood cholesterol. Now after undergoing the diet for 11 years, he was free of diabetes without ever requiring medication. Fasting blood sugar the range of 5.3-5.7, indicating residual insulin resistance but still within normal limits. His weight has also been back in the healthy range. He said that such a diet was not impossible in the long term. Precisely the longer live, the easier we maintain it.

Diabetes that ever happened to change his career path. He became involved in several large studies on diabetes. One study that he follow the study population in the west coast of Canada which have a high prevalence of diabetes. Their traditional food is actually used to be very similar to her diet, which is dominated by seafood, land mammals, as well as fruit and vegetables from the wild such as cauliflower, berries, etc. The increase in the prevalence of diabetes go hand in hand with changes in dietary patterns that become dominated by processed foods rich in starch (refined starchy foods), chips and sugar that makes many of them becoming overweight.

By returning to their traditional diet, they could again become a free diabetes population. Dr. Jay told of a man in his 70s with diabetes who are less active and everyday just watching TV. By changing his diet he's back has great energy, be healthy and active living his profession as a carpenter.

Many people who do not believe the low-carb diet to cope with diabetes. In his lectures at the American Diabetes Association and the Canadian Diabetes Association, many believe that such a diet is difficult to maintain for a long time. Many people are funded by the drug industry and such solutions are not good for their business because it makes people regardless of the drug. No one can become rich by patent. The government also does not seek to promote it, as was left entirely to the scientific world.Is you who should be more active search for knowledge about, the many freely available everywhere.

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Dietary strategies for Diabetics (3)

noreply@blogger.com (Desi) — Sun, 31 May 2015 12:55:00 +0000

Dietary strategies for Diabetics (2)

Target organ compromise

Retina

The fundus study should be performed at diagnosis of DM2. If normal, it should be repeated annually; if altered, the patient should be referred to a specialist.

Renal compromise

Assessment of plasma creatinine and calculation of glomerular filtration should be performed at diagnosis of DM2 and, if normal, should be repeated annually. Determination of proteinuria is performed at diagnosis of DM2; if negative, a microalbuminuria test is requested. Urinary albumin excretion (UAE) is quantified with the albumin/creatinine ratio in a random urine sample. UAE values between 30 and 300 mg/g should berepeated; microalbuminuria is diagnosed when 2 out of 3 samples continue to be altered. If the UAE values are <30 mg/g, the check-up can be performed annually.

Neuropathy and arteriosclerosis of the lower limbs.

The clinical examination is conducted with exploration of feet and testing of tactile and vibratory sensitivity, reflexes and peripheral pulses. This examination is conducted at the patient's diagnosis; if no alterations exist, it should be systematically repeated once a year. In this examination, it is advisable to include the orthostatism test.

Detection and prevention of cardiovascular disease (CVD)

DM in general is a risk factor for

CVD and DM2 is associated with other factors which form part of the pre-diabetic status and

which exert negative interrelations leading to a more precocious and severe CVD. Detection

and control of these factors forms part of the treatment of DM; the most important are arterial

hypertension and dyslipidemia.

Arterial hypertension

Diabetic patients have a high risk of CVD starting from the prehypertension stage, which also contributes to microvascular damage. Its optimized treatment reduces micro- and macrovascular complications of DM. It is essential to guarantee detection, control and treatment of hypertension. The goals to be achieved are < 130/ 80 mm Hg and, in nephropaths, < 125/75 mm Hg.

Dyslipidemia

Lipid alterations are a known risk factor for CVD and are more aterogenic in DM. The most important goal is to correct LDL cholesterol. Added to this is the so-called “aterogenic” dyslipidemia of the diabetic and pre-diabetic patient: elevated triglycerides, low HDL cholesterol and small, dense particles of LDL cholesterol. This explains why detection and treatment of lipid alterations is a main part of the check-up and follow-up of DM2. Lipid profiles should be included in the initial evaluation of DM2. If the result is normal, it should be repeated once a year. The goals to be achieved are: triglycerides <150 mg/dl, HDL >40 mg/ dl in men, >50 in women and LDL <100 in primary CVD prevention and <70 in secondary CVD prevention.With the aim of achieving an optimal metabolic control and prevention of micro- and macroangiopathic complications, all patients should be encouraged to adhere to a healthy diet, low in cholesterol and saturated fatty acids and high in dietary fiber. Additionally, regular physical activity for 150 minutes per week, fractionated in 5 days, should be promoted.

Dietary strategies for Diabetics (2)

noreply@blogger.com (Desi) — Wed, 27 May 2015 03:43:00 +0000

Dietary strategies for Diabetics (1)

Metabolic control of DM2

It is necessary to know the degree of metabolic control in the type 2 diabetic patient in order to make the proper decisions for his/her treatment (Redsalud, 2006). It has been shown that there is a direct correlation between chronic hyperglycemia and damage to the patient's target systems and organs. The main tests for metabolic control are: glycosylated hemoglobin A1c (HbA1c) and glycemia.

HbA1c

It is currently the best control parameter of glycaemia and reports retrospectively, the glycemia average for a period of 6 to 12 weeks. Two important studies, UKPDS and DCCT, which demonstrated the relationship between metabolic control and appearance or aggravation of microangiopathic complications, employed it as an indicator of the degree of metabolic control. The goal of the treatment is to achieve HbA1c <7%, with individualized variations, the recommendation being that the HbA1c levels should be “the closest to normal, with the least risk of hypoglycemia for the patient”. The recommended frequency of check-ups is every 3 months. Considering the heterogeneity of the elderly, goals may be variable, with 7% in a patient in good conditions, to 8.0 - 8.5 % in a patient with limited life expectations due to comorbidities or with scarce awareness of hypoglycemias.

Glycemia

All patients should be checked with periodic laboratory glycemias or glycemias measured by capillary blood monitors in the clinic. In DM2 patients, this check-up should be carried out every three months. The goals or targets required for pre-prandial and postprandial glycemias appear in Table 3. Capillary glycemias assessed by the patient through self-monitoring are necessary only in DM2 patients on insulin treatment; the usefulness of selfmonitoring has not been demonstrated in DM2 patients with oral treatment.

Dietary strategies for Diabetics

noreply@blogger.com (Desi) — Mon, 25 May 2015 03:47:00 +0000

The goals of nutritional therapy for diabetes are to prevent and treat complications such as
cardiovascular disease, hypertension, nephropathy, obesity and dyslipidemia, and include
achieving and maintaining safe or normal blood glucose levels, a normal lipoprotein profile,
and an improvement of health through a change of food choices and increased physical
activity. A healthy and balanced diet should provide enough calories for daily energy
requirements, in order to reduce and/or maintain an acceptable body weight.

to be continue..

Substitute Sugar With Honey for Diabetics?

noreply@blogger.com (Desi) — Fri, 08 May 2015 08:55:00 +0000

Can diabetics consume honey?

Honey has long been known as a herbal remedy because it believed to overcome various diseases. Therefore, the consumption of honey will positively impact the health of the body. In this regard, as a diabetic you might ask whether diabetics may also consume honey? Is the sugar content in honey can actually increase blood sugar levels of diabetics? Consumption of honey in diabetics still being controversym because the sugar content of honey is considered able to increase blood sugar levels of patients. It's true?

Based on the research results Waili turns the honey does not cause an increase in blood sugar levels. However, it should be distinguished that honey studied by Waili in research whose results have also been published in The Journal of Medical Food in 2004 is pure honey.

Pure honey is a type of honey that is pure sugar content comes from the honey itself. That is the sweet taste of honey does not come from a mix of other sweeteners, such as artificial sugars. As with the artificial honey sweetness comes from honey besides itself also comes from artificial sugars. Artificial honey that should be avoided by diabetics to keep their blood sugar levels remained near normal. Honey consumption is recommended to maintain blood sugar level (Also read : 5 Foods for diabetics which can maintain blood sugar stability)

Diabetics should always measure their blood sugar levels. Therefore a strict diet also needs to be undertaken in order to keep their blood sugar levels can always be close to normal. Hence the consumption of honey might rightfully be limited. This is related to the fact that not all honey is the same no usefulness. Moreover, coupled with the honey mixture. Surely obvious usefulness will be reduced for health, especially for diabetics.

10 Good Fruits for Diabetics

noreply@blogger.com (Desi) — Mon, 04 May 2015 02:39:00 +0000

Diabetics have to be very careful attention to what they eat. There are some foods that should be avoided by diabetics. However, there are also foods that can control their blood sugar levels. Fruits with high and rich in protein and vitamins can help control blood sugar levels (also read : 5 foods for diabetics which can maintain blood sugar stability). Here are 10 good fruits consumed by diabetics, as reported Boldsky.

1. Apples

Eating an apple a day can keep you from various diseases. This is also true for diabetics. Apples are rich in pectin which can reduce high insulin levels. Eating apples can make your glycemic index in a low level.

2. Pears

Man is a fruit rich in pectin - which is also good for diabetics. If consumed in moderation, pears can control blood sugar levels are high.

3. Apricot

Dried apricots is much more nutritious than fresh. The fruit is also rich in potassium which is good for diabetics.

4. Berries

All kinds of berries such as raspberries, strawberries, blueberries and blackberries can help lower the glycemic index of diabetics.

5. Cherries

Cherries are a fruit with a low glycemic index. Cherries are also rich in fiber that lowers blood sugar levels in the body.

6. Grape

Fresh grape is excellent if consumed by people with diabetes. However, the consumption of excessive amounts can be harmful to the body because the wine contains carbohydrates in the form of natural sugar.

7. Plum

Besides low-calorie, plum also has a low glycemic index. Plum is a source of food that is rich in fiber - which makes it an ideal fruit for diabetics and heart patients

8. Oranges

Citrus fruits is very healthy for diabetics. This fruit can lower the glycemic index, a source of vitamin C and, most importantly, the fiber in oranges modulate blood sugar by slowing the absorption into the bloodstream.

9. Avocados

Healthy fats and potassium in avocados makes it a healthy fruit for diabetics. It also lowers triglycerides and bad cholesterol levels in the body.

10. Melon

Melon contains a lot of fiber needed by diabetics. However, make sure you do not buy a melon is too ripe because it can increase your blood sugar levels.

Here are ten good fruit for diabetics. Although diabetics experience fatigue easily, make sure you keep doing light exercise regularly every day. At least it can make your body stay fit.

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Effect of Diabetes on Female Sexual Life

noreply@blogger.com (Desi) — Wed, 29 Apr 2015 03:14:00 +0000

Diabetes not only affects male sexual life. Women who have the disease can be difficult to enjoy activities with friends because it is difficult to orgasm and dryness of the vaginal

Intercourse is actually beneficial for diabetics. Sex is good for the heart, blood circulation, helps you sleep and improve mood. Unfortunately, not all people with diabetes can enjoy a pleasant sex.

Nerve damage makes women with diabetes is difficult to get orgasm. Diabetes also causes dryness of vaginal so when penetrate, she feels sick.

Is there a solution to these problems? Diabetes expert and author of 'Sex and Diabetes' Janis Roszler, RD revealed, it would be very sad if there were women with diabetes who give up and do not want to make love anymore.

"It is sad because there are actually a lot that can be done," he said, as quoted by WebMD.

Roszler explained, the main problem people with diabetes is high blood sugar levels them. High blood sugar levels that are affecting your sex life because it makes women with type 1 diabetes patients experiencing vaginal dryness.

When dry, the woman will feel pain during sex because of the absence of lubrication. "When a woman is already feeling the pain, so she can feel pain and tension," explained Roszler.

The difficulty of controlling blood sugar levels also cause fungal infections easily. The fungal infection was the cause of Miss. V dry.

Roszler suggest if women feel they have the symptoms of fungal infections, such as burning sensation in the vagina, itching or pain during intercourse and urination, consult a doctor. Doctors will provide appropriate treatment to resolve the issue.

For women with diabetes who feel dryness of vaginal area, is not due to fungal infection, you can use water-based lubrication. Some of lubrication can also help you feel excited.

Difficult to control blood sugar levels also affect libido in women. Women with diabetes more difficult to orgasm than men with the same disease. The woman needs more time and stimulation in order to climax.

The solution, always make sure your partner gives enough foreplay. Oral stimulation, cuddle or do anything that could make a woman excited.

"Stimulation yourself or masturbation can help a woman understand better," said Roszler.

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Effect of Diabetes on Male Sexual Life

noreply@blogger.com (Desi) — Mon, 27 Apr 2015 09:20:00 +0000

Good Sexual health is an important factor among other factors to enjoy a happy sex life. At the same time, there are several factors that negatively influence the health of men and women. These include aging, stress and disease. One of the diseases that seriously affect the health of sexuality in men is diabetes. A recent study has concluded that more than half of the men with diabetes may experience poor sexual health or even impotence.

It is important for people with diabetes and their partners to understand how and why this happens. Sexual arousal and erection in men is caused by signals released by the nervous pleasure and with increased blood flow to the penis. Diabetics often have neurological disorders and blood vessels, which reduces blood flow to the penis. This may be a direct result of the disease or a side effect of drugs used to treat diabetes. The longer a person suffering from diabetes, more likely to suffer poor health.

To overcome this problem, we recommend that men with diabetes follow the tips given below:

• Talk with your partner. This will help release tension in your sexual relationship and will help to understand with the situation.

• Take advice from your doctor. You should discuss your health with your doctor because it can change the drug you use for diabetes.

• Control your blood glucose levels regularly take medication, and living a healthy lifestyle.

• Exploration of other problems that may exacerbate problems such as alcohol, stress or other psychological problems.

In addition to these tips, there are options available for men with diabetes who help them achieve a better sexual health. However, you should fully investigate and verify before you start using it to improve the health of your sexuality.

Survey released American Diabetes Association (ADA) states, only 30 percent of men with diabetes who have diabetes-related information. And only 20 percent are already implementing a diet appropriate to their condition. Increasingly rich knowledge, is very important for diabetics and their families in helping to control the disease.

This is a fact that should be known male diabetics to motivate behavior change to be more healthy.

1. Less manly
A decrease in testosterone levels experienced men with diabetes. Diabetes also damage blood vessels and nerves that control erection, erectile dysfunction so easily happen. Men with diabetes are at risk of developing erectile dysfunction 10-15 years earlier than men without diabetes.

2. Chaotic mind
Men with diabetes are at high risk of depression than those who are not diabetic.

3. Reduced in life expectancy
Diabetes heart disease deaths around 2-4 times higher than those without diabetes. The life expectancy of men with diabetes are shorter than women with diabetes.

4. The threat of blindness
Diabetes will damage the vessels that become channel nutrients to the retina. As a result, the potential for blindness due to diabetic retinopathy will be greater. Among people affected by diabetes before age 30 years, in men, disorders retinopathy come sooner than women.

5. Amputation
Vascular damage also often affects the feet, so that more than 60 percent of all leg amputations are not due to trauma caused by diabetes. Diabetes-related amputations in men from 1.5 to 2.7 times higher than women's high.

6. Pain
In men with diabetes, symptoms of pain in the thighs, calves, buttocks during exercise, cramps, changes in body temperature, prolonged canker sores, swollen, more often experienced.

7. Dementia
Men with diabetes more at risk of developing Alzheimer's and other forms of dementia.

8. Overweight
No less than 90 percent of people with diabetes are overweight.

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Insulin Therapy for Diabetics (4)

noreply@blogger.com (Desi) — Tue, 21 Apr 2015 15:02:00 +0000

Continuation Of Insulin Therapy for Diabetics

Oral-lynTM: Generex Biotechnology Corporation (Toronto, Canada) is developing a buccal insulin formulation based on RapidMistTM, an advanced buccal drug delivery technology. Oral-lynTM is a liquid formulation of human regular insulin with a spray propellant for prandial insulin therapy. The formulation results in an aerosol with relatively large micelles where the majority of the particles have a mean size >10 μm and therefore cannot go into the lungs. Each puff is claimed to deliver 10 U of insulin. The absorption rate of administered insulin as a puff is 10%, and that corresponds to 1 U when 1 puff of 10 U is delivered, which means 10 puffs will deliver 10 U insulin for a meal. Clinical studies in healthy volunteers and subjects with type 1 and type 2 diabetes have shown that the oral insulin spray was absorbed in direct relation to the amount given, and it had a rapid onset and a shorter duration compared with regular insulin given subcutaneously. In all of the studies conducted, the oral insulin spray was generally well tolerated. The only side effects included mild episodes of transient dizziness in some healthy volunteers and subjects with type 1 diabetes. The product is on the market in a number of countries (e.g., Ecuador and India). Without appropriately designed and performed phase 3 trials at hand, it is not possible to make any clear statement about the benefits/risk ratio of the different buccal insulins.

Oral insulin: Oral insulin has benefits in terms of compliance among patients, as well as physiological advantages because oral insulin can mimic the physiological fate of insulin through first pass to the liver, directly and effectively inhibiting hepatic glucose production. Since the initial discovery of insulin by Banting and Best in 1922, the oral form of insulin has been the elusive goal. Difficulties encountered for oral insulin delivery, since it is a protein, include degradation by the low pH of the stomach and the digestive enzymes in the stomach and small intestine. The major barrier for insulin absorption is the intestinal epithelium. All these factors lead to low bioavailability, and that leads to significant inter- and intra-subject

variability.

Nanotechnologies have brought some hope for improved delivery of insulin. Nanotechnology applications for delivery of hydrophilic drugs such as insulin might be achieved using biodegradable polymers such as chitosan, which has been extensively exploited for the preparation of nanoparticles for oral controlled delivery of several therapeutic agents. In recent years, chitosan cross-linked to various hydrophobic polymers has been utilized for the preparation of orally delivered drugs because of improved permeation and sustained release characteristics.

The newer products that are being tried include water-soluble, long-acting insulin derivative, [(2-sulfo)-9-fluorenylmethoxycarbonyl]3-insulin, vitamin B12-dextran nano particles, lipid nanoparticles, and PEGylated calcium phosphate nanoparticles as oral carriers for insulin. Protection of insulin from the gastric environment has been achieved by coating the nanoparticles with a pH-sensitive polymer that dissolves in the intestine at mild alkaline pH. In rats, oral insulin nanoformulation significantly (P<0.05) reduced blood glucose in normal and diabetic rats. Biocon (Bangalore, India) is manufacturing IN-105, which is in late phase 3. IN-105 is a human recombinant insulin conjugated with polyethylene glycol via an acetyl chain. It is orally bioavailable and stable at ambient conditions. Preclinical studies in different species have shown acceptable efficacy and safety. Its maximal circulating insulin levels after oral administration of 5 mg were observed after 20 minutes, and the maximum drop in glucose occurred at 40 minutes after oral administration. Phase 1 and phase 2 trials demonstrated that the absorption of IN-105 and the reduction in blood glucose levels were proportional to the dose administered.

Inhaled insulin: The inhaled products fall into two main groups: the dry powder formulations and solution, which are delivered through different inhaler systems. Exubera®, containing rapid-acting insulin in powder form, was studied in patients with type 1 and type 2 diabetes mellitus. The results of a patient preference study, using a comparison of utility scores, showed a greater preference for the inhaled route over insulin injection. However, issues like cost, the bulkiness of the device, and the small number of studies in subjects with underlying respiratory disease prevented widespread use of this new mode of delivery. Exubera® was available for less than one year, and then Pfizer took it off the market in 2007 because the drug failed to gain market acceptance.

Afrezza®: (MannKind Corporation, Valencia, CA, USA) is recombinant human insulin, using the Technosphere® concept and administered using a next-generation inhaler called Dreamboat ®. Technosphere® is a drug delivery system created by micro particles (2-3 μm) that form microspheres, which are then lyophilized into a dry powder for inhalation. Transdermal insulin: Transdermal insulin delivery is a needle-free alternative and avoids the disadvantages associated with other alternative routes such as the pulmonary and nasal routes. Permeation of compounds is limited to small, lipophilic molecules. The stratum corneum, the outermost layer of the skin, constitutes the major barrier for insulin permeation to reach useful levels. Several chemical and physical enhancement techniques such as iontophoresis, ultrasound/ sonophoresis, micro-needles, electroporation, laser ablation, and chemical enhancers have been explored to overcome the stratum corneum barrier to increase skin permeability.

Methods to improve transdermal delivery:

1. Chemical enhancers, which alter the lipid structure of the stratum.

2. Iontophoresis, which enhances the transdermal delivery of compounds via the use of a

small electric current.

3. Micro-needle technology, which involves the creation of micron-sized channels in the

skin, thereby disrupting the stratum corneum barrier and delivering the drug into the

epidermis without disruption of nerve endings.

4. Sonophoresis, which uses ultrasound and has been shown to increase skin permeability

of insulin. It is still being evaluated

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Insulin Therapy for Diabetics (3)

noreply@blogger.com (Desi) — Mon, 20 Apr 2015 13:57:00 +0000

Continuation Of Insulin Therapy for Diabetics

Linjeta™, formally called VIAject®, is recombinant human insulin with a fast onset of action. In a study of pharmacodynamics and pharmacokinetic properties of an ultrafast insulin, it was found to have an earlier onset of action and shorter time to maximal plasma insulin concentration. VIAject®, compared to human insulin, had less within-subject variability of plasma insulin. In a double blind, three-way crossover study with VIAject® compared to lispro insulin, VIAject® was found to be bioequivalent to the previously used formulation and had a faster absorption/onset of action than insulin lispro.

VIAject® is currently undergoing two pivotal phase 3 clinical studies for both type 1 and type 2 diabetes. Since the VIAject® pharmacodynamics mimic 1st phase release insulin and the amount of insulin circulating several hours after a meal, it leads to possible reduction in hypoglycemia, and it is predicted to possibly prevent weight gain. Artificial pancreas: Closed-loop insulin delivery is an emerging therapeutic approach for people with type 1 diabetes. Even with the use of continuous glucose monitors and insulin pumps, most people with type 1 diabetes do not achieve glycemic goals and continue to have unacceptable rates of hypoglycemia.

The goal of closed-loop therapy is to achieve good glycemic control with the use of a control algorithm that directs insulin delivery according to glucose levels while reducing the risk of hypoglycemia. Insulin delivery in the closed-loop system is modulated at intervals of 1-15 minutes, depending on interstitial glucose levels. The uniqueness of this approach is the real-time response of insulin delivery to the glucose levels, similar to that of the beta-cell. The algorithms that are most relevant include the proportionalintegral-derivative control (PID) and the model-predictive control (MPC). Several areas need improvement to have a near normal closed-loop system. First and foremost is the rapid onset of action. The lag period of current fast-acting insulin analogs is 90-120 minutes. Current trials show promise. In a phase 2 study with or without recombinant human hyaluronidase (rHuPH20) that accelerates insulin absorption in healthy volunteers, both lispro and recombinant human insulin with rHuPH20 produced earlier and greater peak insulin concentrations, improved postprandial glycemic control, and reduced hypoglycemia. Rapid acting insulins are being developed that use monomeric insulins that cannot form hexamers.

As mentioned earlier, ultrafast insulin VIAject®, a formulation of human soluble insulin, improves the rate of insulin absorption. It has been reported in a study to evaluate its pharmacodynamics and pharmacokinetic properties that VIAject® has higher metabolic activity in the first two hours after injection. True closed-loop systems, which determine minute-to-minute insulin delivery based on continuous glucose sensor data in real time, have shown promise in small inpatient feasibility studies using a variety of algorithmic and hormonal approaches. Buccal delivery of insulin: The buccal delivery system for insulin delivers insulin through an aerosol spray into the oral cavity and hence differs from inhalers. The insulin is absorbed through the inside of the cheeks and in the back of the mouth instead of the lungs. In vivo studies performed on diabetic rats showed promising results with stable blood glucose profile with a significant hypoglycemic response after 7 hours using buccal insulin. Similar studies in the rabbit and rat have shown that buccal spray of insulin is an effective insulin delivery system, which is promising for clinical trial and future clinical application. Though promising in rat models, they are not appropriate models because rats have a keratinized buccal mucosa. The only animal models with comparable human buccal permeability are pigs.

(to be continue..)

Insulin Therapy for Diabetics (2)

noreply@blogger.com (Desi) — Sat, 18 Apr 2015 16:06:00 +0000

Continuation Of Insulin Therapy for Diabetics

2. Current methods in insulin therapy

Current methods of insulin delivery include using syringes, continuous subcutaneous insulin infusion (CSII), and insulin pens. Use of syringes is the most common method, and there is a wide choice of products that are easy to read and operate. CSII, also referred to as an insulin pump system, is designed to provide a continuous supply of insulin infusion around the clock and can be individualized and adjusted as per the specific needs of the patient. CSII is a way to simulate the physiology of daily insulin secretion where an appropriate level of insulin is delivered. The use of an insulin pump is superior to multi-dose insulin injections because it is easier to use and therefore provides the patient with more flexibility. A disadvantage is that insulin pump therapy is expensive compared to the use of traditional syringes and vials. Insulin pen devices offer an alternative method for insulin delivery that is more accurate and less painful versus vials and syringes. Reusable insulin pens offer a number of advantages including durability and flexibility in carrying a multiple days’ supply.

3. Future Trends

Injectable insulin: Two promising new insulin preparations include a long-acting basal insulin analogue called insulin degludec and an ultrafast-acting insulin analogue, human insulin Linjeta™ (formally called VIAject®). Insulin degludec is novel, ultra-long-acting basal insulin. Insulin degludec is almost identical to human insulin in structure except for the last amino acid deleted from the B-chain and addition of a glutamyl link from LysB29 to a hexadecandioic fatty acid. It forms soluble multi-hexamers after subcutaneous injection, resulting in an ultra-long action profile with a half life of more than 24 hours. Insulin degludec has proven to be non-inferior to currently available, long-acting insulin analogue insulin glargine in trials carried out in both type 1 and type 2 diabetes. In an exploratory phase 2 trial in subjects with type 1 diabetes, insulin degludec was found to be safe and well tolerated and had comparable glycemic control to insulin glargine, but with reduced rates of hypoglycemia. In a multicenter phase 3 clinical trial in adults with type 1 diabetes, at one year, compared to insulin glargine, glycemic control was similar to glycemic control using glargine with decreased nocturnal hypoglycemia.Similarly, in an open-label phase 3 non-inferiority trial in type 2 diabetes patients, improvement in glycemic control was comparable to insulin glargine at one year follow-up (drop in HbA1C by 1.1% in the degludec group and 1.2% in the glargine group) with fewer hypoglycemic episodes in insulin degludec users. Insulin degludec is not yet approved by the FDA.

(To be continue..)

Insulin Therapy for Diabetics

noreply@blogger.com (Desi) — Fri, 17 Apr 2015 16:22:00 +0000

Diabetes influences 25.9 million individuals, or about 8.4% of the U.S. population. Among diabetics, 26.2% are insulin patients. Therapy with insulin is effective at lowering down blood glucose in diabetics. Insulin is a key player in the control of diabetes for patients with type 1, and it is needed at later stages by patients with type 2 diabetes. Hyperglycemia in type 1 diabetes is an aftereffect of the insufficiency of insulin, and in type 2 diabetes hyperglycemia is because of debilitated tissue reaction to insulin.

The revelation of insulin is hailed as a standout amongst the most dramatic occasions ever treatment of disease. It was isolated in 1921, with its first clinical use in 1922. The major advances attained to here incorporate the human insulin analogue synthesis. Insulin delivery systems as of now accessible for insulin administration include infusion pumps, jet injectors, and pens. The conventional and most predictable technique for insulin administration is by subcutaneous injections. The significant disadvantage of current manifestations of insulin treatment is their intrusive nature. In type 1 diabetes, good glycemic control ordinarily requires no less than two, three, or more dailiy injections To reduction the suffering, the use of supersonic injectors, infusion pumps, sharp needles, and pens has been adopted.

Such obtrusive and intensive techniques have prodded the quest for option, more pleasant methods for controlling insulin. A few non-obtrusive approaches for insulin delivery are being pursued. The ultimate goal is to take out the need to convey insulin exogenously and for patients to recover the ability to produce and utilize their own particular insulin. The accomplishment of the administration route is measured by its ability to elicit effective and predictable lowering of blood glucose level, in this way minimizing the danger of diabetic complications. Newer methods explored include the artificial pancreas with a closed-loop system, transdermal insulin, and buccal, oral, pulmonary, nasal, ocular, and rectal routes. This chapter focuses on the new methods that are being explored for use in the future (to be continue..)