Sunday, May 17, 2015

The Symptoms Of Diabetes

Symptoms of diabetes

Four symptoms that are most common in diabetes are:

Increased thirst
Frequent urination
Be hungry
Loss of weight for no apparent reason.

The Symptoms Of Diabetes

Below explains the reason for these symptoms

Each of the cells of the body need energy to survive. People get the energy making the foods you eat fats and sugars (glucose). This glucose travels through the bloodstream as a normal component of blood. The blood cells then take a small amount of blood glucose to use as energy. The substance that allows the cell to take the blood glucose is a protein called insulin.

Insulin is produced by the beta cells in the pancreas. The pancreas is an organ that is located near the stomach.

When blood glucose increases, cells beta release insulin into the blood stream and distributed it to all the cells of the body.

Insulin adheres to proteins on the surface of the cell and allows sugar to pass from the blood into the cell, where it is converted into energy.

A person with type 2 diabetes or gestational diabetes cannot produce enough insulin or it produces is not "sensible", which means that the body cannot use it properly. A person with type 2 diabetes, produces nothing or too little insulin.

Without the necessary insulin, the cells of the body cannot use glucose that is in the blood and begin to get hungry while glucose accumulates in the blood stream.

In response to this lack of energy in the cells, the brain sends signals that tell the body to eat more. Meanwhile, other cells in the body are trying to obtain energy by breaking the fat cells and muscle. The liver can convert muscle protein into glucose. Then starts a vicious cycle: more glucose is created but not can transform into energy because there is not enough insulin to take glucose from the bloodstream to the cells of the body.

When there is much glucose in the blood, the body is dispose of it through the urine. The urine of healthy individuals, does not contain sugar. In people with diabetes the excess glucose absorbs water as a sponge would. The people produce excessive amounts of urine because of all this water. All this urine makes feel thirsty, so drink water excessively.

All of this is due to a lack of insulin that causes people with diabetes to develop classic symptoms of diabetes: lose weight but have much appetite, take excess water and go to the bathroom to urinate constantly.

Different Types Of Diabetes

Different Types of diabetes - To understand diabetes, it is necessary to have a good idea of how to work the body and the changes that occur when you have diabetes. After knowing how it is that different types of diabetes affect the body, it's easier to know how preventable complications and the importance that both have the insulin therapy as well as the monitoring of blood glucose.

Different Types Of Diabetes


We will start learning how it is that the body converts food ingested in the energy you need to live.
During digestion, the body converts food of three basic groups:

- Proteins (found in meat, fish, egg and other products).

- Fats (found in vegetable oils, meat, cheese and other products).

- Carbohydrates (also referred to as sugars or starches, and they are in the bread, pasta, fruits and vegetables).

The carbohydrates of which (also known as blood sugar) glucose is part, and it is that acts as fuel and gives energy to the body. So the sugar that is in the blood enters the cells of the body, it needs the help of a hormone called insulin.

Diabetes is caused by a problem in the body's ability to use insulin.


In type 1 diabetes, the body does not produce insulin, or this production is minimal.

In type 2, gestational diabetes and other types of diabetes, the body does not produce enough insulin or can not use it properly (this is called insulin resistance).

If the insulin is not used properly, the blood sugar cannot enter cells and stays in the bloodstream. The body tries to eliminate the excess glucose via urine.

People with type 1 diabetes have a high risk of developing Diabetic Ketoacidosis if not treated in time.

In type 2 diabetes and other types of diabetes, excess sugar in the blood for a long time can affect health causing the complications of diabetes. Many patients with type 2 diabetes complications at the time of diagnosis.

Diabetic Foot Ulcer - What Is Diabetic Foot Ulcer Symptoms, Causes & Treatments

Diabetic Foot Ulcer - What Is Diabetic Foot Ulcer Symptoms, Causes & Treatments - Diabetic foot ulcer is a sore or open wound that generally occurs in the sole of the foot in approximately 15 percent of patients with diabetes. Six percent of diabetics who have an ulcer in foot, should be hospitalized due to an infection or other complications related to ulcer.

Diabetes is the leading cause of non-traumatic amputations of limbs in the United States, and approximately between 14 and 24 per cent of patients with diabetes who have a ulcer on foot suffer amputation. However, research has shown that it is possible to avoid the appearance of a foot ulcer.
Who can have a diabetic foot ulcer?

Any person having diabetes can have an ulcer on foot. The native American, African-Americans, Hispanics and the elderly are more likely to have ulcers. People who use insulin, as patients suffering from diabetic nephropathy, diabetic retinopathy or diabetic heart disease, have a higher risk of having a sore foot. Overweight and the consumption of alcohol and tobacco also affect the appearance of ulcers on the foot.

How is Diabetic Foot Ulcers Formed - What Causes Diabetic Foot Ulcer ?

Diabetic Foot Ulcer - What Is Diabetic Foot Ulcer Symptoms, Causes & Treatments


Ulcers are formed due to a combination of factors, such as lack of feeling in the foot, poor circulation, deformities in the foot, irritation (caused by friction or pressure) and trauma, as well as the time that has been suffering from diabetes. Patients who for many years have diabetes may suffer neuropathy, reduction or total loss of sensation in the feet as a result of nerve damage caused by hyperglycemia (high blood glucose levels) over the years. Nerve damage often occurs without pain and that way the problem can go unnoticed. Podiatrist can check their feet in search of neuropathy with a simple and painless tool known as monofilament.

Vascular disease can complicate a foot ulcer, decrease the ability of healing of the body and increase the risk of infection. Hyperglycemia can decrease the body's ability to defend itself from a possible infection and even delay healing.

What is the value of treating a diabetic foot ulcer?

As soon as you notice an ulcer, look for podiatric care immediately. Ulcers in patients with diabetes feet should be treated for various reasons such as, reduce the risk of infection and amputation, improved functionality and the quality of life and reduce the cost of health care.

How should I treat a diabetic foot ulcer?

The main objective of the treatment of foot ulcers is to achieve healing as soon as possible. Faster wound healing, the lower the likelihood of infection.

There are several key factors in the appropriate treatment of a diabetic foot ulcer.

Prevent infection.
Remove pressure to the area, which is known as "discharge."
Remove skin and tissue of fingers, what is known as "debridement".
Put medicines or dressings to the ulcer.
Control blood sugar (blood glucose concentration) and other health problems.

Not all ulcers are infected; However if your Podiatrist diagnosed an infection, will need to a program of treatment with antibiotics, the care of the wound and probably the hospitalization.

Several important factors allow you to prevent an ulcer from becoming infected:

Strictly controlling blood glucose.
Keep the sore clean and bandaged.
Clean the wound daily and use a dressing or bandage the wound.
Do not walk barefoot.

For optimal healing, must be "downloaded" ulcers, especially those in the soles of the feet. You must ask patients to use special shoes, a brace, specialized plaster, or a wheelchair or crutches. These devices will reduce the pressure and irritation in the area of the ulcer, speeding up the healing process.

The science of the care of wounds has made much progress in the last 10 years. Today it is known that the ancient concept of "us air" is detrimental to healing. We know that wounds and ulcers heal faster and with less risk of infection if it keeps them covered and moist. The use of concentrated betadine (antiseptic and odoforo), hydrogen peroxide or immersion baths is not recommended since it may cause complications.

The proper treatment of wounds includes the use of dressings and topical application of medication. These medications range from saline to end products such as growth factors, dressings for ulcers and skin substitutes, which have proven to be very effective in the healing of ulcers.

For a wound to heal must be a blood circulation into the ulcerated area. The Podiatrist can determine the level of circulation with testing non-invasive.
Glycemic Control

Tight control of blood glucose is important during a diabetic foot ulcer treatment. Working together with a general medicine physician or an endocrinologist to be able to achieve this will promote healing and reduce the risk of complications arising.
Surgical alternatives

The majority of non-infected foot ulcers are not treated surgically; However, when treatments fail, surgery may be appropriate. Examples of surgical care to remove pressure on the affected area include scraping or removal of bone (s) and correction of various deformations, such as hammertoes, bunions, or "bumps" oseas.plicaciones.
Healing factors

Healing time depends on a number of factors such as the size and location of the wound, the pressure exerted on this walk or be foot, inflammation, circulation, blood glucose, wound care and what is being applied. Healing can produce within weeks or require several meses.netes, or "bumps" oseas.plicaciones.

How can the emergence of a foot ulcer be prevented?

First, the best way to treat a diabetic foot ulcer is to prevent it. One of the recommendations is to consult a Podiatrist regularly. The Podiatrist can determine if you have a high risk of an ulcer in the foot and consider preventive strategies.

You have a risk high if:

suffers from neuropathy,
has poor circulation,
It has a deformation in the foot (i.e. a Bunion or hammertoes),
used inadequate shoes,
you don't have your controlled blood sugar.

Reduce risk factors such as smoking, drinking alcoholic beverages, have hypercholesterolemia (high cholesterol levels) and hyperglycemia are important to prevent and treat diabetic foot ulcer measures. Wear socks and shoes will work much to reduce risks. Your Podiatrist can aim it in the choice of footwear.

It is essential to learn to control his feet so that you notice the problem as soon as possible. Examine your feet all the days — especially the plant and between your toes - searching for cuts, bruises, cracks, blisters, redness, ulcers, and signs out of the ordinary. Whenever you visit your doctor, take off shoes and stockings so you can examine your feet. You must inform the Podiatrist of any problem to discover as soon as possible, no matter how "insignificant" which seemeth him.

The key to a good wound healing is periodic podiatric care to ensure "excellence in quality" of care:

reduction of blood glucose
appropriate debridement of wounds
treatment of any infection
reduction of friction and pressure
restoration of proper blood flow

The old adage, "better safe than sorry" applies more than ever when it comes to preventing a diabetic foot ulcer.

This booklet belongs to a series conceived by the APMA analyzing various conditions and other matters of interest related to the health of the foot, including bunions, arthritis, ringworm of the foot (athlete's foot), warts, orthopedic foot, aging, the feet of children, surgery of the anterior or posterior part of the foot, the female foot problems the walk, the heel pain, nails, shoes, and other problems. They do not intend to replace professional advice of your Podiatrist. Brochures can be obtained from partners to the APMA.

Saturday, May 16, 2015

What Is Borderline Diabetes - Symptoms, Causes & Treatments

What Is Borderline Diabetes - Symptoms, Causes & Treatments - In patients suffering from prediabetes, blood glucose is not altered in fasting or impaired glucose in fasting. In this condition, the blood glucose in fasting rises above what is considered the glucose levels normal range. However, these levels are not high enough to be diagnosed as diabetes mellitus. It is considered that a pre-diabetic condition that is associated with resistance to insulin and an increase in the risk of leading to cardiovascular disease. WHO says that plasma levels of glucose in fasting should be between 110 mg / dl to 125 mg / dl so that a person is diagnosed as a case of intolerance to glucose, while the ADA establishes that plasma levels of glucose in fasting need between 100 mg / dl to 125 mg / dl.

Causes Borderline Diabetes

What Is Borderline Diabetes - Symptoms, Causes & Treatments

There are many different causes of pre-diabetes. Some people claim that a family history of diabetes can make that person has more of diabetes, as genetics may also have an important role to play. Disorders of sleep, hypertension, pre-existing cardiovascular disease, obesity and the increased levels of triglycerides, etc also makes you very likely development of pre-diabetes. Women who develop gestational diabetes or women suffering from polycystic ovary syndrome are also at one higher risk of developing borderline diabetes. All of these conditions are associated with insulin resistance and therefore, are risk factors for type 2 diabetes.

Symptoms Borderline Diabetes


Normally, persons suffering from pre-diabetes do not show any symptoms. However, sometimes, some cases have symptoms of diabetes, i.e., similar to the type 2 diabetes symptoms. Therefore, these patients may present with the classic triad of diabetes, that is, polyphagia (increased appetite), polydipsia (increased thirst) and polyuria (urinating more frequently). It can also be either unexplained weight loss or even weight gain. Due to the disease that affects the immunity of the person, may even have symptoms of flu, blurred vision and slow wound healing. The person may also have a recurrent complaint of gum and skin.

Treatment Borderline Diabetes


Since a person who is suffering from pre-diabetes eventually may end up with the same complications as a diabetic, only less frequently, it is important to take this condition seriously. This is because this is the only stage in which any type of active preventive measures can lead to complete remission of the disease. Weight loss and the intensive lifestyle intervention is the basis of this treatment plan. For obese people, it is important for weight loss, since there is that for every pound lost, a person reduces your chances of developing diabetes full blown by almost 16%! The best diet for borderline diabetes, consists of a pre diabetes diet and exercise regularly. For patients who did not respond to these preventive measures, and it continued to show increased levels of sugar in the blood, the best treatment option could consist the use of medications to keep blood sugar under control levels. However, the use of drugs must be complemented by changes in lifestyle to see any kind of lasting results.

Some people claim that pre-diabetes or borderline diabetes is actually a misnomer, since it is, in fact, in all likelihood, an early stage of diabetes. This is a condition that must be taken seriously, there is a 50% risk of this condition progressing in manifest diabetes over a course of ten years. The onset of diabetes can even get quickly if constructive life style changes are not made in time. So, as always, the key to a healthy life is taking care of what you eat and exercising regularly!

What is Diabetes Type 2 - Symptoms, Causes & Treatments

What is Diabetes Type 2 - Symptoms, Causes & Treatments - In type 2 diabetes, the body produces insulin but it is not enough or the body can not use it properly. There are 2 reasons why you cannot use insulin:

- Beta cells produce insulin but not enough to reduce blood sugar levels and cover the body's energy requirements.

- In insulin resistance, the mechanisms of cells to use insulin are not adequate and therefore can not introduce sugar cell.

What is Diabetes Type 2 - Symptoms, Causes & Treatments

What is Diabetes Type 2 - Symptoms, Causes & Treatments

Type 2 diabetes occurs in 90-95% of people diagnosed with the disease and usually develops after the age of 40 by what used to be her call "adult diabetes". But like diabetes type 1, type 2 diabetes can develop at any age, and it has begun to observe in children.

For some people the type 2 diabetes can be controlled with an adequate program of exercise, diet and pills. Following an appropriate control program, many people can have sugar levels close to normal, feel healthy and active, in addition to helping to prevent or delay the complications associated with diabetes. Other people with type 2 diabetes require oral medications or insulin to keep your diabetes under control.

What is Diabetes Type 2 Symptoms


The symptoms of type 2 diabetes are similar to those of the type 1, although many times they occur slowly and may go unnoticed for months or maybe years. Regular medical check-ups can help identify the disease and start the proper treatment in order to avoid or prevent complications. The most common symptoms of type 2 diabetes include:

Excessive thirst
Frequent urination
Increase in appetite
Blurred vision
Fatigue
Wounds that do not heal
Sugar in the urine
Dry skin
Pickets on the feet
Frequent urinary tract and vaginal infections

What is Diabetes Type 2 Causes


The exact cause of type 2 diabetes still remain unknown, but with the rapid increase in the number of people it has who diagnosed with this disease in recent years, new theories and research are being developed.

Certainly, family history and genetics play an important role; If one of his parents has the disease, you have a high risk of developing it also. The children of people with type 2 diabetes should measure your sugar levels annually.

Some studies have shown that lifestyle also plays a very important role. As ever, life becomes more sedentary, has importantly increased the number of cases of type 2 diabetes, particularly in children with obesity and inactive.

Other Factors


People usually develop diabetes type 2 after 45 years, but in recent years the average age of onset of the disease has declined. Type 2 diabetes has begun to occur in children also.

Gestational diabetes increases the risk of women developing type 2 diabetes in the next few years by 40%.

Race and ethnicity play a very important role in the risk of type 2 diabetes dsarrollar, especially African-Americans, Hispanics and Asians.

Reducing The Risk Of Diabetes Type 2


In 2002, the programme of prevention of diabetes, clinical study large scale carried out by the National Institute of health in the United States, found that:

Changes in the style of life, feeding and exercise, as well as weight reduction can prevent or delay the onset of diabetes. (Participants in the study did exercise for 150 minutes a week and weight fell by 7%).

The participants changed their way of life reduced the risk of developing type 2 diabetes by 58%.

The change of lifestyle (activities and treatments) had a positive role in the participants of all ages and ethnic groups.

Persons who received a treatment with metformin reduced the risk of developing type 2 diabetes by 31%.

QUESTIONS FOR YOUR DOCTOR


Your doctor can help you to better understand diabetes type 2 and tell you what can be done to control the disease. Then suggest some questions that can ask you the doctor:

Do I need to take medicine?
If so, what is suitable for me?
Do I need insulin with pills?
What are the side effects of pills the medicine?
How is that the exercise and diet can help control diabetes it?
What is the amount of glucose that I have blood?
What are the symptoms of hypoglycemia (low sugar)?
What are the symptoms of a hyperglycaemia (high sugar)?
How often I measure my blood sugar level?

Friday, May 15, 2015

Pregnancy Diabetes Symptoms, Diet and Treatments

Pregnancy Diabetes Symptoms, Diet and Treatments - During normal pregnancy occur metabolic adaptations, aimed at correcting the imbalance resulting from the need of a greater nutritional intake for the fetus. One of these imbalances is that the body needs a greater intake of insulin to require greater use of glucose.

Clear proof of this change is experienced by all pregnant, that I often notice the unpleasant symptoms of hypoglycemia in the morning: nausea, drowsiness, tiredness, weakness, etc.

As the pregnancy progresses, the metabolic adaptation intensifies, reaching great importance during the last 20 weeks of pregnancy.

Pregnancy Diabetes Symptoms, Diet and Treatments

All these metabolic changes lead to a number of considerations when they occur in a diabetic woman:


In some patients the Diabetes appears for the first time during pregnancy.
The conventional criteria for the diagnosis of Diabetes are not applicable in gestation.
As gestation advances produced an increase in the needs of insulin.
The usual criteria of strict metabolic control are not applicable during gestation.

Detection of diabetes mellitus gestational (DMG)


The data that suggest the possibility of a DMG are:

Family history of diabetes, especially among the relatives in the first degree.
Glycosuria (glucose in urine) in a second urine sample in fasting (see below).
A history of:
Unexplained abortions.
New born large for gestational age.
Malformations in the newborn.
Important maternal obesity (90 kg or more).

Some minor data are: multiparity, toxemia of pregnancy recurrent and repeated premature birth.

The presence of more than one data increases the likelihood of a disorder in the metabolism of glucose.

Glycosuria (glucose in urine) is a common finding, since 15% of pregnant women have it, so the search for cases based on this isolated data is fruitless. The validity of this test can be increased when used a second urine sample in fasting: issued to wake up urine, you despise and collect a second sample 15 minutes later, when the patient is still in fasting.

Suspected cases of diabetes mellitus gestational DMG should be seen every fortnight by the endocrinologist, working together this and an obstetrician. The usual prenatal measures should be taken. Special emphasis on weight control should be.

Each visit must be a blood sugar after eating. If this test does not exceed 120 mg/dl), oral glucose tolerance test should be postponed until the week 37th-38th of gestation, which is more likely to give positive. If any visit blood glucose after eating more than 120 mg/dl, should be promptly glucose tolerance test.

If the test is negative at the beginning of pregnancy does not exclude, however, the diagnosis, and the test should be repeated at 37-38 weeks, before making a final decision.

Patients who have a negative tolerance test at 37-38 weeks are considered normal.

If the test is positive the diagnosis of gestational diabetes can be and offers the patient a diet and controlled in the same way that a diabetic clinician.

If the ideal blood sugar control criteria are not met soon, insulin therapy is started. In well controlled and not complicated cases, waiting for spontaneous labor.

The existence of a high need for insulin during pregnancy does not necessarily indicate that diabetes persists after childbirth.

Monitoring of diabetes mellitus gestational DMG


The glucose tolerance test should be repeated after the postpartum period. If the test is still positive, the patient has a clinical diabetes (which was shown for the first time during gestation).

If it is negative, the correct diagnosis is gestational diabetes mellitus.

As some patients with diabetes mellitus gestational DMG develop diabetes mellitus clinical subsequently, should be recommended to maintain a normal body weight and advise who come annually to review, or immediately if they become pregnant.

Problems of gestation in diabetic women

The special problems of diabetic pregnancy can be considered under several headings:

Maternal problems


Hypoglycemia


Hypoglycemia is common in the first half of the pregnancy, especially in the first quarter. Fortunately the fetus is well tolerated hypoglycemia.

Diabetic Ketoacidosis


Diabetic Ketoacidosis is a real danger and contrary to what occurs with hypoglycemia, fatal to the fetus

Retinopathy (retina damage)


Retinopathy is already present in many women at the beginning of the pregnancy, and may progress as this progresses. Regular ophthalmoscopy is, therefore, important. Paradoxically, the progression of the retinopathy may be linked to the onset of metabolic control. When neo-vascularization, it can be controlled with photocoagulation, and is therefore not an indication for termination of pregnancy.

Nephropathy (kidney damage)


Nephropathy in the diabetic pregnant woman is defined as the presence during the first half of the gestation of proteinuria (presence of protein in the urine) persistent, more than 400 mg in 24 hours, in the absence of infection.

Many patients also have high pressure and other complications of kidney injury. These cases require a meticulous supervision and control of hypertension and diabetes mellitus, quickly making the hospitalization and inducing childbirth.

Patients with functioning renal transplant tend to have successful pregnancies.

Food and Drink That Causes Diabetes

Food and Drink That Causes Diabetes - Whenever we talk about diabetes most people associated it with excessive consumption of sugar. It is thought that taking a teaspoon to the morning coffee thing improvement, so we prevent disease attacking today to more than 210 million people in the world.

Food and Drink That Causes Diabetes

While sugar abuse is one of the main causes, prevention does not pass through away from the sugar bowl. Without thinking about it, in our daily diet consume more than 25 teaspoons spread among soft drinks, snacks, cookies, chocolates, desserts, juices, soft drinks, and even fruit. In this sum are not counted or breakfast, lunch or dinner.

But let's go by parts. "Diabetes type 2 (the most common) occurs when the body is to use blood sugar for energy, but cannot do so because the pancreas does not produce enough insulin, or because the quality of this is bad. This makes the glucose to accumulate in the blood, often leading to several complications such as kidney disease, loss of vision and vascular and cardiac problems,"says the nutritionist Armando Burga, elcomercio.pe told.

In 2010, the Ministry of Health said that 70% of people who have diabetes does not adequate control of their disease, it was estimated that about 700 thousand Peruvians who had this evil would develop long term, among other health complications, heart problems and even amputation of the lower limbs.

POWER


The American Diabetes Association recommended on your website follow the food pyramid of diabetic that divides the food into six groups. The first is the largest and it is composed of breads and grains, the second consists of vegetables, the third for fruits, the fourth from protein and fats, the fifth by milk and the sixth by oils, and sweets. This group is restricted and that occupies the last place in the list.

Enrique Jacoby, former Deputy Minister of health and one of the main propellers of an initiative restricting junk food, said elcomercio.pe that a person should consider all foods to meet your needs of energy, protein, vitamins and minerals. Despite that, he stressed that "you must control the quantity, quality, distribution and dispensing of carbohydrates and fats".

Furthermore, Fabiola Jiménez, of the Peruvian network of food and nutrition, recommended avoiding foods that are high in sugar: soda, juice box, yogurt, canned fruit, milk chocolate, desserts, etc. Many of these are too often in the lunch boxes.

On this subject Jimenez says that children are currently exposed to suffer from overweight and therefore also to be affected by diabetes. "Parents in the lunch boxes located many products such as juices, biscuits or chocolates that do not feed and bring negative consequences. They prefer these to an Apple or a few healthier sandwiches".

FOOD TO AVOID


Simple carbohydrates like honey, jams, jellies and sweets are going faster up the glucose in the blood, therefore avoid their consumption. Complex carbohydrates like fruits and vegetables must know how to balance them.

"Food with industrialized flour; should be excised avoid the pizzas, pasta, cakes and cakes so that you do not alter the level of glucose in the body. Starches are more dangerous than other sugars and are mainly present in vegetables and foods like pasta and bread. ", says Arnaldo Burga.

Most nutritionists counsel diabetics that they prioritise the consumption of fish from the meat. Among the fish that recommend including, the first will be those that have lower fat content.

The meat should cook grilled or broiled. Has the meat prominence within the diabetic cooking chicken, the breast being the most suitable part for the patient menu.

THE GREASE


Vicky Motta, nutritionist at the Diabetes Association of Peru, said in an interview with El Comercio that you should limit fats of animal origin or saturated. In addition, to minimize the consumption of fried foods. "You can change how to cook meals, opting for stews, baked, sancochados, roasted, grilled or Grill", indicates Motta.

ALCOHOL


Alcoholic beverages with a high quantity of sugar such as beer, wines, spirits and cider should be avoided. Those of low sugar content, as whisky can take sparingly and always at meals, since alcohol can reduce blood glucose levels and produce a hypoglycemia, which is dangerous.

FRUITS


Fruits such as grapes, kiwi, banana and plum should be avoided. "There is much abuse of acidic fruits, remember that moderation can consume anything practically," indicates Burga.

You must try containing the fruits that we will consume large amounts of water. Recommended: apples, pears, watermelons