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Raul Southgate

Raul Southgate

Diabetes Advocate


Articles by R. Southgate

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Do not take the information from this blog as medical advice in any way. Your diabetes require specialized care conducted by your currant doctor or by your medical care team. Do not change your medication or lifestyle based on information you may find here.

Although there is no known cure, diabetes can be kept under control by medication, dieting, and physical activities but only under professional attention, which this site does not offer.

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Symptoms of Diabetes: Polyuria

~ Symptoms of Diabetes: Polyuria ~

The symptoms of diabetes, especially at symptoms of diabetes: polyuriaan early stage of this disease, are often difficult to be recognized as they are subtle and seem harmless. In most cases, patients do not really realize that they have been suffering from diabetes although they have experienced one or two symptoms.


Some symptoms of diabetes may develop rapidly in just a few months so that the patients can notice them quickly while others may build up slowly in so many years until the patients’ condition becomes chronically undetected. Diabetic patients usually experience one, two or all of the three most common symptoms of diabetes called polyphagia (excessive hunger), polydipsia (excessive thirst) and polyuria (excessive urination) which come along with other less common symptoms such as fatigue, weight loss, or blurred vision.


The presence of those symptoms of diabetes should help patients detect the occurrence of the disease in their body. However, as most symptoms, polyuria can frequently appear as results of other health problems. In addition to that, this symptom can also emerge as a side effect of certain chemical substances consumption such as alcohol, caffeine, diuretics and also some riboflavin and vitamin C.

Polyuria is frequently defined as a condition where the patient has the urgent needs to urinate in an excessive amount, much more in the quantity and also in frequency. People with this polyuria will usually urinate more than 2.5 litre in less than 24 hours or they urinate many times in short duration.


Although not all people experiencing Polyuria suffer from diabetes, this health problem appears to be the most prominent and the most commonly found diabetes symptom. As polyuria is a an excessive process of urination, this problem is often related to polydipsia, (extreme thirst), another symptom of diabetes.

It is really common for diabetic patients to have Polyuria together with polydipsia as the increasing thirst will make people drink more so they will need to urinate more often and in much bigger amount. However, it is also very possible for the patients to have just one of them as the diabetic symptoms, polydipsia without polyuria or the other way around.


This symptom of diabetes is definitely giving problems to the diabetic patients as they will need to use the toilette more often but if it comes as a truly symptom of diabetes then it will diminish once the diabetes itself is treated well. However, it should be noted that if the patients do not experience polyuria anymore does not mean that the diabetes is gone. Diabetic patients will need to do a periodically thorough blood check to make sure that the diabetes is controlled.


For families having diabetic history, it is very crucial to observe and note whether any of the family members are having this symptom of diabetes. As polyuria can also happen to children who suffer from diabetes mellitus, parents should be alerted if the kids urinate a lot in the day or at night. It is important to know the cause of that excessive urination so that it can be treated carefully and correctly before it gets worse.


What Others Posted


Psychodiabetes: Brain Decay

~ Psychodiabetes: Brain Decay ~ 

One of the best source of information which I regularly check is the FaceBook page iHMED and it serves the Interactive Home Medical website. The page administrator (Steven Krohn) decided March 20 to be the “Diabetes Day”. Was my lucky day because i had the pleasure to find there great articles about diabetes. I couldn’t resist the temptation and I post my comments and share the info among my Social Media Network. The best posts from the trilogy is “Psychodiabetes: Sugar on the Brain” on which i posted the bellow comment.

Finally a mega topic! It has everything to iHMED, Psychodiabetes: Brain Decaybe called MEGA: from media publicity to Supreme Court, from mega-sized soda drinks to NY Mayor, from multi-billions beverage industry to the regular American citizen HEALTH. I wrote HEALTH with capitals because this is the most important thing which captured my attention and driven my judgment when I read this article. Doesn’t matter what rules the Supreme court or what Mayor of Boston campaign for, our HEALTH must prevail.

But wait! going further with reading, what i thought it will be a profound and deep analyze of the mega drinks, turns to be an interesting and intriguing journey into our brain functions and habits regarding the sugar/sweets/candies/soda drinks. According to the text the brain developed a kind of rewarding procedure for indulging sweets. I found (in this well written article) that sugar-laden diet is linked to Alzheimer’s disease and even the scientists call it “Type 3 Diabetes”-intriguing, isn’t it?

Even worse, recent studies reveals that a sugary diet shrink our brain and even induce stronger addiction than cocaine. Our brain can induce insulin resistance which leads to type 2 diabetes. Addiction, shrinkage, accelerated cognitive decline, induced insulin resistance…what is going on with our brain?

A new term was introduced for this “brain decay”: PsychoDiabetes. Scary article on almost all its length, but at the end the good news emerged. PsychoDiabetes can be prevented! Not by Supreme Court decision, not by Mr. Mayor, not by Media vs. Beverage Industry war, but by us! The ones who will end up sick, addictive, less smart if we don’t act now. I must emphasize the adagio (cited from the article): “Go cold turkey in kicking the sugar habit. In other words, start eating like a diabetic, so you never become one.” That is the apex of the whole article.

I find this article worthy not only for diabetic sufferers (they already keep the blood sugar levels under a strict control), but for the other hundreds of millions of Americans, which are susceptible to get into PsychoDiabetes Condition. Perfect sunset for Diabetes Day here at iHMED. This article is the crown jewel of the all articles and comments about diabetes posted here. Thank you Steven!

             Who is Interactive Home Medical?

iHMED is the first social media medical website of its kind developed by a physician in collaboration with physicians, home health agencies, home health nurses, physical therapists, and other medical providers. iHMED is a community, not a company. iHMED will provide a useful way for visitors, both medical and non-medical, a fast and easy way to search for home medical professionals and services.

What Others Posted

Ketoacidosis – Basics by Julian Laval

~ Ketoacidosis – Basics ~ 

Being an advocate for a cause is not easy and it implies, in fact, a lot of work not only maintaining a blog. Having a mine of resources is just a part of an advocate job. The source of knowledge must be known by many people and spreading the word becomes a priority. Couple of days ago i posted on a question about ketoacidosis hoping that i will get an answer from a professional.

After two days i got a great and detailed answer and, surprisingly, not from a pro but from a teenager, Julian Laval. Even if he claims that the answer is limited to basics, the information in it, the concise and easy to understand writing style, makes the answer valuable for diabetes cause. I do hope that many of you will find it helpful and I invite you to post your comments after you read it.


Good question!

According to Wikipedia:

Diabetic ketoacidosis is a potentially life-threatening complication in patients with diabetes mellitus.

In order to define ketoacidosis a little better, let’s go back to the source: diabetes. Someone who is diabetic is unable to produce insulin, a hormone necessary for the transfer of sugar from the bloodstream to the cells, which in turn produce energy. If this progression is disrupted, through lack of insulin for example, the body has to try to compensate by creating energy elsewhere.

And so the body starts to burn fat and muscle to meet its energy needs. Unfortunately, this chemical reaction produces molecules known as ketone bodies.

In small quantities, these are fine, and it is in fact normal to have traces of them in your blood (approximately 1mg/dl). However, if the quantity of ketones surpasses this threshold by too much, it starts to affect the pH of your blood (which becomes progressively more acidic). Even the slightest drop in pH can have dangerous effects: as the quantity of the ketones in your blood increases, and the blood pH diminishes, your kidneys start having problems.

Eventually, if the ketoacidosis is left untreated, your kidneys can fail and you can die from dehydration, tachycardia and hypotension. A number of other symptoms can appear in extreme cases.

Fortunately for us, the quantity of ketones has to be consequential, and it usually takes a while before individuals start manifesting symptoms. In my case, my diabetes went undiagnosed for a month and a half before it was discovered, and even then my ketone levels were relatively normal.

If you’re a diabetic, ketoacidosis can be easily avoided by controlling your blood sugar levels and maintaining a healthy lifestyle. Some doctors, preferring to stay on the safe side, ask their patients to test their urine for ketones every once in a while with ketostix (a strip is dipped in your urine and changes colours depending on the ketone level).

If ketoacidosis is caught early on, treatment can be restricted to simply rehydrating through saline infusion and regularly taking insulin to control one’s blood sugar. The extra ketones are progressively expelled through the urine.

If the ketoacidosis is extensive, individuals are generally admitted to intensive care, and treated intravenously with other substances.

As you can probably see, my description of ketoacidosis remains rather basic, and is limited to my knowledge of it as a diabetic. I suggest you further research the topic if you’re interested in knowing the exact chemical reactions at play and such. Hopefully this will suffice to give you a brief overview of the condition!

Good luck!

Julian is 17 years old, web-developer & founder of He lives in Paris, France.


            Ketoacidosis InfoGrafic

Diabetic ketoacidosis concept map

What Others Posted

Delicious Fast Diabetic Food Recipe for Busy People

~ Delicious Fast Diabetic Food Recipe for Busy People ~ 

When visiting a diabetic friend whodiabetic food recipe - chicken breast has a busy life in a big city in Indonesia, I was amazed at how she could always have time to prepare her own diabetic food recipe. Like most other well-educated diabetic patients, she is fully aware that the best diabetic food recipe is hard to find so she should prepare it on her own.  And another thing that keeps me astonished is the fact that she is a very busy career woman but she could always have new diabetic food recipe which she can prepare in short time.

Below is one of the delectable diabetic recipes which she creates in less than 30 minutes.


Diabetic Black Pepper Chicken Breast


What to prepare:

  • Sliced boneless and skinless chicken breast (5 cups)
  • Ground black pepper (1/4 tsp)
  • Fresh chives (1 tbsp)
  • Whole grain wheat flour (3 tbsp)
  • Olive oil (1 tbsp)
  • Shallots, finely chopped (1/2 cup)
  • Chicken stock (1 cup)
  • White wine, if desired (1/2 cup)
  • Salt (1/4 tsp)

How to prepare the chicken:


1. To save time and to make the chicken tastier, it is better to prepare the chicken slices the previous night or day. Put the chicken breast in a bowl, sprinkled with salt and pepper and keep it in the fridge for a night. Before cooking, coat the chicken dices with flour, set aside.


2. Heat a big frying pan and put a little olive oil. Swirl the pan gently so the olive oil coat the pan. Put the chicken slices in the pan for about 5 minutes and then flip them carefully. When all sides are golden brown, take them from the pan and put them on a plate. Set aside.


How to prepare the sauce:


3.  Heat the skillet again and sautee the chopped shallots. Cook it and stir for about 1 minute. Then add wine and cook until half remains. Keep stirring to avoid brown bits at the pan’s bottom. Stir slowly and carefully and avoid using big flames.


4. Then pour the chicken stock into the pan, stir slowly and cook it for about 5 minutes or until you have only half of the liquid. Then put in the fresh chives and add the chicken. Cook the chicken for about 5 minutes using high flame. When you just have little sauce left, turn off the flame and put the chicken on a plate. Sprinkle it with ground black pepper and serve it directly. (For 4 portions)


Serving Nutritional Facts:

  • 217 calories (kcal)
  • 5 g fat in total
  • 66 mg cholesterol
  • 1 g saturated fat
  • 9 g carbohydrate
  • 3 g mono saturated fat
  • 1 g polyunsaturated fat
  • 1 g fiber
  • 1 g sugar
  • 28 g protein
  • 292 IU vitamin A
  • 4 mg vitamin C
  • 13 mg Niacin
  • 1 mg Pyridoxine / Vitamin B6
  • 16 µg Folate
  • 366 mg sodium
  • 404 mg potassium
  • 30 mg calcium
  • 1 mg iron

This delicious diabetic food recipe is really good to set for lunch or dinner and as it is relatively easy and just takes less than 30 minutes to prepare, almost everyone with diabetes can make this delicious meal and serve it.


What Others Posted

Are Culture And Religion Linked to Diabetes Management?

~ Are Culture And Religion Linked to Diabetes Management? ~

Listen "Are Culture And Religion Linked to Diabetes Management?" Not long time ago I was searching few blogs Diabetes Managementfor some seasonal recipes when an interesting article captured my attention. It was about a woman suffering from diabetes for 28 years and her fight and hard work to create what today is known as Jewish Diabetes Association . Some of you may guess already who is all about. It is Nechama Cohen. I must recon that that was the first time I read about her. The title of the article that I read is “Cheese Balls: A Chanukah Recipe from Jewish Diabetes Association Founder Nechama Cohen”. It was not the recipe itself the reason I stopped reading and thought about, but the story of Jewish Diabetes Association and the reasons behind its creation. I realized that different diabetic people with different cultures and different religions require different diabetes management approach.  After a little research, I outlined below few points about this topic.


For instance, Jewish people have certain religious celebrations and ceremonies during which period they follow traditional rituals and eat specific food. They just celebrated Chanukah (Hanukkah) and by tradition during these 9 days they eat foods fried or baked in oil, jam-filled doughnuts, sweets and cheese based dishes. Not all of the recipes are allowed for diabetic patients and here come into the scene the work of Nechama Cohen. Using the Jewish Diabetes Association’s resources and spreading the word through associated site she and her team had educated and helped thousands and thousands of diabetic people in need.


Another example are Muslim people who must fast one month during the Ramadan from sunrise to sunset. In this period, any food or liquids are forbidden but after sunset, a night meal follows. During the day, the blood sugar levels decrease dramatically, which can trigger serious acute complications. After a day of absolutely fasting the hunger and thirst are overwhelming and people tend to eat more than usual. This increased appetite is dangerous for diabetic patients as after the meal the blood sugar levels increase over the normal limit and additional measures to decrease it fast are necessary. To avoid these complications a special, adapted to this “one month lifestyle”, diet must followed. The specific traditional ingredients are included but only after the dietitian advice. Another limitation in choosing and following a diabetes diet is the rule of “Halal”. Muslim people are concerned about the provenience and the type of food they eat. Everything that comes on a Muslim dish must be lawful, according to religion rules.


Most Buddhist people are vegetarians, although, there are some communities or individuals who are eating meat. By definition, a vegetarian diet is poor in calories, but still diabetes is present among Buddhist people. Fasting and meditation for long periods help the body to lower the blood glucose levels and the diet should be approach completely different. Traditional Buddhist dieting focusses mainly on weight loosing not on diabetes care, thus the diabetic Buddhist people must get use with a different diet.


In modern civilization, major modifications occur in people’s lifestyle and eating habits, which have a negative impact on general health and diabetes is one of the expanding conditions among actual population. The mixture of cultures and religions makes difficult to implement a standard diabetes management. For some individuals eating certain foods are forbidden by religion or by culture habits, while for others having a strict lifestyle (which is the key point in management of diabetes type 2) are difficult due to many overloading activities in modern society.


At the end, I can only take off my hat in front of Nechama Cohen for her titanic work. Only understanding diabetes sufferer’s needs, the whole picture of the fight with diabetes can be comprehend and Nechama Cohen was a pioneer in this field.

What Others Posted