How can I mitigate the long term effects of diabetes on various organs ?

Long term effects of diabetes can be lessened or even delayed with strict blood sugar control, maintaining a goal BP about 120/80mm Hg or less, healthy diet. Now, if you already have onset of complications like renal dysfunction or cardiomegaly (hypertrophy of heart muscle) there are several drugs like the group known as ACE Inhibitors which were proven to reduce or delay the progression of the disease. You may need to see your doctor for personalised care.

Poorly controlled diabetes mellitus can affect end organs such as the eye, kidney, nerves, heart and blood vessels. These ill effects can be prevented or considerably reduced only through strict control of blood glucose levels with diet, exercise and medication.
Exercise, eat right, don't smoke, don't drink any alcohol and avoid stimulants, even caffeine as they cause the body Glucose levels to rise, not decrease as many believe.

Get with a diatician and work out a way for you to eat the best for your body on your income.

Join a Diabetic support group as they'll have good advice to offer you and you can learn from other diabetics experiences.
Diabetes Does Not KILL it is the UNCONTROLLED DIABETES that KILLS.Key to SUCCESS is 'CONTROL'
T.O.P.Control ie Target Organ Protection Control where You pay attention NOT ONLY to Blood Glucose BUT also to Eyes,Kidnay,BP,Retina,Peripher... Nerves plays a VERY crucial role.
At lease have ABC Control ie A1C,Blood Pressure and Sugar and Cholesterol control to prevent complications.
Dr.C.S.Buch,md
Maintain a healthy body weight, test your blood sugar levels with a test kit regularly, eat sensibly (1 alcoholic drink MAX, with a meal) and set an alarm (I use my mobile phone's alarm & reminder function) to remind you to take your medication on time. Attend a diabetes clinic and have the major blood & urine tests regularly. Wear sneakers, trainers or runners.
lots of good advice here. the most important point i can make is to keep your blood sugar as normal as possible. keep fixing it.
you need to become an expert and a fanatic. don't let it remain too high or too low for any length of time. that is when the damage occurs.

try not to cheat, but if you do, at least cover yourself with the appropriate insulin and dosage. check your sugar frequently. i do it up to ten times a day. don't skip or delay meals without compensating. i find the glucerna meal replacements very handy.

take your disease seriously. it may not kill you but it can make life very unpleasant.
Drink Noni herbal fruit juice twice a day.
DEABETES MELLITUS
By Dr.Rangadhar Satpathy

Diabetes Mellitus is a clinical syndrome characterized by hyperglycemia (increase glucose level above normal in blood) due to absolute or relative deficiency of insulin caused by the degeneration or hypo activity of the B-cells of the pancreas. That causes the following metabolic disturbances.
鈥epress the glycogenesis (formation of glycogen from glucose) and increases glycogenolysis (convert of glucose from glycogen). So glycogen contains from liver and muscles low down and in blood the glucose level raises.
鈥lucose combustion (oxidation) is depressed in absence of insulin. So extra cellular glucose level rises
鈥he rate of gluconeogenesis (formation of glucose from other than carbohydrates) increases. Thus glucose level in blood rises.
鈥epot fat mobilized and liver loaded with fats.
鈥etone bodies are produced at a faster rate and can cause ketosis and diabetic coma.
Diabetic can classified primarily in two types

1) Type-1- insulin dependant diabetes mellitus (IDDM).
2) Type-2 鈥?Non-insulin dependant diabetes mellitus (NIDDM)

The cause of Type-1- IDDM is various. Those are

i) Genetic factor 鈥揌LA linked genetic predisposition.
ii) Some viruses like EMC virus, Mengo virus 2T that destroys the
Pancreatic B-cells.

Pancreatic pathology: In type -1 鈥?IDDM the islet of langerhans is infiltrated with mononuclear cells like activated macrophages, T lymphocytes, Natural killer cells and B lymphocytes. That condition is called 鈥榠nsulitis鈥? It causes the destruction of more or less all insulin secreting B-cells. So body produces little or no insulin.

The cause of Type-2 鈥?Non-insulin dependant diabetes mellitus (NIDDM) are:
鈥aulty life styles, over eating, obesity, lack of exercise.
鈥ver weight predisposes the reaction in our liver and peripheral fat stores lead to pro-inflammatory and pro-Thrombotic (blood clotting) changes with elevated C Reactive Proteins (CRP), interleukin -6(Il-6), and fibrinogen (all made in the liver) plus platelet activation. These lead to hardening of the arteries, blood clots, HBP, heart attack, stroke and diabetes.
鈥onstant dwelling on severe stress full situation causes diabetes. Stress elevates epinephrine, nor-epinephrine, ACTH, cortisol and prolactin that acts as an antagonist to insulin.
Pancreatic pathology 鈥?In Type-2-NIIDDM deposition of amyloid on the islets tissues occur. But here very less no. of B-cells are destroyed. So in this case body produces enough insulin.
Here increased hepatic production of glucose and resistance to the action of insulin are main cause of NIDDM.
Insulin resistance may be due to
鈥?An abnormal insulin molecule
鈥?An excessive amount of circulating antagonist
鈥?Target tissue defects.

ROLE OF NONI JUICE IN DIABETES
1.Xeronine in Noni juice helps to clear up the resistance to the action of insulin by the following way.
2.Xeronine combines with the inactive abnormal insulin molecule and help modify its rigidity to make it active.
3.Xeronine combining with insulin helps more glucose combustion (oxidation) in peripheral tissues and also helps to enhance the cellular permeability to glucose. So that extra cellular glucose level falls.
4.The habit of overeating in human being is the cause of obesity. The obese people generally feel hungry due to low serotonin levels. Obesity also causes the insulin resistance to glucose and hence the predisposing factors of Type-2-NIDDM. Noni helps to secrete more serotonin that eliminates the desire of eating more. So it indirectly prevents obesity and helps in preventing diabetes.
5.Noni helps to enhance the body immunity power by the synergistic action of its all components in cellular level. Thus by modulating the immunity power it may help to correct the 鈥榠nsulitis鈥檆ondition of pancreas in Type-1-IDDM so that it prevents from destruction of B-cells in pancreas and also activate the B-cells to produce more insulin
6.Noni helps to reduce anxiety and lessens the stress response to some extent by elevating the serotonin level in blood.
7.Improves sleep.
Since the intake of sugar 鈥?even natural sugars 鈥?may be important to track in a diabetic鈥檚 diet, it is good to note that 4 ounces of Noni juice equals one fruit exchange.
(Please Note: Type-1-IDDM should never substitute Noni juice for insulin shot. This type of diabetes may be able to reduce his or her insulin by using a natural supplement such as Noni juice under the supervision of a doctor).