Minal Pharmacy

CBD 2 of 6
How does CBD work?
All cannabinoids, including CBD, produce effects in the body by attaching to certain receptors. Our bodies produce our own cannabinoids. We have a system called the endocannabinoid system which is not fully understood as yet but it operates in all higher- level animals from fish to humans. It consists of the cannabinoids (anandamide and AG-2), the receptors CB1 and CB2 and enzymes that make and destroy the cannabinoids.
... CB1 receptors are present throughout our bodies but many are in our brains and spinal cord. These deal with co-ordination and movement, pain, emotions, mood, thinking, appetite and memories among other functions.
CB2 are more common in the immune system. They affect inflammation and pain. It was believed that CBD attached to CB2 receptors, but it now appears that it does not. Instead it seems to direct our body to use more of its own cannabinoids.
For more information or to purchase CBD, please have a chat with one of our highly trained team
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CBD 1 of 6
What is CBD?
CBD is a cannabidiol which are a group of chemicals that come from the cannabis plant. The cannabis plant is often called hemp or marijuana depending on their level of THC (delta 9-tetrahydrocannabinol). THC is the best-known compound from cannabis and is psychoactive i.e. it gives people taking it, a “high”. CBD is not psychoactive.
... Hemp plants are legal if they contain less than 0.3% THC. Over the years, marijuana farmers have selectively bred their plants to contain high levels of THC whilst hemp farmers rarely modified the plant. These hemp plants are used to create CBD oil as well as strong fibres used to make rope and canvas.
For more information or to purchase CBD, please have a chat with one of our highly trained team
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Foot & Eye Care In Diabetics 06
Quiz with Answers:
Q1. What is the leading cause of sight loss in the UK?... A1. Diabetes.
Q2. How much more likely are you to get glaucoma if you are diabetic? A2. One and a half times more likely.
Q3. What is glaucoma? A3. When fluid builds up in your eye.
Q4. Why is it vital you go to your eye screening appointments? A4. Because eye damage can be slowed or prevented if caught early enough.
Q5. How many types of retinopathy are there? A5. Four.
Q6. How much more likely is a diabetic to have an amputation than a non-diabetic? A6. 20 times.
Q7. What causes diabetic complications? A7. High sugar levels in your blood over a long period of time that damage your blood vessels and nerves.
Q8. How do I know if I have high blood sugar levels? A8. You can measure it over a three-month period through a test called HbA1c.
Q9. What can I do to prevent or delay the complications of diabetes? A9. Stop smoking and lower your blood pressure.
Q10. What else can I do? A10. Make sure you have an annual check especially on your eyes and feet.
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Foot & Eye Care In Diabetics 05
Quiz
Q1. What is the leading cause of sight loss in the UK?... Q2. How much more likely are you to get glaucoma if you are diabetic? Q3. What is glaucoma? Q4. Why is it vital you go to your eye screening appointments? Q5. How many types of retinopathy are there? Q6. How much more likely is a diabetic to have an amputation than a non-diabetic? Q7. What causes diabetic complications? Q8. How do I know if I have high blood sugar levels? Q9. What can I do to prevent or delay the complications of diabetes? Q10. What else can I do?
Answers Next Week
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Foot & Eye Care In Diabetics 04
Foot problems with diabetes
Having diabetes means you are more at risk of serious foot problems and these can lead to amputation. Diabetics are 20 times more likely to experience an amputation. If you spot any of the following changes you need to see your GP:
... • Tingling sensation or pins and needles (like numbness) • Pain (burning) • A dull ache • Shiny, smooth skin on your feet • Hair loss on your legs and feet • Swollen feet • Wounds or sores that don’t heal • Cramp in your calves when resting or walking
And if you notice any of these changes, see your local foot team urgently:
• Changes in the colour and shape of your feet • Cold or hot feet • Blisters and cuts that you can see but don’t feel • Foul smell coming from an open wound
For more information, chat to one of our trained staff.
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Foot & Eye Care In Diabetics 03
Retinopathy
Diabetes is the leading cause of preventable sight loss in the UK through diabetic retinopathy. It also makes you twice as likely to get cataracts (when your vision gets cloudy) and 1.5 times as likely to get glaucoma (when fluid builds up in your eye). There are lots of blood vessels in your eyes and if these become damaged the retina (the seeing part of your eye) can’t get the blood it needs and so can’t work properly.
... There are four types of retinopathy:
1) Background retinopathy - this is stage one. Your eyesight won’t be affected but you need to prevent the problem getting worse 2) Non-proliferative retinopathy - stage two. The damage is more serious, and you’ll need to get your eyes checked more often 3) Proliferative retinopathy - stage three. You are now at very high risk of losing your eyesight and will need treatment 4) Maculopathy - this is different as it affects the middle of your eye so you can’t drive or read
The damage is gradual so it is possible for most people to have treatment to slow down or prevent the problems getting worse, but this will only happen if you get your eyes checked annually by your optician.
For more information, chat to one of our trained staff.
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Foot & Eye Care In Diabetics 02
What causes diabetes complications?
As mentioned above, if your blood sugars are high over a long period of time, it will damage your blood vessels so your blood can’t travel to the parts of your body it needs to. This in turn means your nerves won’t work properly either and you will start to lose feeling in parts of your body.
... Once you’ve damaged the blood vessels and nerves in one part of your body, you’re more likely to develop similar problems in other parts of your body. So, if your feet are damaged, serious heart problems can follow.
The higher your HbA1c levels are, the more you are at risk of developing complications but it’s not just about blood sugars, high blood pressure and smoking can put you at even more risk.
For more information, chat to one of our trained staff.
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Foot & Eye Care In Diabetics 01
Complications of diabetes
High blood sugar levels can seriously damage parts of your body, including your feet and your eyes. These can be chronic and acute. Chronic complications are long term problems that can gradually develop over time leading to serious damage if they go unchecked. Acute complications can happen at any time and lead to other complications.
... Chronic complications include: • Eye problems (retinopathy) • Foot problems • Heart attack and stroke • Kidney problems (nephropathy) • Nerve damage (neuropathy) • Gum disease and other mouth problems • Related conditions like cancer • Sexual problems in both men and women
Acute complications include: • Hypo - when your blood sugars are too low • Hyper - when your blood sugars are too high • Hyperosmolar Hyperglycaemic State (HHS) - a life threatening emergency that only happens in Type 2 diabetics. It is bought on by severe dehydration and very high blood sugars • Diabetic ketoacidosis (DKA) - a life threatening emergency where lack of insulin and high blood sugars leads to a build- up of ketones
For more information, chat to one of our trained staff.
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Keto Diet 6 of 6
Quiz
Q1. How much heavier are the British on average than 50 years ago?... A1. 3 stones.
Q2. What are carbohydrates? A2. They are sugars, starches and fibre found in fruit, grains and vegetables.
Q3. What are refined carbs? A3. They are foods that have been processed like white sugar and white flour.
Q4. Are carbs bad for us? A4. Numerous studies have shown that eating refined carbohydrates is associated with obesity and type 2 diabetes.
Q5. Why are they not bad for some people? A5. Some people don’t seem to have a problem with carbs
Q6. Why are carbs bad for us? A6. Because they cause major spike in blood sugar levels.
Q7. Why is that bad? A7. Because the spike then leads to a crash that can trigger hunger and cravings for more high-carb food.
Q8. What are low carb diets? A8. They restrict carbohydrates while allowing plenty of protein and fat.
Q9. Do they work? A9. Over 23 studies show they produce more weight loss and greater improvements in various health markers.
Q10. How many carbs should we eat a day to lose weight? A10. 20g.
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