Prandin (repaglinide) and Starlix (nateglinide) are in the drug class known as meglitinides and can be used in place of sulfonylureas if they are not tolerated. These agents may also lead to hypoglycemia.
Sheila Dean, DSc, RD, LD, CCN, CDE, owner of Palm Harbor Center for Health & Healing in Palm Harbor, Florida, places her patients on a carbohydrate-controlled meal plan with minimally processed carbohydrates, which she refers to as “clean carbs.”
The diabetes meal plan won’t tell you specific foods to eat, but it will guide you in selecting choices from the basic food groups and help you eat nutritious, balanced meals. Each meal and snack in the plan contains a certain amount of carbs, which works with the types and amount of insulin you take.
You may worry that having diabetes means going without foods you enjoy. The good news is that you can still eat your favorite foods, but you might need to eat smaller portions or enjoy them less often. Your health care team will help create a diabetes meal plan for you that meets your needs and likes.
Insulin is not available in oral tablet form, although a new inhaled insulin product called Afrezza was approved in 2014. Afrezza is an ultra rapid-acting inhaled insulin that is administered with meals to improve blood sugar control in adult diabetics. Insulin is usually is delivered by injections that are required one to four times per day. Some people use an insulin pump, which is worn at all times and delivers a steady flow of insulin throughout the day.
Some of the risk factors for getting diabetes include being overweight or obese, leading a sedentary lifestyle, a family history of diabetes, hypertension (high blood pressure), and low levels of the “good” cholesterol (HDL) and elevated levels of triglycerides in the blood.
For this reason, acarbose is administered using a low initial dose, and then increased over weeks depending on how well the patient tolerates the medication. Most gastrointestinal symptoms tend to subside over the course of a few weeks, although some patients report persistent problems.
Studies funded by the National Institutes of Health (NIH) have demonstrated that face-to-face training programs designed to help individuals with type 1 diabetes better anticipate, detect, and prevent extreme BG can reduce the occurrence of future hypoglycemia-related driving mishaps. An internet-version of this training has also been shown to have significant beneficial results. Additional NIH funded research to develop internet interventions specifically to help improve driving safety in drivers with type 1 diabetes is currently underway.
The patient’s blood sugar level is often low (less than 70 mg/dL), called hypoglycemia. This may mean that the diabetes management strategy is too aggressive. It also may be a sign of infection or other stress on the body’s organs, such as kidney failure, liver failure, adrenal gland failure, or the concomitant use of certain medications.
Refined sugar: Refined sugar rapidly spikes blood glucose, and soda, fruit juice and other sugary beverages are the worst culprits. These forms of sugar enter the bloodstream rapidly and can cause extreme elevations in blood glucose. (7) Even though natural sweeteners like raw honey and maple syrup are better options, they can still affect blood sugar levels, so only use these foods on occasion. Your best option is to switch to stevia, a natural sweetener that won’t have as much of an impact.
Bone health for life: Health information basics for you and your family. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Bone/Bone_Health/bone_health_for_life.asp. Accessed Aug. 19, 2016.
Jump up ^ Butalia S, Kaplan GG, Khokhar B, Rabi DM (Aug 18, 2016). “Environmental Risk Factors and Type 1 Diabetes: Past, Present, and Future”. Can J Diabetes (Review). 40 (6): 586–93. doi:10.1016/j.jcjd.2016.05.002. PMID 27545597.
Jump up ^ Bartoli E, Fra GP, Carnevale Schianca GP (February 2011). “The oral glucose tolerance test (OGTT) revisited”. European Journal of Internal Medicine. 22 (1): 8–12. doi:10.1016/j.ejim.2010.07.008. PMID 21238885.
The first thing to understand when it comes to treating diabetes is your blood glucose level, which is the amount of glucose in the blood. Glucose is a sugar that comes from the foods we eat and also is formed and stored inside the body. It’s the main source of energy for the cells of the body, and is carried to each cell through the blood. Glucose gets into the cells with the help of the hormone insulin.
Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
One way to cheat: Coffee and tea, optionally with a bit of cream — but never with sugar or other sweeteners — can be used as a snack if you are having an especially hard time lasting til your next meal.
In addition, it is often difficult to titrate doses to maximize blood glucose lowering when combination products are used. These medications may be best used when a patient has been established on a set dose of medication with minimal fluctuations in blood glucose.
The 2010 Dietary Guidelines for Americans recommends eating fish twice a week. Unlike many meats, seafood is low in unhealthy saturated fat and cholesterol, plus it’s a good source of omega-3 fatty acids — particularly fatty fish such as salmon, mackerel, herring, lake trout, sardines, halibut, and albacore tuna. According to the American Heart Association, omega-3 fatty acids lower the risk of arrhythmias (abnormal heartbeats), which can lead to sudden death. Omega-3s also decrease triglyceride levels, slow the growth rate of atherosclerotic plaque, lower blood pressure, and curb inflammation. Further, ongoing studies are evaluating their effectiveness for decreasing the risk for Alzheimer’s disease and dementia.
Thanks David for the great information. And thanks to all you who post. It is wonderful to get so much personal experiences in one place. I have found that peas have a lot of protein. They also are high in carbs. I eat about of cup of them with broccoli and some tahini & garlic for dinner so the carbs are ok. After going to one of your “here’s” I have decided to add Braggs amino in the mix as well. I am exercising again and have cut way down on the carbs. Weight is coming off which I did not think would happen, as I have been trying to lose with no results. Most important to me is my numbers are coming down. I am not at the place that many of the above folks are, but now have new hope of getting off medication, or at least cutting down. Again Thank you for helping me find a new way to health.
High glycemic index (GI) foods spike your blood sugar rapidly, while low GI foods have the least effect on blood sugar. While the GI has long been promoted as a tool to help manage blood sugar, there are some notable drawbacks.
Additionally, most of my paternal relatives (my dad included), have, or have died from, diabetes. My personal experience with diabetes and subsequent review of the literature made it very clear to me that virtually every case of type 2 diabetes is reversible.
The symptoms may relate to fluid loss and polyuria, but the course may also be insidious. Diabetic animals are more prone to infections. The long-term complications recognized in humans are much rarer in animals. The principles of treatment (weight loss, oral antidiabetics, subcutaneous insulin) and management of emergencies (e.g. ketoacidosis) are similar to those in humans.
Instead of thinking about what you can’t have, focus on what you can eatmore of. Wholesome carbohydrates filled with satisfying fiber are foods you can eat with abandon. Those include leafy greens, tomatoes, carrots, celery, cucumber, zucchini, mushrooms, onions, garlic, beets, snap peas, 100% whole grains, beans, lentils, chickpeas and peas.
As more data become available, evidence is mounting that thiazolidinediones may provide direct benefits to the heart and large blood vessels. They may prevent progression to diabetes in prediabetic individuals at high risk by reducing inflammation and by decreasing clotting factors.
A registered dietitian can help you put together a diet based on your health goals, tastes and lifestyle. He or she can also talk with you about how to improve eating habits, for example, by choosing portion sizes that suit the needs for your size and level of activity.
Insulin is the mainstay of therapy for individuals with type 1 diabetes. Generally, the starting insulin dose is based on weight, with doses ranging from 0.4 to 1.0 units/kg/day of total insulin with higher amounts required during puberty. The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook notes 0.5 units/kg/day as a typical starting dose in patients with type 1 diabetes who are metabolically stable, with higher weight-based dosing required immediately following presentation with ketoacidosis (1), and provides detailed information on intensification of therapy to meet individualized needs. The American Diabetes Association (ADA) position statement “Type 1 Diabetes Management Through the Life Span” additionally provides a thorough overview of type 1 diabetes treatment (2).
^ Jump up to: a b Laios K, Karamanou M, Saridaki Z, Androutsos G (2012). “Aretaeus of Cappadocia and the first description of diabetes” (PDF). Hormones. 11 (1): 109–13. PMID 22450352. Archived (PDF) from the original on 2017-01-04.