SI: That was my moment of truth, if you will. I thought, it doesn’t make any sense. What we are telling people to do, the message to pre-diabetics today in America is “Don’t you worry. You’re getting fit but you have to eat a little less, eat a little healthier and exercise a little more everything will be just fine.” Well I had been doing that freaking 20 years.
Physical activity is an important part of controlling diabetes and preventing complications such as heart disease and high blood pressure. “We know that exercise is a very effective way to help bring blood sugars under control for someone with type 2 diabetes,” says Kenneth Snow, M.D., Acting Chief, Adult Diabetes, Joslin Clinic. Try for 30 minutes of moderate exercise, like brisk walking, on most days. Joslin’s Why WAIT? and Easy Start exercise programs are great resources for developing a safe weight loss program.
When buying milk, yogurt, cottage cheese, and other dairy products, be sure to choose reduced-fat or fat-free versions. Regular dairy products can contain unwanted saturated fat (the type that can lead to heart disease). Also limit sweetened dairy foods, like chocolate milk or yogurt with fruit, unless it’s sweetened with a low-calorie sweetener.
There is no single dietary pattern that is best for all people with diabetes. For overweight people with type 2 diabetes, any diet that the person will adhere to and achieve weight loss on is effective.
Don’t replace saturated fat with sugar. Many of us replace saturated fat such as whole milk dairy with refined carbs, thinking we’re making a healthier choice. Low-fat doesn’t mean healthy when the fat has been replaced by added sugar.
Since carbohydrate is the macronutrient that raises blood glucose levels most significantly, the greatest debate is how low in carbohydrates the diet should be. This is because although lowering carbohydrate intake will help reduce blood glucose levels, a low-carbohydrate diet conflicts with the traditional establishment view that carbohydrates should be the main source of calories. Recommendations of the fraction of total calories to be obtained from carbohydrate are generally in the range of 20% to 45%, but recommendations can vary as widely as from 16% to 75%.
*Glucagon Emegency Kits are a prescription drug from your doctor – training is required to use the kit properly. The glucagon injection should help your liver release sugar and thereby raise the blood sugar level.
After two months under the care of the naturopath, John returned to his primary care doctor to discover that his hemoglobin A1c had dropped from 8.9% to 4.9%—a nondiabetic range. For eight months and counting, he’s been off all his diabetes medication. His last A1c reading was 5.1%. With the help of his naturopath, John seems to have reversed his diabetes.
Insulin resistance is diminished ability of cells to respond to the action of insulin in transporting glucose (sugar) from the bloodstream into muscle and other tissues. There are no signs or symptoms of insulin resistance. Causes of insulin can include conditions such as stress, obesity, metabolic syndrome, and steroid use.
Adams is a person of color whose ancestors include Africans and Native American Indians. He’s also of Native American heritage, which he credits as inspiring his “Health Ranger” passion for protecting life and nature against the destruction caused by chemicals, heavy metals and other forms of pollution.
Thiazolidinedione drugs lower blood glucose by increasing the sensitivity of the cells to insulin (improving target cell response to insulin). Troglitazone (Rezulin) was the first of this class in the US; however it was taken off the market by the FDA IN 2000 because of severely toxic liver effects. Sister compounds with better safety profiles, pioglitazone (Actos) and rosiglitazone (Avandia), remain approved for use in the U.S.
Jump up ^ Kibriya, MG; Ali, L; Banik, NG; Khan, AK (1999). “Home monitoring of blood glucose (HMBG) in Type-2 diabetes mellitus in a developing country”. Diabetes research and clinical practice. 46 (3): 253–57. doi:10.1016/S0168-8227(99)00093-5. PMID 10624792.
According to the latest American Heart Association’s Heart Disease and Stroke Statistics, about 8 million people 18 years and older in the United States have type 2 diabetes and do not know it. Often type 1 diabetes remains undiagnosed until symptoms become severe and hospitalization is required. Left untreated, diabetes can cause a number of health complications. That’s why it’s so important to both know what warning signs to look for and to see a health care provider regularly for routine wellness screenings.
Meglitinides are oral treatments that work by stimulating the pancreas to release insulin in response to a meal. They work similarly to sulfonylureas, but are safer to use in patients with kidney disease.
It’s possible to include most foods in a diabetic diet, although some need to be eaten sparingly or in moderation. Some foods can be considered “diabetes superfoods.” This is because they are rich in important vitamins and minerals, along with fiber and have a minimal effect on blood sugar levels.
And the cure for type 2 diabetes has nothing to do with giving insulin or taking drugs to control your blood sugar. In fact, giving insulin to someone with type 2 diabetes is one of the worst things that can be done.
Jump up ^ Chantelau, E; Nowicki, S (1997). “Self monitoring of glucose by people with diabetes. Patients with non-insulin dependent diabetes should monitor urine urine rather than blood glucose”. BMJ. 315 (7101): 185. doi:10.1136/bmj.315.7101.184. PMC 2127136 . PMID 9251556.
WARNING: All the information below applies to patients who are not pregnant or breastfeeding. At present the only recommended way of controlling diabetes in women who are pregnant or breastfeeding is by diet, exercise, and insulin therapy. You should speak with your health-care professional if you are taking these medications, are considering becoming pregnant, or if you have become pregnant while taking these medications.
In patients with type 2 diabetes and established atherosclerotic cardiovascular disease, antihyperglycemic therapy should begin with lifestyle management and metformin and subsequently incorporate an agent proven to reduce major adverse cardiovascular events and cardiovascular mortality (currently empagliflozin and liraglutide), after considering drug-specific and patient factors (Table 8.1). A*