High blood sugar levels can make people with type 1 diabetes feel sick, so their treatment plan involves keeping their blood sugar levels within a healthy range, while making sure they grow and develop normally. To do that, people with type 1 diabetes need to:
It is possible to have diabetes with only very mild symptoms or without developing any symptoms at all. Such cases can leave some people with diabetes unaware of the condition and undiagnosed. This happens in around half of people with type 2 diabetes.1,2
Gestational diabetes is different from type 1 and type 2 diabetes because it’s specific to pregnant women. Gestational diabetes occurs in approximately 9.2 percent of pregnancies. The hormones of pregnancy interfere with the way insulin works. This causes the body to make more of it. However, for some women, this still isn’t enough insulin, and they develop gestational diabetes.
A type 2 diabetes meal plan requires you to stay away from refined sugars. Sugar from foods and drinks such as confectionery, soda, flavored milk, fruit juices, biscuits and cakes enters the bloodstream rapidly and causes extreme elevations in blood glucose. If you need a sweetener you can try stevia or a small amount of raw honey.
Type 2 DM is primarily due to lifestyle factors and genetics. A number of lifestyle factors are known to be important to the development of type 2 DM, including obesity (defined by a body mass index of greater than 30), lack of physical activity, poor diet, stress, and urbanization. Excess body fat is associated with 30% of cases in those of Chinese and Japanese descent, 60–80% of cases in those of European and African descent, and 100% of Pima Indians and Pacific Islanders. Even those who are not obese often have a high waist–hip ratio.
Once transplanted successfully, the donor cells begin to make and release insulin in response to blood sugar levels. This procedure can provide more flexibility with meal planning and help protect against serious long-term complications such as heart disease, stroke, kidney disease, and nerve and eye damage.
Finger stick blood glucose values tend to be most inaccurate at very high or very low levels, so abnormally low or high results should be confirmed by repeat testing. Finger stick is the way most people with diabetes monitor their blood sugar levels at home.
Nateglinide (Starlix) has essentially the same profile of side effects and interactions as repaglinide. The major benefit of nateglinide is that the starting dose of 120 mg does not need to be adjusted upward, but rather remains constant. These medications are also relatively safe to use in people with impaired kidney function.
Diabetes focus: In a review of 17 studies, Mediterranean-style diets were found to significantly improve fasting blood sugar and A1C levels in people with type 2 diabetes. Although many books on the Mediterranean diet are available, The Oldways 4-Week Mediterranean Diet Menu Plan (Oldways, 2012) is a quick read and outlines four weeks of Mediterranean diet meal plans with simple, flavorful recipes. The recipes’ nutritional values are listed in the back of the book, which you can use for calorie and carb counts.
According to the 2017 National Diabetes Statistics Report, over 30 million people living in the United States have diabetes. That’s almost 10 percent of the U.S. population. And diabetes is the seventh leading cause of death in the United States, causing, at least in part, over 250,000 deaths in 2015. That’s why it’s so important to take steps to reverse diabetes and the diabetes epidemic in America.
Generally, ankle swelling (edema) and puffiness due to the accumulation of fluid can be controlled by either reducing the drug dose or addition of a diuretic such as spironolactone (Aldactone); note that furosemide (Lasix) does not work as well. On occasion, patients may be symptomatic enough from fluid retention to warrant drug withdrawal. Some recent studies have suggested an association between untoward cardiac events and pioglitazone and rosiglitazone (for example, heart attacks), but this association is controversial. The controversy notwithstanding, it has been well established that pioglitazone and rosiglitazone should be avoided in patients with symptomatic heart failure or heart failure.
Frequently people with diabetes also have problems with high blood fats and/or cholesterol levels, and will be prescribed a meal plan that is low in fat as well. So even if they aren’t overweight, some patients may be counting grams of fat eaten at each meal or over the course of the day, as well as how many grams of carbohydrate.