Jump up ^ Zitzmann M (October 2009). “Testosterone deficiency, insulin resistance and the metabolic syndrome”. Nature Reviews Endocrinology. 5 (12): 673–81. doi:10.1038/nrendo.2009.212. PMID 19859074.
Start by trying these first three days of the plan, and then use a combination of these foods going forward. Review the list of foods that you should be eating from Step 2, and bring those healthy, diabetes-fighting foods into your diet as well. It may seem like a major change to your diet at first, but after some time you will begin to notice the positive effects these foods are having on your body.
^ Jump up to: a b Cox DJ, Gonder-Frederick LA, Clarke WL (1993). “Driving in type 1 diabetes during moderate hypoglycemia”. Diabetes. 42 (2): 239–43. doi:10.2337/diabetes.42.2.239. PMID 8425660.
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.
Prediabetes means your blood sugar is higher than normal, but not high enough to diagnose you with type 2 diabetes. About 40% of people in the U.S. 18 and older have the condition, and 22% of those people don’t know they have it. Prediabetes typically has no symptoms or signs; however, it has been associated with being overweight.
Healthy carbohydrates. During digestion, sugars (simple carbohydrates) and starches (complex carbohydrates) break down into blood glucose. Focus on the healthiest carbohydrates, such as fruits, vegetables, whole grains, legumes (beans, peas and lentils) and low-fat dairy products.
HbA1C (A1C or glycosylated hemoglobin test) The A1C can be used for the diagnosis of both prediabetes and diabetes. The A1C test measures your average blood glucose control for the past 2 to 3 months. This test is more convenient because no fasting is required. An A1C of 5.7% to 6.4% means that you are at high risk for the development of diabetes and you have prediabetes. Diabetes is diagnosed when the A1C is 6.5% or higher.
Being smart about sweets is only part of the battle. Sugar is also hidden in many packaged foods, fast food meals, and grocery store staples such as bread, cereals, canned goods, pasta sauce, margarine, instant mashed potatoes, frozen dinners, low-fat meals, and ketchup. The first step is to spot hidden sugar on food labels, which can take some sleuthing:
People with diabetes have a higher risk of heart disease, so choose protein-rich foods that are low in fat. Lean protein options include poultry, fish, and lean cuts of beef, veal, and pork. If you’re not sure which cuts of meat are lean, look for the words “loin” or “round,” such as pork tenderloin or eye of round beef. The ADA recommends a serving size of 2-5 ounces of meat per meal. Talk to your health care provider about how best to include lean protein in your meal planning.
In the 1990s the American Diabetes Association conducted a publicity campaign to persuade patients and physicians to strive for average glucose and hemoglobin A1c values below 200 mg/dl (11 mmol/l) and 8%. Currently many patients and physicians attempt to do better than that.
Even with careful management, blood sugar levels can sometimes change unpredictably. With help from your diabetes treatment team, you’ll learn how your blood sugar level changes in response to food, physical activity, medications, illness, alcohol, stress — for women, fluctuations in hormone levels.
The primary complications of diabetes due to damage in small blood vessels include damage to the eyes, kidneys, and nerves. Damage to the eyes, known as diabetic retinopathy, is caused by damage to the blood vessels in the retina of the eye, and can result in gradual vision loss and blindness. Damage to the kidneys, known as diabetic nephropathy, can lead to tissue scarring, urine protein loss, and eventually chronic kidney disease, sometimes requiring dialysis or kidney transplantation. Damage to the nerves of the body, known as diabetic neuropathy, is the most common complication of diabetes. The symptoms can include numbness, tingling, pain, and altered pain sensation, which can lead to damage to the skin. Diabetes-related foot problems (such as diabetic foot ulcers) may occur, and can be difficult to treat, occasionally requiring amputation. Additionally, proximal diabetic neuropathy causes painful muscle atrophy and weakness.
The condition of diabetes causes the sugar content of the blood to rise above normal levels. This requires the patient’s kidneys to work harder than usual, so that the excess sugar can be removed successfully. This overtime work results in the formation of excess urine, causing the person to have frequent urges to urinate. Such a condition isn’t just distracting, it can also lead to kidney damage and eventually kidney failure in case no treatment is undertaken. Frequent urination can hence be a very significant warning of diabetes and should be reported to a physician if prolonged.
Artem Oleshko/shutterstockConsidering that being overweight is a risk factor for diabetes, it sounds counterintuitive that shedding pounds could be one of the silent symptoms of diabetes. “Weight loss comes from two things,” says Dr. Cypess. “One, from the water that you lose [from urinating]. Two, you lose some calories in the urine and you don’t absorb all the calories from the sugar in your blood.” Once people learn they have diabetes and start controlling their blood sugar, they may even experience some weight gain—but “that’s a good thing,” says Dr. Cypess, because it means your blood sugar levels are more balanced.
Use a 9-inch plate. Put nonstarchy vegetables on half of the plate; a meat or other protein on one-fourth of the plate; and a grain or other starch on the last one-fourth. Starches include starchy vegetables such as corn and peas. You also may eat a small bowl of fruit or a piece of fruit, and drink a small glass of milk as included in your meal plan.
That’s a big deal because early diagnoses can help prevent the disease from inflicting permanent damage such as kidney or nerve damage. If you’re overweight or obese, or have a family history of diabetes, it’s worth asking your doctor if a test for diabetes is appropriate.
Men have more muscle mass in general and therefore may require more calories. Muscle burns more calories per hour than fat. (Thus also one reason to regularly exercise and build up muscle!) Also, people whose activity level is low will have less daily caloric needs.
Rapid-acting insulin begins to take effect 5 minutes after administration. Peak effect occurs in about 1 hour, and the effect lasts for 2 to 4 hours. Examples are insulin lispro, insulin aspart, and insulin glulisine.
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Just prior to having this test run, the patient must fast (nothing to eat or drink except water) for eight hours. The health care provider draws blood from the patient. Then the plasma (the fluid part of the blood) is combined with other substances to determine the amount of glucose in the plasma, as measured in mg/dL. The chart below contains the FPG test’s blood glucose ranges for prediabetes and diabetes and describes what each diagnosis means.
The health-care professional will take a history including information about the patient’s symptoms, risk factors for diabetes, past medical problems, current medications, allergies to medications, family history of diabetes, or other medical problems such as high cholesterol or heart disease, and personal habits and lifestyle.