In simple language that can be understood by laymen, the author teaches us how we can manage diabetes. This book dispels common myths about diabetes. I didn’t give the book 5 stars because I haven’t yet tested the book’s advice but the advice looks good on paper.
These drugs rapidly lower blood sugar, but can cause abnormally low blood sugar (called hypoglycemia). In addition, sulfonylureas contain sulfa and should be avoided by patients who are allergic to sulfa.
Unhealthy fats include trans fats and the overconsumption of saturated fats, which can increase your risk of heart disease. Found in red meats, full-fat dairy products, and baked goods, these fats can cause LDL (bad) cholesterol and triglyceride levels to go up.
In incidences of prediabetes, there are no symptoms. People may not be aware that they have type 1 or type 2 diabetes because they have no symptoms or because the symptoms are so mild that they go unnoticed for quite some time. However, some individuals do experience warning signs, so it’s important to be familiar with them.
Diabetes symptoms vary depending on how much your blood sugar is elevated. Some people, especially those with prediabetes or type 2 diabetes, may not experience symptoms initially. In type 1 diabetes, symptoms tend to come on quickly and be more severe.
In 1976, Nathan Pritikin opened a centre where patients were put on programme of diet and exercise (the Pritikin Program). This diet is high on carbohydrates and fibre, with fresh fruit, vegetables, and whole grains. A study at UCLA in 2005 showed that it brought dramatic improvement to a group of people with diabetes or pre-diabetes in three weeks, so that about half no longer met the criteria for the disease.
Of note, these studies examined the drugs in combination with metformin (Table 9.4) in the great majority of patients for whom metformin was not contraindicated or not tolerated. For patients with type 2 diabetes who have ASCVD, on lifestyle and metformin therapy, it is recommended to incorporate an agent with strong evidence for cardiovascular risk reduction those with proven benefit on both major adverse cardiovascular events and cardiovascular death after consideration of drug-specific patient factors (Table 8.1). See Fig. 8.1 for additional recommendations on antihyperglycemic treatment in adults with type 2 diabetes.
SI: I was on my way, yes. I was pre-diabetic. You may remember, I’ve got a company called Trulia, which just happens to be in this building. Once Trulia went public, I just stayed on the board and I stepped away from an operational role.
“We now know that in general, a sugar-containing food like a brownie may have 30 grams of carbohydrate in it, but that brownie will have the same effect on your blood glucose as 2/3 cup of rice or one cup of applesauce, both of which have 30 grams of carbohydrate in them,” says Campbell.
Despite all the publicity surrounding new research and new nutrition guidelines, some people with diabetes still believe that there is something called a “diabetic diet.” For some, this so-called diet consists of avoiding sugar, while others believe it to be a strict way of eating that controls glucose. Unfortunately, neither are quite right.
What has not generally been included in diabetic diet recommendations is the variation in effect from different carbohydrates. It has been recommended that carbohydrates eaten by people with diabetes should be complex carbohydrates.
I do recommend this book solely out of the idea that it can help. But a strong word of caution. It has been my experience that what works for some, may not work for all. All the information herein is sound, medically. But it is ultimately the individual who is important and their own physical make-up. No how to can work for all. That is a given, but it can work for the vast majority.
If you have type 2 diabetes and your body mass index (BMI) is greater than 35, you may be a candidate for weight-loss surgery (bariatric surgery). Blood sugar levels return to normal in 55 to 95 percent of people with diabetes, depending on the procedure performed. Surgeries that bypass a portion of the small intestine have more of an effect on blood sugar levels than do other weight-loss surgeries.
I am not diabetic. With that said, I will also admit that I have a good chance-if I were to stray from my low sugar, low starch diet-to become diabetic. After all, it was diabetes that affected my father and aided in the formation (though the doctor said that it had been a common side effect of the drugs used to combat his cancer) or the embolism that ended his life. Of course, he was unwilling to adjust in order to keep his blood sugars at safe levels. It is also diabetes that has taken my grandmother’s eyesight, though Parkinson’s has taken her ability to walk.
Oral glucose tolerance test: This test involves drawing blood for a fasting plasma glucose test, then drawing blood for a second glucose test at two hours after drinking a specific sweet drink (containing up to 75 grams of sugar).
There are now three large randomized controlled trials reporting statistically significant reductions in cardiovascular events for two SGLT2 inhibitors (empagliflozin and canagliflozin) and one GLP-1 receptor agonist (liraglutide) where the majority, if not all patients, in the trial had ASCVD. The empagliflozin and liraglutide trials demonstrated significant reductions in cardiovascular death. Exenatide once-weekly did not have statistically significant reductions in major adverse cardiovascular events or cardiovascular mortality but did have a significant reduction in all-cause mortality. In contrast, other GLP-1 receptor agonists have not shown similar reductions in cardiovascular events (Table 9.4). Whether the benefits of GLP-1 receptor agonists are a class effect remains to be definitively established. See antihyperglycemic therapies and cardiovascular outcomes in Section 9 “Cardiovascular Disease and Risk Management” and Table 9.4 for a detailed description of these cardiovascular outcomes trials. Additional large randomized trials of other agents in these classes are ongoing.
Polycystic ovary syndrome. For women, having polycystic ovary syndrome — a common condition characterized by irregular menstrual periods, excess hair growth and obesity — increases the risk of diabetes.
Jump up ^ Manohar V, Talpur NA, Echard BW, Lieberman S, Preuss HG (2002). “Effects of a water-soluble extract of maitake mushroom on circulating glucose/insulin concentrations in KK mice”. Diabetes, Obesity & Metabolism. 4 (1): 43–48. doi:10.1046/j.1463-1326.2002.00180.x. PMID 11874441.
Jump up ^ Kiho T, Sobue S, Ukai S (1994). “Structural features and hypoglycemic activities of two polysaccharides from a hot-water extract of Agrocybe cylindracea”. Carbohydrate Research. 251: 81–87. doi:10.1016/0008-6215(94)84277-9. PMID 8149381.
^ Jump up to: a b c Barnard ND, Cohen J, Jenkins DJ, et al. (2006). “A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes”. Diabetes Care. 29 (8): 1777–83. doi:10.2337/dc06-0606. PMID 16873779. Lay summary – News-Medical.Net (2006-08-08).
Under this system, foods are ranked according to their effect on blood sugar. People who follow this method should generally choose their foods based on those with the lowest GI score, and avoid those with the highest.