G.I. Diet: lowering the glycemic index of one’s diet can improve the control of diabetes. This includes avoidance of such foods as potatoes cooked in certain ways and white bread. It instead favors multi-grain and sourdough breads, legumes and whole grains that are converted more slowly to glucose in the bloodstream.
Transplantation carries significant risk. Both the surgery itself and the ongoing immunosuppression that must follow pose significant risks. For these reasons, the kidney and pancreas are usually transplanted at the same time. At present, controversy exists about whole pancreas transplantation for patients’ not currently requiring kidney transplantation. The issue under debate is whether the benefits outweigh the risks. Diabetes usually relapses after pancreas transplant. Selectively transplanting islet cells has been an emerging alternative to whole pancreas transplantation, but concern over rejection remains. Attempts are underway to disguise islets in tissues that the body won’t reject, for example, by surrounding the islet cells with the patient’s own cells before implanting them. Researchers are exploring artificial barriers to surround the islets and protect against rejection, yet still allow insulin to enter the bloodstream.
The health-care professional should check the feet and lower legs of the patient at every visit for cuts, scrapes, blisters, or other lesions that could become infected. Adults with diabetes should check the soles of their feet and their legs daily with a hand-held mirror, either by themselves or with the assistance of a relative or caretaker.
Insulin can be delivered via syringes or pens, pumps or new artificial pancreas systems. Though the administration method, frequency and type of insulin dosage vary on a case-by-case basis, injections may be needed multiple times per day.
There are several great exercises for diabetes, including biking, running, swimming, walking, strength training, and the like. The Centers for Disease Control and Prevention (CDC) recommends getting at least 150 minutes of moderate-intensity aerobic activity per week — that’s five 30-minute workouts — or 75 minutes of vigorous-intensity aerobic activity per week.
“Diabetes is considered an immunosuppressed state,” Dr. Collazo-Clavell explains. That means heightened susceptibility to a variety of infections, although the most common are yeast (candida) and other fungal infections, she says. Fungi and bacteria both thrive in sugar-rich environments.
Broccoli is a member of the cruciferous vegetable family, which includes other veggies such as Brussels sprouts, cabbage, cauliflower, and bok choy. What makes this class of veggies unique is the high levels of sulfur-containing compounds known as glucosinolates. Perhaps better known for their potential anticancer effects, these compounds may also have a role in reducing heart disease risk and heart-related deaths. In a study reported in The American Journal of Clinical Nutrition in 2011, researchers found that cruciferous vegetable consumption was associated with a reduced risk of death from heart disease. Their recommendation: “Increase consumption of vegetables, particularly cruciferous vegetables and fruit, to promote cardiovascular healthy and overall longevity.”
Adhering to the following guidelines can help you do at least three things that are essential for successfully treating diabetes: recover your insulin/leptin sensitivity; normalize your weight; and normalize your blood pressure.
* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Please Note: The material on this site is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any diet or exercise program.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The American Diabetes Association recommends that premeal blood sugar levels fall in the range of 80 to 120 mg/dL and bedtime blood levels fall in the range of 100 to 140 mg/dL. Your doctor may adjust this depending on your circumstances.
These little berries pack a big nutritional punch. A 1-cup serving provides over half of the day’s vitamin C, a powerful antioxidant beneficial for bone and skin health, well as cancer and heart disease prevention. Even more amazing is their fiber content: a whopping 7 grams of dietary fiber, in part due to the edible seeds.
Diabetic neuropathy occurs when high blood glucose damages nerve fibers. This can trigger tingling and loss of feeling in different parts of the body, including the hands, feet, and legs. This condition may also affect sensation in the vaginal area and lower a woman’s sex drive.
“Perfect glycemic control” would mean that glucose levels were always normal (70–130 mg/dl, or 3.9–7.2 mmol/L) and indistinguishable from a person without diabetes. In reality, because of the imperfections of treatment measures, even “good glycemic control” describes blood glucose levels that average somewhat higher than normal much of the time. In addition, one survey of type 2 diabetics found that they rated the harm to their quality of life from intensive interventions to control their blood sugar to be just as severe as the harm resulting from intermediate levels of diabetic complications.
You can talk to your diabetes health care team about planning your exercise along with your meals and insulin. They’ll offer specific suggestions to help you get ready for exercise or join a sport and give you written instructions to help you respond to any diabetes problems that may occur during exercise, like hypoglycemia (low blood sugar), or hyperglycemia (high blood sugar).
Shopping tip: A food label may say “zero trans fat,” but the product may still have small amounts. Check the ingredients list before buying—if you see “partially hydrogenated oil” or “vegetable shortening” on the label, put the product back on the shelf. Also watch out for “palm kernel oil”—one of the few oils high in saturated fat.
Drawbacks to the surgery include its high cost, and there are risks involved, including a risk of death. Additionally, drastic lifestyle changes are required and long-term complications may include nutritional deficiencies and osteoporosis.
Aim for at least 30 minutes of aerobic exercise five days of the week. Stretching and strength training exercises are important, too. If you haven’t been active for a while, start slowly and build up gradually.
A big question for people who want to eat few carbs and not much meat: How do beans fit in? As a mix of protein, fat, and carbs, they are sort of a perfect food, but they do have a lot of carb content, usually from 20 to 40 grams per cup, depending on the type.