According to the National Institutes of Heath (NIH), close to one-third of women with diabetes do not know they have the disease. It is recommended that screening for adults of both genders be done in those over the age of 45 who are overweight or obese and who have one of the risk factors listed above.
As for diet, let the balance weigh heavily in favor of fruits, vegetables and lots of fiber. More intake of fiber will help you immensely. Give up your past habit of taking heavy meals. Take in small quantities, as and when you are hungry. Extremely high or low blood glucose levels need to be avoided. As for losing weight, “slow and steady wins the race.” You have already consulted your doctor, you strictly go by the norms given to you and you lose two pounds per week. Very good! That’s good progress.
Treatment for type 1 diabetes involves insulin injections or the use of an insulin pump, frequent blood sugar checks, and carbohydrate counting. Treatment of type 2 diabetes primarily involves monitoring of your blood sugar, along with diabetes medications, insulin or both.
Heart disease and heart attacks can be prevented by leading a healthy lifestyle with diet, exercise, and stress management. Symptoms of heart attack in men and women include chest discomfort and pain in the shoulder, neck, jaw, stomach, or back. Women experience the same symptoms as men; however, they also may experience:
Keep your immunizations up to date. High blood sugar can weaken your immune system. Get a flu shot every year, and your doctor will likely recommend the pneumonia vaccine, as well. The Centers for Disease Control and Prevention (CDC) also recommends the hepatitis B vaccination if you haven’t previously received this vaccine and you’re an adult age 19 to 59 with type 1 or type 2 diabetes. The CDC advises vaccination as soon as possible after diagnosis with type 1 or type 2 diabetes. If you are age 60 or older, have diabetes and haven’t previously received the vaccine, talk to your doctor about whether it’s right for you.
Low blood sugar, or hypoglycemia, is a syndrome in which a person’s blood sugar is dangerously low. People with type 1 and type 2 diabetes are at risk for this condition. There are other diseases that can cause a person’s blood sugar levels to go too low, for example, pancreatitis, Cushing’s syndrome, and pancreatic cancer. Symptoms and signs that your blood sugar levels are too low include:
Diet management allows control and awareness of the types of nutrients entering the digestive system, and hence allows indirectly, significant control over changes in blood glucose levels. Blood glucose monitoring allows verification of these, and closer control, especially important since some symptoms of diabetes are not easy for the patient to notice without actual measurement.
The classic symptoms of untreated diabetes are weight loss, polyuria (increased urination), polydipsia (increased thirst), and polyphagia (increased hunger). Symptoms may develop rapidly (weeks or months) in type 1 DM, while they usually develop much more slowly and may be subtle or absent in type 2 DM.
Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic disorders in which there are high blood sugar levels over a prolonged period. Symptoms of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes.
The patient and their family should be taught how to recognize the signs and symptoms of low blood sugar levels. The patient should have a clear plan for treating low blood sugar levels and know when to call 911. Mild symptoms include confusion and sweating. Moreover, these symptoms can progress to lethargy, agitation (sometimes with violent, jerking motions), or even seizures.
Jump up ^ Farmer, A; Wade, A; French, DP; Goyder, E; Kinmonth, AL; Neil, A (2005). “The DiGEM trial protocol – a randomised controlled trial to determine the effect on glycaemic control of different strategies of blood glucose self-monitoring in people with type 2 diabetes ISRCTN47464659”. BMC Family Practice. 6 (1): 25. doi:10.1186/1471-2296-6-25. PMC 1185530 . PMID 15960852.
Jump up ^ Buehler AM; Cavalcanti AB; Berwanger O; et al. (June 2013). “Effect of tight blood glucose control versus conventional control in patients with type 2 diabetes mellitus: a systematic review with meta-analysis of randomized controlled trials”. Cardiovasc Ther. 31 (3): 147–60. doi:10.1111/j.1755-5922.2011.00308.x. PMID 22212499.
You should have no more than three of these “feeding times” per day. The reason limiting the number and duration of your meal times is so important has to do with staying out of the vicious cycle of increasing insulin resistance. To get smart on insulin resistance — the cause of both type 2 diabetes and obesity — read Dr. Jason Fung’s book, The Obesity Code: Unlocking the Secrets of Weight Loss, or watch his free lecture on YouTube.
Jump up ^ Jönsson T, Ahrén B, Pacini G, Sundler F, Wierup N, Steen S, Sjöberg T, Ugander M, Frostegård J, Göransson L, Lindeberg S (2006). “A Paleolithic diet confers higher insulin sensitivity, lower C-reactive protein and lower blood pressure than a cereal-based diet in domestic pigs”. Nutrition & Metabolism. 3 (39): 39. doi:10.1186/1743-7075-3-39. PMC 1635051 . PMID 17081292.
In type 2 diabetes, there also is a steady decline of beta cells that adds to the process of elevated blood sugars. Essentially, if someone is resistant to insulin, the body can, to some degree, increase production of insulin and overcome the level of resistance. After time, if production decreases and insulin cannot be released as vigorously, hyperglycemia develops.
It is best to avoid regular sodas, energy drinks, and other sweetened beverages. Diet sodas should also be avoided as they have been shown to increase sugar cravings, and can still cause an insulin response.
Anyone with a body mass index higher than 25, regardless of age, who has additional risk factors, such as high blood pressure, a sedentary lifestyle, a history of polycystic ovary syndrome, having delivered a baby who weighed more than 9 pounds, a history of diabetes in pregnancy, high cholesterol levels, a history of heart disease, and having a close relative with diabetes.
The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, or early-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.
Glyburide/metformin (Glucovance), rosiglitazone/metformin (Avandamet), glipizide/metformin (Metaglip), pioglitazone/metformin (Actoplusmet), and metformin/sitagliptin (Janumet) are five relatively new combination pills on the market to treat type 2 diabetes.
Jump up ^ Konno S, Tortorelis DG, Fullerton SA, Samadi AA, Hettiarachchi J, Tazaki H (2001). “A possible hypoglycaemic effect of maitake mushroom on Type 2 diabetic patients”. Diabetic Medicine. 18 (12): 1010. doi:10.1046/j.1464-5491.2001.00532-5.x. PMID 11903406.
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.
Your favorite flavors might not taste as rich as your remember if you have diabetes. It can be disappointing, but take the opportunity to experiment with different tastes, textures and spices to your favorite foods. Just take care not to add too much sugar to your food in an effort to add flavor. Not only can this affect the quality of your diet, it can also lead to more cavities. If you have a persistent bad taste in your mouth, see your dentist or doctor.
Type 2 diabetes as an additional treatment to mealtime insulin therapy for those failing to achieve desired glucose control despite optimal insulin therapy, with or without a concurrent sulfonylurea agent and/or metformin.
Breakfast is especially important if you need to control your weight. It helps to jump-start your metabolism and makes you less likely to overeat later. If you are unusually active or on fixed doses of medication, you may need a snack. Monitoring your blood glucose will help you to decide that with your medical team. Sometimes diabetes medication can be adjusted so you do not need snacks if you are concerned about your weight.
Jump up ^ Fortes, RC; Novaes, MR; Recôva, VL; Melo, AL (2009). “Immunological, hematological, and glycemia effects of dietary supplementation with Agaricus sylvaticus on patients’ colorectal cancer”. Experimental biology and medicine. 234 (1): 53–62. doi:10.3181/0806-RM-193. PMID 18997106.
In most women, gestational diabetes goes away after pregnancy. If you’ve had gestational diabetes, your risk for type 2 diabetes increases. Your doctor may recommend diabetes and prediabetes testing every few years.
The vast majority of patients with type 2 diabetes initially had prediabetes. Their blood glucose levels where higher than normal, but not high enough to merit a diabetes diagnosis. The cells in the body are becoming resistant to insulin.
Your article does make me wonder how I got to my diet (several years). Lots of trial and error and test strips 🙂 Have tried to mimic a normal person and keep my A1c in the low fives. The one thing that doesn’t work at all is just covering the extra carbs with more insulin — roller coaster ride with numbers and an invitation to weight gain… and a whole range of nasty stuff.
Onions are also a good source of fiber, potassium, and folate — all good for heart health. Onions’ high flavonoid content also puts them on the map for cancer and cardiovascular research as well as other chronic diseases, such as asthma. According to a 2002 study in The American Journal of Clinical Nutrition, having a high dietary intake of the flavonoid quercetin found in onions may lower the risk of these chronic illnesses.
The patient’s blood sugar level is often low (less than 70 mg/dL), called hypoglycemia. This may mean that the diabetes management strategy is too aggressive. It also may be a sign of infection or other stress on the body’s organs, such as kidney failure, liver failure, adrenal gland failure, or the concomitant use of certain medications.
Type 1 diabetes is an autoimmune disease that is often diagnosed in childhood. It occurs when the body mistakenly attacks the beta cells of the pancreas, making it impossible for them to produce the insulin necessary to use sugars.
Diabetes mellitus is a metabolic disorder that results from problems controlling the hormone insulin. Diabetes symptoms are a result of higher-than-normal levels of glucose (sugar) in your blood. With type 1 diabetes, symptoms usually develop sooner and at a younger age than with type 2 diabetes. Type 1 diabetes also normally causes more severe symptoms. In fact, because 2 diabetes signs and symptoms can be minimal in some cases, it sometimes can go diagnosed for a long period of time, causing the problem to worsen and long-term damage to develop.
By starting a diabetic diet, you’re not necessarily cutting back on carbs. You’re changing the type of carbs you eat. Refined carbs like grains, desserts and sugary beverages get replaced by whole, complex carbs. Controlling the amount that you have at one sitting also keeps blood glucose levels as stable as possible.
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.