Saturated fats. Found mainly in tropical oils, red meat, and dairy, there’s no need to completely eliminate saturated fat from your diet—but rather, enjoy in moderation. The American Diabetes Association recommends consuming no more than 10% of your daily calories from saturated fat.
Jump up ^ Haw, JS; Galaviz, KI; Straus, AN; Kowalski, AJ; Magee, MJ; Weber, MB; Wei, J; Narayan, KMV; Ali, MK (1 December 2017). “Long-term Sustainability of Diabetes Prevention Approaches: A Systematic Review and Meta-analysis of Randomized Clinical Trials”. JAMA internal medicine. 177 (12): 1808–1817. doi:10.1001/jamainternmed.2017.6040. PMID 29114778.
Side effects include gastrointestinal problems like diarrhea, nausea, and rarely, pancreatitis. Contact a doctor right away if you have sudden and severe stomach pain. Patients with kidney impairment cannot use Byetta, Bydureon, or Adlyxin; the other agents should be used with caution. These drugs do not usually cause low blood sugar.
“Obviously using nutrition as part of an overall diabetes treatment plan is not an entirely do-it-yourself project,” notes Campbell. It’s best, she states, if you work with a dietitian to determine which type of meal planning approach will work best for you.
Constipation is defined medically as fewer than three stools per week and severe constipation as less than one stool per week. Constipation usually is caused by the slow movement of stool through the colon. There are many causes of constipation including:
Know your A1c. The A1c test gives you your average blood sugar level over the few months before the test. Generally, A1c is checked at least 2 times a year. Talk with your doctor about how often you should have this test.
If you have any of these diabetes warning signs, contact your health care provider right away so you can have a diabetes test. Even people with pre-diabetes can have the increased risk from heart disease seen in people with type 1 or type 2 diabetes.
When diabetes occurs in women during pregnancy, it is called gestational diabetes. It usually is diagnosed between the 24th and 28th weeks of pregnancy. Like in type 1 and type 2 diabetes, blood sugar levels become too high. When women are pregnant, more glucose is needed to nourish the developing baby. The body needs more insulin, which is produced by the pancreas. In some women, the body does not produce enough insulin to meet this need, and blood sugar levels rise, resulting in gestational diabetes.
Jump up ^ Rodríguez-Morán, M; Guerrero-Romero, F; Lazcano-Burciaga, G (1998). “Lipid- and Glucose-Lowering Efficacy of Plantago Psyllium in Type II Diabetes”. Journal of Diabetes and its Complications. 12 (5): 273–78. doi:10.1016/S1056-8727(98)00003-8. PMID 9747644.
See Section 12 for recommendations specific for children and adolescents with type 2 diabetes. The use of metformin as first-line therapy was supported by findings from a large meta-analysis, with selection of second-line therapies based on patient-specific considerations (30). An ADA/European Association for the Study of Diabetes position statement “Management of Hyperglycemia in Type 2 Diabetes, 2015: A Patient-Centered Approach” (31) recommended a patient-centered approach, including assessment of efficacy, hypoglycemia risk, impact on weight, side effects, costs, and patient preferences. Renal effects may also be considered when selecting glucose-lowering medications for individual patients. Lifestyle modifications that improve health (see Section 4 “Lifestyle Management”) should be emphasized along with any pharmacologic therapy.
Some people with diabetes need to eat at about the same time each day. Others can be more flexible with the timing of their meals. Depending on your diabetes medicines or type of insulin, you may need to eat the same amount of carbohydrates at the same time each day. If you take “mealtime” insulin, your eating schedule can be more flexible.
Losing just 5% to 10% of your total weight can help you lower your blood sugar, blood pressure, and cholesterol levels. Losing weight and eating healthier can also have a profound effect on your mood, and sense of wellbeing. Even if you’ve already developed diabetes, it’s not too late to make a positive change. By eating healthier, being more physically active, and losing weight, you can reduce your symptoms or even reverse diabetes. The bottom line is that you have more control over your health than you may think.
. Long-term efficacy and safety of insulin detemir compared to Neutral Protamine Hagedorn insulin in patients with type 1 diabetes using a treat-to-target basal-bolus regimen with insulin aspart at meals: a 2-year, randomized, controlled trial. Diabet Med 2008;25:442–449
Some women with diabetes wonder if it’s safe to become pregnant. The good news is that you can have a healthy pregnancy after being diagnosed with type 1 or type 2 diabetes. However, it’s important to manage your condition before and during pregnancy to avoid complications.
If you have type 1 diabetes you’ll need to manage your glucose levels by matching your insulin to your diet and activity. If you have type 2 diabetes, you may manage your blood sugars with diet and activity alone, or add medications as needed.
Tooth decay and cavities are some of the first oral problems that individuals with diabetes are at risk for. Increased blood sugar levels translate into greater sugars and acids that attack the teeth and lead to gum diseases. Gingivitis can also occur as a result of increased blood sugar levels along with an inappropriate oral hygiene. Periodontitis is an oral disease caused by untreated gingivitis and which destroys the soft tissue and bone that support the teeth. This disease may cause the gums to pull away from the teeth which may eventually loosen and fall out. Diabetic people tend to experience more severe periodontitis because diabetes lowers the ability to resist infection and also slows healing. At the same time, an oral infection such as periodontitis can make diabetes more difficult to control because it causes the blood sugar levels to rise.
Physical activity is an important part of controlling diabetes and preventing complications such as heart disease and high blood pressure. “We know that exercise is a very effective way to help bring blood sugars under control for someone with type 2 diabetes,” says Kenneth Snow, M.D., Acting Chief, Adult Diabetes, Joslin Clinic. Try for 30 minutes of moderate exercise, like brisk walking, on most days. Joslin’s Why WAIT? and Easy Start exercise programs are great resources for developing a safe weight loss program.