As the insulin in your blood is not working properly, or is not there at all, and your cells are not getting their energy, your body may react by trying to find more energy – food. You will become hungry.
Again, this could be attributed solely to your inadequate hydration levels. (Even mild dehydration is associated with a whole range of not-so-fun symptoms.) But big swings in blood sugar among diabetics could also explain this fatigue, according to a 2011 study from the University of Illinois, Chicago. The study also found sleep-related issues like restless-leg syndrome tended to be higher among diabetics, and could explain why folks with diabetes often report feeling wiped out.
While there aren’t foods you can eat and should avoid specifically, it is important that you discuss with your doctor any concerns you have. There are some guidelines when it comes to carbs and diabetes, fruit and diabetes, or alcohol and diabetes, for example.
Dehydration can lead to muddled thinking or confusion, Silver says. So that alone could explain the links between diabetes and foggy thinking. But a recent study from Harvard Medical School shows elevated blood sugar can also make the vessels in your brain less pliant, which reduces oxygen to the brain, promotes inflammation, and can lead to cloudy thinking.
Discuss the pros and cons of different drugs with your doctor. Together you can decide which medication is best for you after considering many factors, including costs and other aspects of your health.
Trick (important): Take a swig of vinegar before every meal. This lowers your blood sugar by 30%. Most people use apple cider vinegar. If you can’t stomach it, a friend who monitors her blood sugar to control gestational diabetes tells me that 5 gherkin pickles also do the trick.
This can be caused by tissue being pulled from your eye lenses. This affects your eyes’ ability to focus. With proper treatment this can be treated. There are severe cases where blindness or prolonged vision problems can occur.
“Brittle” diabetes, also known as unstable diabetes or labile diabetes, is a term that was traditionally used to describe the dramatic and recurrent swings in glucose levels, often occurring for no apparent reason in insulin-dependent diabetes. This term, however, has no biologic basis and should not be used. Still, type 1 diabetes can be accompanied by irregular and unpredictable high blood sugar levels, frequently with ketosis, and sometimes with serious low blood sugar levels. Other complications include an impaired counterregulatory response to low blood sugar, infection, gastroparesis (which leads to erratic absorption of dietary carbohydrates), and endocrinopathies (e.g., Addison’s disease). These phenomena are believed to occur no more frequently than in 1% to 2% of persons with type 1 diabetes.
Diabetes can be treated in several ways. Diet, physical activity, and careful monitoring are important if you have diabetes, no matter which type of diabetes you have. If you have type 1 diabetes, you will need to take insulin for the rest of your life. That is because your body doesn’t produce insulin. If you have type 2 diabetes, if may be possible to control your condition with lifestyle changes, such as diet and exercise. You may also need to take oral or injectable medications, including insulin, to manage your blood sugar levels.
The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
In 2010, diabetes-related emergency room (ER) visit rates in the United States were higher among people from the lowest income communities (526 per 10,000 population) than from the highest income communities (236 per 10,000 population). Approximately 9.4% of diabetes-related ER visits were for the uninsured.
Like pramlintide, exenatide is injected but only twice each day (usually before breakfast and dinner meals). Exenatide is available by a disposable pen form and in two doses. The initial goal is to start a lower dose for a month or so, then move up to the higher dose if needed and as tolerated. Similar to pramlintide, the main side effect of exenatide is nausea, most likely due to its effects on stomach emptying. Exenatide is temperature sensitive, so the initial recommendation was to store pens at 36 F to 46 F (2 C to 8 C). This recommendation recently changed. Unopened pens should be refrigerated; once opened, exenatide pens can be left at room temperature. The risk of hypoglycemia remains a possibility with exenatide, especially when used in combination with sulfonylurea. Your health-care professional may choose to decrease the dose of other medications while initially evaluating your response to exenatide.
Syda Productions/shutterstock”It’s not like you wake up one day and all of a sudden you’re thirsty, hungry, and [going to the bathroom] all the time,” says Melissa Joy Dobbins, RD, a certified diabetes educator in Illinois and a spokesperson for the American Association of Diabetes Educators. “It picks up gradually.” Indeed, “most people are unaware that they have diabetes in its early or even middle phases,” says Aaron Cypess, MD, assistant professor of medicine at Harvard Medical School and staff physician at Joslin Diabetes Center. Just because you’re not keyed in doesn’t mean you’re immune from problems associated with diabetes, he adds. The longer you go without controlling diabetes, the greater your risk for heart disease, kidney disease, amputation, blindness, and other serious complications. “We recommend that people with risk factors for diabetes, such as a family history or being overweight, get evaluated on a regular basis,” Dr. Cypess says. If you’ve been feeling off, talk to your doctor about getting a simple blood test that can diagnose the disease. And pay attention to these subtle signs and symptoms of diabetes.
Jump up ^ Hu EA, Pan A, Malik V, Sun Q (2012-03-15). “White rice consumption and risk of type 2 diabetes: meta-analysis and systematic review”. BMJ (Clinical research ed.). 344: e1454. doi:10.1136/bmj.e1454. PMC 3307808 . PMID 22422870.
John’s naturopath, Susan DeLaney, ND, RN, from The Wellness Alliance in Carrboro, North Carolina, considers diabetes to be reversed when an individual is no longer dependent on medication to maintain blood glucose levels within a fairly normal range. Kathie Madonna Swift, MS, RD, LDN, owner of Swift Nutrition and author of The Inside Tract: Your Good Gut Guide to Great Digestive Health, describes reversal of diabetes as “restoring function and bringing the body back into glycemic balance.”
Grapefruit also seems to help improve HDL (good) cholesterol levels. In a recent study, individuals who consumed fresh grapefruit or grapefruit juice before meals had a 6-8 percent increase in HDL (good) cholesterol compared with the control group, which drank water before meals. Grapefruit juice has also been shown to help lower blood pressure in people with both normal and high blood pressure.
Amylin analogs can also aid weight loss, and they require additional shot with each meal. The only available drug in this class in the United States is pramlintide, which holds down the usual blood sugar rise after meals by slowing down the digestion of food.
How would you know if you had urinary tract infection (UTI)? Take the Urinary Tract Infection in Adult Quiz to learn the causes, symptoms, and treatments for infection that can affect your kidneys, ureters, bladder, and urethra.
If you have type 1 diabetes, your pancreas no longer makes the insulin your body needs to use blood sugar for energy. You will need insulin in the form of injections or through use of a continuous pump. Learning to give injections to yourself or to your infant or child may at first seem the most daunting part of managing diabetes, but it is much easier that you think.
Type 1 diabetes is managed through use of a variety of insulins. People with T1D must work closely with their medical team to find the right insulin treatment for their condition. Further information about the types of insulin and their effects are available on our insulin page.
Borderline Diabetes: What You Need to Know Borderline diabetes, known as prediabetes, is a condition where blood sugar levels are higher than normal but not yet high enough to be type 2 diabetes. Read now
Diabetes limits your body’s ability to properly move sugar out of your blood stream and into your cells, where the sugar is stored and used for energy. Because your body isn’t getting enough of that energy, diabetes patients can experience “polyphagia,” which is a kind of all-the-time hunger, shows research in the journal Diabetes Care.
Sodium-glucose co-transporter 1 (SGLT2) inhibitors: Approved in 2013, cenagliflozin (Invokana) the first drug of this class blocks reabsorption of glucose by the kidney, leading to increased glucose excretion and reduction of blood sugar levels. Urinary tract infections are more common with this treatment due to higher sugar levels in the urine.
Chicken salad: Combine 2 c mixed dark greens, 2 stalks chopped celery, and ¼ c sliced green or red grapes. Top with 2 oz cooked chicken breast, and drizzle with 2 Tbsp light honey mustard dressing (such as Newman’s Own). Serve with 1 slice reduced-calorie 100% whole grain toast, spread with 1 tsp canola oil soft tub margarine.
Thanks for the recipes! And yes, it’s me the LADA/1.5 (a.k.a. “Type Weird”) diabetic, weighing in on beans: can’t eat ’em because even in small quantities they make my blood sugar spike. Dang. Oh. And starches? Bread? Sweet potatoes? Fageddaboudit! Thank goodness there are green veggies, eggs, full-fat cheese, plus tofu and nuts. P.S.: Love the blog.
When picked well and eaten in moderation, dairy can be a great choice for people with diabetes. Just keep fat content in mind, as being overweight or obese can reduce insulin sensitivity, causing prediabetes to progress to full-blown diabetes or increasing the risk of complications if you have type 2 diabetes. Whenever possible, opt for fat-free dairy options to keep calories down and unhealthy saturated fats at bay.
Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.
Diabetes also is an important factor in accelerating the hardening and narrowing of the arteries (atherosclerosis), leading to strokes, coronary heart disease, and other large blood vessel diseases. This is referred to as macrovascular disease.
To help you eat right, you and your diabetes health care team will create a written diabetes meal plan. Meal plans usually consist of guidelines for preparing breakfast, lunch, and dinner with scheduled between-meal snacks.
Gardner DG, et al. Greenspan’s Basic & Clinical Endocrinology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=13. Accessed April 27, 2014.
Jump up ^ Butalia S, Kaplan GG, Khokhar B, Rabi DM (Aug 18, 2016). “Environmental Risk Factors and Type 1 Diabetes: Past, Present, and Future”. Can J Diabetes (Review). 40 (6): 586–93. doi:10.1016/j.jcjd.2016.05.002. PMID 27545597.