Archive for the ‘Recently Diagnosed’ Category

Diabetes Myths

Monday, September 3rd, 2007

Myth #1 You can catch diabetes from someone else.
No. Although we don’t know exactly why some people develop diabetes, we know diabetes is not contagious. It can’t be caught like a cold or flu. There seems to be some genetic link in diabetes, particularly type 2 diabetes. Lifestyle factors also play a part.

Myth #2 People with diabetes can’t eat sweets or chocolate.
If eaten as part of a healthy meal plan, or combined with exercise, sweets and desserts can be eaten by people with diabetes. They are no more “off limits” to people with diabetes, than they are to people without diabetes.

Myth #3 Eating too much sugar causes diabetes.
No. Diabetes is caused by a combination of genetic and lifestyle factors. However, being overweight does increase your risk for developing type 2 diabetes. If you have a history of diabetes in your family, eating a healthy meal plan and regular exercise are recommended to manage your weight.

Myth #4 People with diabetes should eat special diabetic foods.
A healthy meal plan for people with diabetes is the same as that for everyone – low in fat (especially saturated and trans fat), moderate in salt and sugar, with meals based on whole grain foods, vegetables and fruit. Diabetic and “dietetic” versions of sugar-containing foods offer no special benefit. They still raise blood glucose levels, are usually more expensive and can also have a laxative effect if they contain sugar alcohols.

Myth #5 If you have diabetes, you should only eat small amounts of starchy foods, such as bread, potatoes and pasta.
Starchy foods are part of a healthy meal plan. What is important is the portion size. Whole grain breads, cereals, pasta, rice and starchy vegetables like potatoes, yams, peas and corn can be included in your meals and snacks. The key is portions. For most people with diabetes, having 3-4 servings of carbohydrate-containing foods is about right. Whole grain starchy foods are also a good source of fiber, which helps keep your gut healthy.

Myth #6 People with diabetes are more likely to get colds and other illnesses.
No. You are no more likely to get a cold or another illness if you have diabetes. However, people with diabetes are advised to get flu shots. This is because any infection interferes with your blood glucose management, putting you at risk of high blood glucose levels and, for those with type 1 diabetes, an increased risk of ketoacidosis.

Myth #7 Insulin causes atherosclerosis (hardening of the arteries) and high blood pressure.
No, insulin does not cause atherosclerosis. In the laboratory, there is evidence that insulin can initiate some of the early processes associated with atherosclerosis. Therefore, some physicians were fearful that insulin might aggravate the development of high blood pressure and hardening of the arteries. But it doesn’t.

Myth #8 Insulin causes weight gain, and because obesity is bad for you, insulin should not be taken.
Both the UKPDS (United Kingdom Prospective Diabetes Study) and the DCCT (Diabetes Control & Complications Trial) have shown that the benefit of glucose management with insulin far outweighs (no pun intended) the risk of weight gain.

Myth #9 Fruit is a healthy food. Therefore, it is ok to eat as much of it as you wish.
Fruit is a healthy food. It contains fiber and lots of vitamins and minerals. Because fruit contains carbohydrate, it needs to be included in your meal plan. Talk to your dietitian about the amount, frequency and types of fruits you should eat.

Myth #10 You don’t need to change your diabetes regimen unless your A1C is greater than 8 percent.
The better your glucose control, the less likely you are to develop complications of diabetes. An A1C in the sevens (7s), however, does not represent good control. The closer your A1C is to the normal range (less than 6 percent), the lower your chances of complications. However, you increase your risk of hypoglycemia, especially if you have type 1 diabetes. Talk with your health care provider about the best goal for you.

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Diabetes and Women’s Sexual Health

Sunday, September 2nd, 2007

Sex is an important part of life and relationships. But diabetes can affect a woman’s sex life. Some women with diabetes have less interest in sex because of depression or levels can make some women feel tired all the time. Or perhaps intercourse is painful because of vaginal dryness. Problems with having sex aren’t a normal part of getting older and don’t happen to all women who have diabetes.

If you find that you don’t enjoy sex anymore, it’s normal to feel upset. You may blame yourself or your partner. Some women feel angry or depressed. These feelings can make it hard for you to talk openly with your partner. Don’t give up! Find someone on your health care team to talk with. Learn about medicines or counseling that can help.

Depression and Anxiety

Both depression and anxiety can take away your desire for sex. Medicine or counseling can help with both depression and anxiety disorder. If you’ve been feeling depressed or worried for more than two weeks, talk with your health care team.

Baby Watch

Are you thinking about having a baby? Start working with your health care team before you get pregnant. Have your A-1-C, blood pressure, heart, kidneys, nerves, and eyes checked. See your dietitian to review your meal plan. Talk with your health care team about how being pregnant will affect your long term health.

If you take diabetes pills, you may need to switch to insulin to protect the baby. You may be referred to a special diabetes and pregnancy team. You will help keep yourself and your baby healthy and safe if you keep your blood glucose (sugar) in your target range before you get pregnant and until the baby arrives. That will lower your chances of having a premature baby or a baby that’s larger than normal. You’ll also lower the risk of having a baby with birth defects by keeping your blood glucose close to normal in the first few weeks of pregnancy. Today, more women with diabetes are able to have healthy babies. With planning and hard work, you can too.

The Birth Control Files

If you don’t want to get pregnant, you’ll need to use some kind of birth control. Even if you don’t have regular periods, you can still get pregnant. Most birth control methods are safe for women with diabetes. Talk with your health care team about your options.

Everybody Has Hormones

Some women find it hard to keep their blood glucose on track the week before and during their menstrual period. Your blood glucose levels may go up and down because of changes in hormone levels. Make a note of the days when you’re having your period in your blood glucose record book. Look for patterns and then talk with your health care team about changing your care plan before, during, or after your period to keep your blood glucose levels on target.

Here are a few tips:

· Work with your health care team to keep your blood glucose levels on target during your monthly cycles

· Talk with your health care team about hormone replacement therapy as you get close to menopause

A New Life to Live: Menopause

Menopause (MEN-oh-paws), also called change of life, can affect your blood glucose. As your hormone levels change, you may also have hot flashes or other signs. Talk with your health care team about whether hormone replacement therapy (hormone pills or patches) is right for you. You also may need a change in your diabetes medicines because changes in hormone levels can affect blood glucose. Some women find that they gain weight during menopause. Changing your meal plan or exercise routine can help you keep your weight where you want it.

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How to Prevent Pre-Diabetes

Saturday, September 1st, 2007

Pre-diabetes is a serious medical condition that can be treated. The good news is that the recently completed Diabetes Prevention Program study conclusively showed that people with pre-diabetes can prevent the development of type 2 diabetes by making changes in their diet and increasing their level of physical activity. They may even be able to return their blood glucose levels to the normal range.

While the DPP also showed that some medications may delay the development of diabetes, diet and exercise worked better. Just 30 minutes a day of moderate physical activity, coupled with a 5-10% reduction in body weight, produced a 58% reduction in diabetes.

The American Diabetes Association is developing materials that will help people understand their risks for pre-diabetes and what they can do to halt the progression to diabetes and even to, “turn back the clock” In the meantime, ADA has a wealth of resources for people with diabetes or at risk for diabetes that can be of use to people interested in pre-diabetes.

Nutrition

Knowing what to eat can be confusing. Everywhere you turn, there is news about what is or isn’t good for you. Some basic principles have weathered the fad diets, and have stood the test of time. Here are a few tips on making healthful food choices for you and your entire family.

  • Eat lots of vegetables and fruits. Try picking from the rainbow of colors available to maximize variety. Eat non-starchy vegetables such as spinach, carrots, broccoli or green beans with meals.
  • Choose whole grain foods over processed grain products. Try brown rice with your stir fry or whole wheat spaghetti with your favorite pasta sauce.
  • Include dried beans (like kidney or pinto beans) and lentils into your meals.
  • Include fish in your meals 2-3 times a week.
  • Choose lean meats like cuts of beef and pork that end in “loin” such as pork loin and sirloin. Remove the skin from chicken and turkey.
  • Choose non-fat dairy such as skim milk, non-fat yogurt and non-fat cheese.
  • Choose water and calorie-free “diet” drinks instead of regular soda, fruit punch, sweet tea and other sugar-sweetened drinks.
  • Choose liquid oils for cooking instead of solid fats that can be high in saturated and trans fats. Remember that fats are high in calories. If you’re trying to lose weight, watch your portion sizes of added fats.
  • Cut back on high calorie snack foods and desserts like chips, cookies, cakes, and full-fat ice cream.
  • Eating too much of even healthful foods can lead to weight gain. Watch your portion sizes.

Exercise

The journey of a thousand miles begins with a single step. Exercise works the same way. Taking that first step can be hard, especially if you’ve been diagnosed with diabetes. Remember — it’s never too late. You can always improve your level of fitness.

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Denial

Friday, August 31st, 2007

Denial is that voice inside repeating: “Not me.” Most people go through denial when they are first diagnosed with diabetes. “I don’t believe it. There must be some mistake,” they say.

That first reaction is not the real problem. In fact, it’s so common that some doctors think it’s part of the process of accepting the diagnosis.

The trouble comes when you keep on denying your diabetes. Long-term denial stops you from learning what you need to know to keep yourself healthy.

Why deny?

Sometimes denial serves a purpose. It is a way of coping with bad news. It can keep you from getting overwhelmed and depressed. It lets you accept news little by little, when you are ready.

But denial can return later on because it seems easier. Denying that your diabetes is serious lets you avoid self-care. It shields you from the fact that diabetes is a lifelong, chronic illness, which, if left untreated, can result in complications. Denial also lets your family and friends pretend that “nothing is wrong.”

Doctors who do not specialize in diabetes care may fuel your denial. They may talk about a “mild” case of diabetes or say there is “just a touch of sugar” in your blood. Though well-meaning, these terms send the wrong message. What you hear is “Don’t worry. Your diabetes is not serious enough to hurt you.”

Spotting denial

Denial has a few catch phrases. If you hear yourself thinking or saying them, you are avoiding some part of your diabetes care.

  • One bite won’t hurt.
  • This sore will heal by itself.
  • I’ll go to the doctor later.
  • I don’t have time to do it.
  • My diabetes isn’t serious. I only have to take a pill, not shots.

Hidden Danger

Because denial can creep into any aspect of diabetes self-care, it can be dangerous. Any denial sabotages your health care.

Not testing It can be a bother to check your blood glucose regularly. You may decide you “know” what your blood glucose is by how you feel. But a meter is a much better measure of blood glucose than feelings are.

Ignoring your meal plan Changing eating habits and food choices is tough. When your doctor told you to see a dietitian, follow a meal plan, and change your eating habits, maybe you thought to yourself:

  • It’s too expensive to see a registered dietitian.
  • I can’t ask my family to change what they eat. I don’t want to eat alone or fix two meals.
  • There’s no place to buy healthy food where I work.
  • It’s too hard to bring my lunch.

Eating right may not be as difficult as you think. A dietitian can help you put together a plan that meets your personal needs.

Forgetting your feet You know you should check your feet each day, but it takes too much time. Or you forget. Or you have limited mobility and it’s too hard. Washing and checking your feet for signs of trouble every day is essential to avoid serious injury. This is true no matter what type of diabetes you have.

Smoking You might tell yourself, “I only take a few puffs.” You may say smoking keeps you from eating too much. “If I quit, I’ll gain weight.” Smoking and diabetes are a deadly duo. Smoking increases your risk for complications. Quitting is one of the best things you can do for your health.

Avoiding denial

Denial is human. It’s bound to crop up from time to time. When it does, you can recognize what’s going on and fight back.

Write down your diabetes care plan and your health care goals. Understand why each item in your plan is important. Accept that it will take time to reach your goals. If you find you are denying some parts of your diabetes care, ask your diabetes educator for help. If you have trouble with your food plan, talk to a registered dietitian. Together you can come up with solutions.

Tell your friends and family how they can help. Let them know that encouraging you to go off your plan is not a kindness. Inform them about how you take care of your diabetes – they might want to adopt some of your healthy habits.

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Recently Diagnosed

Tuesday, August 14th, 2007

If you or someone you care for has recently been diagnosed with diabetes, you are no doubt experiencing a range of emotions. Fear, anger, denial, frustration, depression and uncertainty are just a few of them, and are very common.

You are not alone. This area of our Web site can help ease your fears and teach you more about living with and managing your diabetes, caring for someone with diabetes, and how to handle the emotions behind an initial diagnosis.

Recently Diagnosed – Type 1 Child
Type 1 diabetes is most often diagnosed in children, and was previously known as juvenile diabetes. Find targeted “need to know now” information for parents and kids on dealing with a recent diagnosis.

Recently Diagnosed – Type 1 Adult
Type 1 diabetes is frequently diagnosed in young adults as well. Find targeted “need to know now” information on dealing with a recent diagnosis.

Recently Diagnosed – Type 2
Type 2 diabetes is the most common form of diabetes, previously known as adult-onset diabetes. Find targeted “need to know now” information on dealing with a recent diagnosis.

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