Posts Tagged ‘Recently Diagnosed’

Diabetes and Pregnancy

Wednesday, October 3rd, 2007

You have the good fortune to live when you do. Health care providers no longer discourage women with diabetes from becoming pregnant.

We now know that the key to a healthy pregnancy for a woman with diabetes is keeping blood glucose (sugar) in the target range — both before she is pregnant and during her pregnancy. To do this, you need a diabetes treatment plan that keeps meals, exercise, and insulin in balance. This plan will change as you change with pregnancy. You will also need to check your blood glucose often and keep a record of your results. With your blood glucose in the target range and good medical care, your chances of a trouble-free pregnancy and a healthy baby are almost as good as they are for a woman without diabetes.

Before Pregnancy
Find out what precautions a person with diabetes needs to take before getting pregnant.

Good Prenatal Care
Learn how to take care of yourself and your baby when you have diabetes and you are pregnant.

Delivery
Find out what to expect when you deliver your baby.

After Delivery
Get tips on breastfeeding and how to take care of yourself after delivery.

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Pre-diabetes

Tuesday, October 2nd, 2007

Before people develop type 2 diabetes, they almost always have “pre-diabetes” — blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. There are 54 million people in the United States who have pre-diabetes. Recent research has shown that some long-term damage to the body, especially the heart and circulatory system, may already be occurring during pre-diabetes.

Research has also shown that if you take action to manage your blood glucose when you have pre-diabetes, you can delay or prevent type 2 diabetes from ever developing. Together with the National Institute of Diabetes and Digestive and Kidney Diseases, the American Diabetes Association published a Position Statement on “The Prevention or Delay of Type 2 Diabetes” to help guide health care professionals in treating their patients with pre-diabetes.

There is a lot you can do yourself to know your risks for pre-diabetes and to take action to prevent diabetes if you have, or are at risk for, pre-diabetes. The American Diabetes Association has a wealth of resources for people with diabetes. People with pre-diabetes can expect to benefit from much of the same advice for good nutrition and physical activity. The links on this page are cornerstones of successful management of pre-diabetes.

How to Tell if You Have Pre-Diabetes
Learn how you may be at risk for pre-diabetes.

How to Prevent Pre-Diabetes
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.

Frequently Asked Questions about Pre-Diabetes
How do I know if I have pre-diabetes? What is the treatment for pre-diabetes? Learn the answers to these questions and more in this section.

Common Concerns
In this section, learn more about common concerns that people with diabetes face every day. These include what happens when you’re sick, and when you travel, should you get a flu/pneumonia shot, and dealing with feelings like anger and depression.

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Recently Diagnosed – Type 2

Monday, October 1st, 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 diabetes, caring for someone with diabetes, and connect you with others affected by diabetes who will listen and share their own experiences.

Finding out you or someone you love has diabetes is scary. But don’t panic. Diabetes is serious, but people with diabetes can live long, healthy, happy lives. The links below will direct you to basic information, expert advice and peer support.

Straight Answers About Type 2 Diabetes

Find answers to common basic concerns associated with being recently diagnosed, and learn about diabetes conditions, treatments and complications.

Type 2 diabetes
Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin.

Pre-diabetes
Before people develop type 2 diabetes, they almost always have “pre-diabetes” — blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes.

Diabetes Myths
Find the truth about some of the most common myths about diabetes.

Common Concerns
This section addresses various areas to help you live with type 2 diabetes. What do you do when you’re sick? What do you do when you travel? Can you get a flu shot with diabetes? How do you cope with having type 2 diabetes? Are you being discriminated against because you have diabetes? You’ll find answers to these questions, and more in this section.

Managing Your Diabetes

Health Information For Women
Learn how to help ensure the health and well-being for yourself.

Health Information For Men
Learn how to help ensure the health and well-being for yourself.

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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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