Question: What are Omega 3's? Should I be taking them to help control my blood sugar levels?
Question: What are Omega 3's? Should I be taking them to help control my blood sugar levels?
Question: When I am low (meter reads low so its below 20 mg/dL) and I get a quick fix and everything turns out OK, I still suffer the sweats afterwards. Is there any way to stop the sweats when you know they will be coming on?
Question: My blood sugars have been going very low at night (around 35 mg/dL) before I am awakened. What can I proactively do to condition my body to wake up sooner from a low blood sugar at night?
Answer: Thank you for your question. Your low blood sugar that occurs while sleeping (nocturnal hypoglycemia) is quite serious. First and foremost, you need to notify your physician and see if there needs to be a change in your medication.
Approximately 50% of hypoglycemic episodes actually occur during the evening. Symptoms of nocturnal hypoglycemia include:
Question: "I have diabetes and I am wondering if my children are more likely to be diagnosed with diabetes? If so, what can I do to prevent this?"
Answer: According to the American Diabetes Association’s Clinical Practice Guidelines, individuals who have a first-degree relative with diabetes are unfortunately at a higher risk for developing diabetes.
Question: Hi…I am a type 2 diabetic now on Lantus, Novalog and Metformin. I generally eat healthy…fresh fruit and vegetables are high on my list of foods to eat. We eat a lot of chicken, beef maybe once or twice a week, whole wheat pasta dish once a week, pork once a week. The thing is, I don’t like or eat fish. I understand that this is something I should be eating but just can’t eat it. Is there something else that you can suggest as a good alternative to fish to eat?
Answer: Great job! It sounds like you are already following a well-balanced, healthy eating plan. It is always a good idea to have a lean source of protein at every meal or snack because this helps stabilize blood sugars. The health benefits of fish lie in the omega-3 fatty acids. These fatty acids have been shown to have numerous benefits that include lowering triglycerides, improving mood, reducing inflammation, preventing age-related diseases, and more!
Question: I was diagnosed with Gestational Diabetes when I was pregnant with my last child who is now 3 months old. The doctor said that now I have a higher chance of developing Type 2 Diabetes. Is this true, and if so what can I do to prevent my chances of becoming diabetic?
Answer: Yes, your doctor is correct. Gestational Diabetes (GDM) occurs in 7% of all pregnancies. Women who are diagnosed with GDM have approximately a 50% risk of developing diabetes within 5-15 years of their delivery.
Q: Help! I make bad food choices all the time because I am constantly hungry. I'm hungry, I eat and then I'm instantly hungry again. Does this happen to other women? I have Type 2 diabetes for which I take Metformin and Welchol.
A: Dear Desperate,
What you are experiencing is very common. There are several issues that can cause extreme hunger in Type 2 diabetes. First, you may have high levels of circulating insulin that can be made worse by eating too many carbohydrates or foods with a high glycemic index (foods that convert to sugar quickly). It is important to meet with a dietitian that specializes in diabetes to help you deal with these issues.
Secondly there is another physical issue that can make you hungry. Persons with Type 2 diabetes often lack enough of a type of hormone called incretin. Incretin is responsible primarily for controlling after meal blood sugars. It does this by reducing the flow of sugar from the liver after eating, increasing the natural production of insulin when you eat carbohydrate, and slowing digestion. It’s this last function that is of interest. When digestion is slowed, less sugar is absorbed into the bloodstream from the intestines. Slowing digestion also means that more food stays in the stomach for a longer period of time. (Can you see where this is going?) If you lack incretin, food empties from the stomach faster meaning that you can be hungry shortly after finishing a meal! Incretin can be replaced with certain injectable medications called incretin mimetics. In the US there are currently two, Byetta and Victoza. Weight loss is often a side effect of these diabetes medications. Only your doctor can decide if these might be appropriate for you.
Isn’t is nice to know that you are not alone and that there might be an answer to this problem?! Hope this works for you!
Q: I was told I was type 2 because of my weight. I'm 39. My bg was 440 at diagnosis, A1C 9.5. I had trouble with my vision, weight loss without trying and excessive thirst. I was put on insulin right after diagnosis, because oral meds didn't work. I now use Lantus and Novolog to control my blood sugars. Last A1C was 6.2. Am I really type 2 or type1?
A: The only way to really tell if you are Type 2 (someone who still makes insulin but their insulin does not work correctly) versus Type 1 (someone who makes little to no insulin because of an "autoimmune" disorder- a condition where the body destroys the cells that make insulin) is to have some blood work.
The types of tests that are used are C-peptide levels (shows how much insulin is being made) and antibody levels (looks to see if the body is producing the substances that destroy the insulin-producing cells). If you are making little to no insulin, and/or have positive antibodies, you are Type 1.
Many doctors look at heavy people and automatically assume that they are type 2. Not so! As our population becomes heavier we are seeing more overweight persons with type 1. Age does not always indicate which type of diabetes you have either, although most Type 1's develop the disorder as children, some do not and become Type 1 when they are adults.
However, the best way to treat diabetes when the sugar is very high is to use insulin. Type 1, Type 2, it doesn't make any difference. Your doctor may also add oral medications and then when your blood sugars come down try to wean you off of the insulin. Many people do so well with the oral medications that they can stop the insulin, but some do not and have to keep taking the insulin. Diabetes treatment is highly individualized. Whatever is working for you currently is the best treatment. Congratulations on your wonderful success at lowering your A1C!
Question: Hi I've had "type 1" diabetes for three years now . . . which I have spent totally NOT in control of it!! My levels are usually above 500!! And every time I decide to start controlling it, all I can think is that the damage has already been done and the complications are ABSOLUTELY coming!!
Is that really true or can I do something to stop these complications!! ?? I am SUFFERING here and no one understands what I am going through. Even the closest ones they think that it's just a simple matter of controlling what you eat!! Please help!! I am 17 years old and I have had diabetes since I was 14!
Thank you for your help,
Out of Control
Answer: Dear “Out of Control” . . . It is NEVER too late to BEAT the complications of uncontrolled diabetes! Our bodies have the amazing capacity to heal and restore, and even reverse the damage caused by uncontrolled diabetes.
I know, from personal experience, that controlling diabetes is not easy. And as you well know, perfect control is rarely possible. Just the same, perfect control is something you can aim for.
Find a Doctor and Diabetes Care Team who can help you discover ways of integrating diabetes into you life . . . so that diabetes doesn’t end up controlling you!
November 22, 2010
Question: Hi I'm writing this letter in desperation. I work with children with special needs and when the children get sick I get sick as my resistance is very low. Is there a way that I can boost my immune system, being a diabetic, I am really at my wits end and am so tired of being sick. ~ Kerry
People who have diabetes can be every bit as healthy and resistant to sickness as people who do not have diabetes. . . And YES there are things you can do to boost your immune system:
Eat a healthy, well balanced, nutritious diet with plenty of fresh fruits and vegetables of all colors and shapes every day; Eat foods in their most natural state, as they are chuck full of nutrients that are necessary for health. . . A supplement of Vitamin C may also be helpful during the flu season!
Avoid processed sugars and “sweets” . . . because a CHO is not just a CHO when it comes to nutrition. Sugary foods actually slow and prevent your immune system from doing it job.
Keep your blood sugar under the tightest control possible . . . as excess sugar in your blood slows down your immune system as well.
Drink 6 to 8 glasses of pure fresh water everyday . . . and avoid sugary or carbonated drinks
Stay active and spend time in the great out of doors everyday
Wash your HANDS religiously
Get 6 to 8 hours of sleep every day
Ask your Doctor to check you Vitamin D levels . . . as Vitamin D is essential to a healthy immune system.
Best of Health to You!
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