Showing posts with label What causes Diabetes?. Show all posts
Showing posts with label What causes Diabetes?. Show all posts

Saturday, 1 November 2014

Diabetes and Food

 

What is a Food Plan?


What you eat and when you eat is basic and essential for the control of your diabetes. A diabetes food plan carefully balances the kinds and amounts of food you eat with your lifestyle and activity requirements for energy. This helps you to maintain your blood sugar levels within the desired level. Such a plan may also be designed for you to lose weight.
It is important for people with diabetes to maintain their weight within the normal range because excess weight makes it more difficult for insulin to function properly, and therefore more difficult to control your blood sugar.

The Diabetes Centre provides a dietary counselling service for all its patients. The picture below shows a a typical counselling session in progress.

Basic Guidelines for Healthy Eating


These guidelines are not just for diabetics, but for everyone to follow for good health and good eating habits.

  • Moderate intake of starchy, high fibre foods

  • Reduce fat intake

  • Minimise use of concentrated sugar

  • Drink less alcohol

  • Reduce salt intake


How do I stick with my diet?



  • Work with your dietician or doctor to develop a diabetes food plan you can live with.

  • Gradually substitute new foods and cooking methods into your way of life.

  • Don't try to change everything overnight.

  • Even if you sometimes forget to stick to your meal plan, don't give up. Just resolve to do better next time.

  • Seek the support of your family and friends, it will be healthy for them to eat the same foods as you.


How do I lose weight?


These are just some tips to start you off. Losing weight and maintaining the loss of weight is a challenge which requires commitment, discipline and all the support you can get from your family, friends, dietician and doctor.

  • Set realistic targets for yourself, and deadlines to meet those targets.

  • Take smaller servings of everything.

  • Eat slowly and really enjoy your food.

  • Substitute junk food snacks for low calorie foods like fruits.

  • Exercise regularly, at least 3 times a week. Choose an activity you enjoy.

  • Take your coffee or tea without sugar. You'll get used to it.

  • Minimise exposure to temptation. Keep your fridge and cupboards free from junk food.

  • Substitute high fibre foods - they're more 'filling'.


 

 

 

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Diabetes Myths

There are many myths about diabetes that make it difficult for people to believe some of the hard facts – such as diabetes is a serious and potentially deadly disease. These myths can create a picture of diabetes that is not accurate and full of stereotypes and stigma. You may also be interested in our book, Diabetes A-Z, 6th Ed.

Get the facts about diabetes and learn how you can stop diabetes myths and misconceptions.

Myth: Diabetes is not that serious of a disease.

Fact: If you manage your diabetes properly, you can prevent or delay diabetes complications. However, diabetes causes more deaths a year than breast cancer and AIDS combined. Two out of three people with diabetes die from heart disease or stroke.

 

Myth: If you are overweight or obese, you will eventually develop type 2 diabetes.

Fact: Being overweight is a risk factor for developing this disease, but other risk factors such as family history, ethnicity and age also play a role. Unfortunately, too many people disregard the other risk factors for diabetes and think that weight is the only risk factor for type 2 diabetes. Most overweight people never develop type 2 diabetes, and many people with type 2 diabetes are at a normal weight or only moderately overweight.

 

Myth: Eating too much sugar causes diabetes.

Fact: The answer is not so simple. Type 1 diabetes is caused by genetics and unknown factors that trigger the onset of the disease; type 2 diabetes is caused by genetics and lifestyle factors.

Being overweight does increase your risk for developing type 2 diabetes, and a diet high in calories from any source contributes to weight gain. Research has shown that drinking sugary drinks is linked to type 2 diabetes.

The American Diabetes Association recommends that people should avoid intake of sugar-sweetened beverages to help prevent diabetes. Sugar-sweetened beverages include beverages like:

  • regular soda

  • fruit punch

  • fruit drinks

  • energy drinks

  • sports drinks

  • sweet tea

  • other sugary drinks.


These will raise blood glucose and can provide several hundred calories in just one serving!

See for yourself:

  • Just one 12-ounce can of regular soda has about 150 calories and 40 grams of carbohydrate. This is the same amount of carbohydrate in 10 teaspoons of sugar!

  • One cup of fruit punch and other sugary fruit drinks have about 100 calories (or more) and 30 grams of carbohydrate.


 

Myth: People with diabetes should eat special diabetic foods.

Fact: A healthy meal plan for people with diabetes is generally the same as a healthy diet for anyone – low in saturated and trans fat, moderate in salt and sugar, with meals based on lean protein, non-starchy vegetables, whole grains, healthy fats and fruit. Diabetic and "dietetic" foods generally offer no special benefit. Most of them still raise blood glucose levels, are usually more expensive and can also have a laxative effect if they contain sugar alcohols.

 

Myth: If you have diabetes, you should only eat small amounts of starchy foods, such as bread, potatoes and pasta.

Fact: Starchy foods can be part of a healthy meal plan, but portion size is key. Whole grain breads, cereals, pasta, rice and starchy vegetables like potatoes, yams, peas and corn can be included in your meals and snacks. In addition to these starchy foods, fruits, beans, milk, yogurt, and sweets are also sources of carbohydrate that you need to count in your meal plan.

Wondering how much carbohydrate you can have? A place to start is about 45-60 grams of carbohydrate per meal. However, you may need more or less carbohydrate at meals depending on how you manage your diabetes. You and your health care team can figure out the right amount for you. Once you know how much carb to eat at a meal, choose your food and the portion size to match.

 

Myth: People with diabetes can't eat sweets or chocolate.

Fact: 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. The key to sweets is to have a very small portion and save them for special occasions so you focus your meal on more healthful foods.

 

Myth: You can catch diabetes from someone else.

Fact: 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: People with diabetes are more likely to get colds and other illnesses.

Fact: 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 illness can make diabetes more difficult to control, and people with diabetes who do get the flu are more likely than others to go on to develop serious complications.

 

Myth: If you have type 2 diabetes and your doctor says you need to start using insulin, it means you're failing to take care of your diabetes properly.

Fact: For most people, type 2 diabetes is a progressive disease. When first diagnosed, many people with type 2 diabetes can keep their blood glucose at a healthy level with oral medications. But over time, the body gradually produces less and less of its own insulin, and eventually oral medications may not be enough to keep blood glucose levels normal. Using insulin to get blood glucose levels to a healthy level is a good thing, not a bad one.

 

Myth: Fruit is a healthy food. Therefore, it is ok to eat as much of it as you wish.

Fact: Fruit is a healthy food. It contains fiber and lots of vitamins and minerals. Because fruits contain carbohydrates, they need to be included in your meal plan. Talk to your dietitian about the amount, frequency and types of fruits you should eat.

 

 

 

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Monday, 20 October 2014

What is Diabetes? What causes Diabetes?


Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).


Fast facts on diabetes

Here are some key points about diabetes. More detail and supporting information is in the main article.
  • Diabetes is a long-term condition that causes high blood sugar levels.
  • In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology).
  • Type 1 Diabetes - the body does not produce insulin. Approximately 10% of all diabetes cases are type 1.
  • Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type.
  • Gestational Diabetes - this type affects females during pregnancy.
  • 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.
  • If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.
  • Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.
  • As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.
  • As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.
  • Hypoglycemia - low blood glucose - can have a bad effect on the patient. Hyperglycemia - when blood glucose is too high - can also have a bad effect on the patient


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