Q. I got tested for diabetes and the results came back border line, but not fully diabetic. Except now i think i am a full diabetic.
I have EXTREME thirst, fatigue, sometimes blurred vision, weakness, dry skin, charly horses almost everytime i sleep sometimes so bad i almost cry, and numb legs which used to get really bad at night when i lay on my stomache but have gotten less frequent.
I have EXTREME thirst, fatigue, sometimes blurred vision, weakness, dry skin, charly horses almost everytime i sleep sometimes so bad i almost cry, and numb legs which used to get really bad at night when i lay on my stomache but have gotten less frequent.
A. It would have been helpful if you had provided more information most especially your glucose readings. When physicians use the term 'borderline' they are most often saying that you are an 'early' diabetic. Since the term borderline is - to my knowledge - never used in reference to type 1 diabetes I must assume that you have early type 2 diabetes. The initial approach is most often life-style modification rather than pharmacologic intervention. A low glycemic index diet with little to no refined carbohydrates, weight loss if you are over weight, and regular exercise. It would not be appropriate to suggest that you start taking a medication - such as metformin hydrochloride - as one respondent has suggested. This is because we do not know your glucose readings and if they are only mildly elevated - which is what I suspect - prescribing metformin might lead to hypoglycemia. The symptoms that you provide are not typical of type 2 diabetes. Yes diabetics may experience thirst, fatigue (although this is a common symptom even without diabetes), and blurred vision. Dry skin and muscle cramping however are not symptoms of diabetes. Numbness in the legs is potentially related to diabetes as diabetes may cause peripheral neuropathy. There is a qualifying comment. Peripheral neuropathy most often starts in the feet and gradually progresses to the legs which does not match your very limited description. My advice would be to return to your physician. Obtain the actual glucose result(s). Inquire about your symptoms. If your physician believes that they are related to diabetes then 'treating' the diabetes is the place to start. If your physician does not believe that they are related to diabetes then it is the physician's responsibility to determine the diagnosis in order to define the treatment. These symptoms sound as if they really interfere with your activities and sleep so I would pursue this until a physician has managed to relieve you symptoms. If I may be of further assistance please let me know. I wish you the very best of health and in all things may God bless.
How many grams of sugar is safe for a Type 2 diabetic?
Q. I want to help an adult friend who has type 2 diabetes eat the foods he likes.
He's been reading the nutritional facts, and he avoids foods that have more than 2 grams of sugar per serving.
How many grams of sugar should a diabetic consume? Of course, it's best that he doesn't consume any sugar at all, but please tell me the most amount of sugar a type 2 diabetic is allowed to consume.
He's been reading the nutritional facts, and he avoids foods that have more than 2 grams of sugar per serving.
How many grams of sugar should a diabetic consume? Of course, it's best that he doesn't consume any sugar at all, but please tell me the most amount of sugar a type 2 diabetic is allowed to consume.
A. David:
I wish Chadmg's answer where correct. Things will be SO much easier that way. Unfortunately, it is not. More boring, yes. But simpler and easier.
Now, I am personally thankfull it is this way (don't get me wrong). It is just that there ar so many people in this wotld that would benefit from it being the other way.
If you exterminate completely your friends sugars consumption, his blood sugar level will drop to 0 and you will certainly die. So he needs to eat the right amount of carbohydrates (sugars--more or less complex) for your body to use without collecting it all in his blood.
Even high power, high glycemic foods such like non diet chocolate milk can have a place in the life of a diabetic, in controlled amounts and under very special circumstances.
Say what?
Yes, you read it right.
The special circumstances are an hypoglycemia attack. And the required amount is 15 (perhaps up to 30) grams of carbohydrates.
A 200ml (6.7 oz) box of chocolate milk here contains 24 grams of carbohydrates (I read the label). Enough to push your friend's sugar level up by 80 mg/dL (4.4 mmol/L). Which is you are having a blood sugar level of 30 mg/dL (1.7 mmol/L), that will leave you at 110 (6.6), which is perfect.
Of course, you will also need to eat something more consistent such as a diet yogurt to keep it from going back down in 2 hours, which is how long those kind of sugars can push your glucose up.
Note how I did the calculations and how low the sugar level was to begin with.
The most is always defined by your glucometer and the following this formula:
=========================================
15 grams of carbohydrates = 50 mg/dL (2.8 mmol/L) rise
=========================================
According to this formula, 2 grams is way too low for him to avoid. He should try 15 grams.
Please note when I refer to carbohydrates, these don't mean fibers. Fibers are good. The more the better.
The reason is that fibers cannot be digested by our stomach, and they get defecated before reaching the blood. Indeed fibers might carry on some carbs with them to the excrement.
So, if you read that each portion of a food has 25 grams of carbs, but of them 20 are fibers, you can go and eat it without a problem.
Now, I am not a doctor. Talk to a doctor personally without applying any of this.
Moreover, if your doctor disqualifies me, then consider me disqualified. I am not a doctor, just a diabetic that knows from experience and conversations with lots of doctors and nutritionists and assisting to education talks doctors held.
If after this warning you still choose to disobey your doctor and obey me, don't blame me later for doing so. It could well be that this formula for some medical reason doesn't applies to your friend.
Now, I am type 1. For type 1s, you can also add a third factor to the equation:
15 grams of carbs = 50 mg/dL = 1 unit of insulin
But due to insulin resistance, this doesn't applies to type 2s. Howeverm if you measure how many insulin units drop you how much your friend's sugar level, he could get away with replacing his computed resistance level with the amount of of insulin your friend need to inject.
Note also that this relates specifically to insulin. In particular, to fast acting insulin (such as Humalog, ActRapid, etc). It does not apply to pills and does not apply to slower acting insulin with longer validity periods, such as Insulatard, any Mixtard, etc.
I wish Chadmg's answer where correct. Things will be SO much easier that way. Unfortunately, it is not. More boring, yes. But simpler and easier.
Now, I am personally thankfull it is this way (don't get me wrong). It is just that there ar so many people in this wotld that would benefit from it being the other way.
If you exterminate completely your friends sugars consumption, his blood sugar level will drop to 0 and you will certainly die. So he needs to eat the right amount of carbohydrates (sugars--more or less complex) for your body to use without collecting it all in his blood.
Even high power, high glycemic foods such like non diet chocolate milk can have a place in the life of a diabetic, in controlled amounts and under very special circumstances.
Say what?
Yes, you read it right.
The special circumstances are an hypoglycemia attack. And the required amount is 15 (perhaps up to 30) grams of carbohydrates.
A 200ml (6.7 oz) box of chocolate milk here contains 24 grams of carbohydrates (I read the label). Enough to push your friend's sugar level up by 80 mg/dL (4.4 mmol/L). Which is you are having a blood sugar level of 30 mg/dL (1.7 mmol/L), that will leave you at 110 (6.6), which is perfect.
Of course, you will also need to eat something more consistent such as a diet yogurt to keep it from going back down in 2 hours, which is how long those kind of sugars can push your glucose up.
Note how I did the calculations and how low the sugar level was to begin with.
The most is always defined by your glucometer and the following this formula:
=========================================
15 grams of carbohydrates = 50 mg/dL (2.8 mmol/L) rise
=========================================
According to this formula, 2 grams is way too low for him to avoid. He should try 15 grams.
Please note when I refer to carbohydrates, these don't mean fibers. Fibers are good. The more the better.
The reason is that fibers cannot be digested by our stomach, and they get defecated before reaching the blood. Indeed fibers might carry on some carbs with them to the excrement.
So, if you read that each portion of a food has 25 grams of carbs, but of them 20 are fibers, you can go and eat it without a problem.
Now, I am not a doctor. Talk to a doctor personally without applying any of this.
Moreover, if your doctor disqualifies me, then consider me disqualified. I am not a doctor, just a diabetic that knows from experience and conversations with lots of doctors and nutritionists and assisting to education talks doctors held.
If after this warning you still choose to disobey your doctor and obey me, don't blame me later for doing so. It could well be that this formula for some medical reason doesn't applies to your friend.
Now, I am type 1. For type 1s, you can also add a third factor to the equation:
15 grams of carbs = 50 mg/dL = 1 unit of insulin
But due to insulin resistance, this doesn't applies to type 2s. Howeverm if you measure how many insulin units drop you how much your friend's sugar level, he could get away with replacing his computed resistance level with the amount of of insulin your friend need to inject.
Note also that this relates specifically to insulin. In particular, to fast acting insulin (such as Humalog, ActRapid, etc). It does not apply to pills and does not apply to slower acting insulin with longer validity periods, such as Insulatard, any Mixtard, etc.
How many sugar-free days does it take to truly break a sugar addiction?
Q. I define "sugar-free" as only consuming fructose - sugar from organic fruit only. The rest of the food sources will include nothing artificial and gmo-based.
A. All carbohydrates convert to glucose (sugar) even vegetables & carbs trigger cravings for more carbs. So if you truly want to break a sugar addiction, I recommend going 3 days without carbs.
Simple carbs are addictive & can be disastrous to health. The best way to break the addiction is NO carbs for 3 days. Make a huge batch of deviled eggs, eat one every time you want "something" - have huge omelets with bacon, sausage, peppers, mushrooms & cheese. Pork chops smothered with peppers, mushrooms & cheese - pork rinds & dip or tuna/chicken/turkey/egg salad - steaks - a huge sugar free cheese cake. Eat so much you won't feel deprived of anything. By the 4th day, the addiction will be gone & you can start making healthy choices.
All carbs (even vegetables) are converted to sugar (glucose) in the body. Posted below is a fascinating interview with Dr.Richard Bernstein (the diabetes specialist & a type 1 diabetic) on youtube where he demonstrated how whole grain bread turned to glucose within one second in his mouth! He says the exact thing would happen with corn or an apple as well.
http://www.youtube.com/watch?v=3PZno7Nkuuw&feature=PlayList&p=72BB956FBFF0CD62&index=0&playnext=1
Dr.Richard Bernstein (the diabetes specialist & a type 1 diabetic) from his book, "Diabetes Solutions" pertinent chapters available to read online -
What if I, a physician, told you, a diabetic, to eat a diet that consisted of 60 percent sugar, 20 percent protein, and 20 percent fat? More than likely, you�d think I was insane. I�d think I was insane, and I would never make this suggestion to a diabetic (nor would I even make it to a nondiabetic). But this is just the diet the ADA recommended to diabetics for decades.
Whether you eat a piece of the nuttiest whole-grain bread, drink a Coke, or have mashed potatoes, the effect on blood glucose levels is essentially the same� blood sugar rises, fast. ... our saliva can break starches into the shorter chains on contact and then convert those into pure glucose.
With a number of important exceptions, carbohydrates, or foods derived primarily from plant sources that are starches, grains, and fruits, have the same ultimate effect on blood glucose levels that table sugar does.
http://www.diabetes-book.com/book/chapter9_3.shtml
Fructose is the most lipogenic (fat producing) carb. Table sugar is also a refined product & not much better. Sucrose (table sugar) is made of 50% fructose and 50% glucose, whereas high-fructose corn syrup can be either 55% fructose, 45% glucose, or 42% fructose, 58% glucose.
Researchers from the University of California, Davis compared glucose and fructose consumption among 32 overweight or obese people and found they resulted in very different health changes.
After drinking either a fructose- or glucose-sweetened beverage that made up 25 percent of their daily calories for 12 weeks, both groups gained a similar amount of weight. However, those drinking the fructose-sweetened beverage experienced an array of other unhealthy effects, including:
*
An increase in visceral fat, the kind that embeds itself between tissues in organs
*
Less sensitivity to insulin, one of the first signs of diabetes
*
Increased fat production in the liver
*
Elevated LDL (bad) cholesterol
*
Increased levels of triglycerides
People who drank the glucose-sweetened beverage, meanwhile, experienced no such changes.
"This suggests that in the same way that not all fats are the same, not all dietary carbohydrates are the same either," Peter Havel, professor of nutrition at the University of California Davis
http://www.sixwise.com/Newsletters/2009/April/29/Glucose-Fructose-Sucrose-Whats-the-Difference.htm
Robert H. Lustig, MD, UCSF Professor of Pediatrics in the Division of Endocrinology, explores the damage caused by sugary foods. He argues that fructose (too much) and fiber (not enough) appear to be cornerstones of the obesity epidemic through their effects on insulin.
http://www.youtube.com/watch?v=dBnniua6-oM
Simple carbs are addictive & can be disastrous to health. The best way to break the addiction is NO carbs for 3 days. Make a huge batch of deviled eggs, eat one every time you want "something" - have huge omelets with bacon, sausage, peppers, mushrooms & cheese. Pork chops smothered with peppers, mushrooms & cheese - pork rinds & dip or tuna/chicken/turkey/egg salad - steaks - a huge sugar free cheese cake. Eat so much you won't feel deprived of anything. By the 4th day, the addiction will be gone & you can start making healthy choices.
All carbs (even vegetables) are converted to sugar (glucose) in the body. Posted below is a fascinating interview with Dr.Richard Bernstein (the diabetes specialist & a type 1 diabetic) on youtube where he demonstrated how whole grain bread turned to glucose within one second in his mouth! He says the exact thing would happen with corn or an apple as well.
http://www.youtube.com/watch?v=3PZno7Nkuuw&feature=PlayList&p=72BB956FBFF0CD62&index=0&playnext=1
Dr.Richard Bernstein (the diabetes specialist & a type 1 diabetic) from his book, "Diabetes Solutions" pertinent chapters available to read online -
What if I, a physician, told you, a diabetic, to eat a diet that consisted of 60 percent sugar, 20 percent protein, and 20 percent fat? More than likely, you�d think I was insane. I�d think I was insane, and I would never make this suggestion to a diabetic (nor would I even make it to a nondiabetic). But this is just the diet the ADA recommended to diabetics for decades.
Whether you eat a piece of the nuttiest whole-grain bread, drink a Coke, or have mashed potatoes, the effect on blood glucose levels is essentially the same� blood sugar rises, fast. ... our saliva can break starches into the shorter chains on contact and then convert those into pure glucose.
With a number of important exceptions, carbohydrates, or foods derived primarily from plant sources that are starches, grains, and fruits, have the same ultimate effect on blood glucose levels that table sugar does.
http://www.diabetes-book.com/book/chapter9_3.shtml
Fructose is the most lipogenic (fat producing) carb. Table sugar is also a refined product & not much better. Sucrose (table sugar) is made of 50% fructose and 50% glucose, whereas high-fructose corn syrup can be either 55% fructose, 45% glucose, or 42% fructose, 58% glucose.
Researchers from the University of California, Davis compared glucose and fructose consumption among 32 overweight or obese people and found they resulted in very different health changes.
After drinking either a fructose- or glucose-sweetened beverage that made up 25 percent of their daily calories for 12 weeks, both groups gained a similar amount of weight. However, those drinking the fructose-sweetened beverage experienced an array of other unhealthy effects, including:
*
An increase in visceral fat, the kind that embeds itself between tissues in organs
*
Less sensitivity to insulin, one of the first signs of diabetes
*
Increased fat production in the liver
*
Elevated LDL (bad) cholesterol
*
Increased levels of triglycerides
People who drank the glucose-sweetened beverage, meanwhile, experienced no such changes.
"This suggests that in the same way that not all fats are the same, not all dietary carbohydrates are the same either," Peter Havel, professor of nutrition at the University of California Davis
http://www.sixwise.com/Newsletters/2009/April/29/Glucose-Fructose-Sucrose-Whats-the-Difference.htm
Robert H. Lustig, MD, UCSF Professor of Pediatrics in the Division of Endocrinology, explores the damage caused by sugary foods. He argues that fructose (too much) and fiber (not enough) appear to be cornerstones of the obesity epidemic through their effects on insulin.
http://www.youtube.com/watch?v=dBnniua6-oM
What do you do when you are in a depressed mood?
Q. It might be my diabetes but sometimes I just feel sad as heck. Anyway, I like comedy movies and calling people when I'm sad. But can I prevent these sudden bouts of sadness? Exercise doesn't really help. I have no legit reason to be sad.
A. Emotions are hard to define and understand...
The idea is to change your emotions and moods from sadness to something else that you wanted like happiness or excitement. Doing something different may change your mood, but not always. You have to target the emotion that you wanted and bring it out. So simply exercising when you don't "feel" like it doesn't change your mood. If anything, it makes it worse.
In fact, you don't need a legitimate reason, you just need to desire it. Whenever I am in a sad mood, I try to enjoy it because everything in life happen for a reason. Some people define happiness by being miserable and sad. Some time it is just a cycle. I milk it for it goods, then move on to another emotion when I feel it wearing off. Emotions are like drugs, you can't always feel when they hit or how you think or behave, but you become aware of it when it begin to wear off.
If you don't desire sadness, pick a different emotion and let your world revolve about that emotion...
The idea is to change your emotions and moods from sadness to something else that you wanted like happiness or excitement. Doing something different may change your mood, but not always. You have to target the emotion that you wanted and bring it out. So simply exercising when you don't "feel" like it doesn't change your mood. If anything, it makes it worse.
In fact, you don't need a legitimate reason, you just need to desire it. Whenever I am in a sad mood, I try to enjoy it because everything in life happen for a reason. Some people define happiness by being miserable and sad. Some time it is just a cycle. I milk it for it goods, then move on to another emotion when I feel it wearing off. Emotions are like drugs, you can't always feel when they hit or how you think or behave, but you become aware of it when it begin to wear off.
If you don't desire sadness, pick a different emotion and let your world revolve about that emotion...
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