Thursday, December 6, 2012

I have diabetes being diabetic type 2 and I can't control my eating habits and doctor's orders?

Q. I was just diagnozed diabetes type 2, couple weeks ago and I can't control my eating like my doctor and weight watchers told me, I have health insurance but they asked me to do weight watchers for 6 month before they will do the bariatric surgery.

But back then I didn't have diabetis, can my insurance approve it now that I have diabetes 2?

A. To prevent diabetic deterioration, the only sure strategy is to 'eat according to your blood glucose meter', that is, be absolutely sure of your blood sugar levels before and after meals. The answers below can all provide strategies that work for many people to help you lower those blood glucose levels, but only your glucometer can tell you for sure if they're working. See the Note for Diabetics below for the recommended levels.

Everyone is different. If you are diabetic or a borderline diabetic and worried about harming your body with carbohydrate (this includes sugar) intake (as you should be), then it is small comfort if your intake is fine for average people but tends to cause high blood sugar for *you* in particular.

Rather than researching grams of sugar and asking people (or even doctors) if that's harmful, you should buy a glucometer (blood glucose meter) at any drugstore or pharmacy/chemists and start to use it.

A blood glucose meter will show you what foods you (as in individual) can eat that will keep your blood sugar in these safe ranges:

* Fasting blood sugar under 100 mg/dl (5.5 mmol/L)
* One hour after meals under 140 mg/dl (7.8 mmol/L)
* Two hours after meals under 120 mg/dl (6.6 mmol/L)

If it's a health insurance I am not sure but I think they would still approve your bariatric surgery or weight-loss surgery, but I think they will still do some test on you if it won't become a major problem specially your diabetic.


How would I have my sister tested for type 2 diabetes?
Q. She is 18 and she's obese (I calculated her BMI). Diabetes (type 1 & 2) runs in the family and I am worried about her, she refuses to eat right and exercise at all.

What should I do? Call the family doctor or just schedule a test? She would never ask the doctor for a test and I don't know if I should.

I don't usually go to doctor appointments with her. But our family doctor has never talked to her about the dangers of being obese.

A. It's good that you care about your sister, but you should know that obesity does not cause Type 2 diabetes. If that were the case, then all the obese people in the world would be diabetic. However, only a minority (about 1/3) of overweight people get Type 2 diabetes. The rest are just fat but would never get Type 2.

So why those 1/3? Not because they are fat but because they have diabetes genes.


Can eating spinach for a month get rid of type 2 diabetes?
Q. I think I have type 2 diabetes. I can hear the blood rushing in my head when it's quiet, I have a dark spot on my neck, and sometimes, if I do an extremely rigorous work out, I feel like I'll pass out. My grand father has diabetes type 2)...I wanted know if I did have diabetes, could I eat spinach for a month instead of usinf insulin treatments?

A. Spinach is a great low-carb food, but it doesn't cure diabetes. Nothing does. The "blood rushing" sounds like blood pressure, which has nothing to do with diabetes. The dark spot could be acanthosis nigricans, which is darkened pigmentation due to high insulin levels, but it'd be in more than one spot on your neck and it'd probably be under your arms and possibly on your groin area, as well. The rigorous workout speaks for itself. You could be dehydrated, you could be hungry, you could be tired, your blood pressure could be high, and while these are all reasons to be concerned, they're not really related to diabetes.


what health care providers are needed for people with diabetes type 2?
Q. in a clinic that is only for people with diabetes type 2. what human resources are needed. for example nurses,doctors ..but i need more. please help..thanks

A. Well lets start with doctor who is knowledgeable about your general health and the impact of diabetes. There are not really that many as you would think. Then a dietitian would be next so can be taught how to eat and those foods that don't help your condition. Then depending how your personal expression of diabetes is progress then an internal medical person would next. That the minimum specialist. Then nurses who really understand diabetes would be nice.

Best Wishes.





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