Wednesday, December 5, 2012

I just found out my blood sugar lab was not good 350 , what will they do to me when I go in to see doc?

Q. So is that type 2 diabetes, am I going to have to rush out and buy a bunch of stuff? I realize I have to reduce or quit sweets, fats, and white starchy foods. But I feel overwhelmed with all the info. Any advice? I really had eaten alot of oj and sweets before that blood test, could it be just that day?They think not in the lab, it said its been going on for a while. Where do they start with pills? And do I have to immediately do a bundh of blood metor procedures and carry juice if I get shakey?

A. If you have already had the A1C test with the fasting blood sugar test then the doc will put you on a diet and exercise regime for up to a couple of months then you'll be re-tested. If it's still high they may put you on medication. With type 2 it will not go away by diet and exercise but can be controlled, so you may not need medication.


Are low levels of sugar still bad for type two diabetes?
Q. My wife has been recently diagnosed with type 2 diabetes. We have noticed that it seems everything has some (or form of) sugar in it. As an example, 1 slice of bread is 2g, or 1 serving of pasta is 3g. Does this mean even these low levels are bad news?

A. Did your wife's doctor give her any guidelines about eating? If not, you can get information at diabetes.org on meal planning.

Lots of diabetic cookbooks exist, and they include the nutrition info. Some of them are better than others - I really enjoy the ones by Splenda that can be found at the grocery checkout lines.

It is impossible to eliminate all forms of carbs. What you want to do is limit them (not eliminate them), and watch the serving sizes and ratio. If something is 10g of carbs, but 8 of them are sugar, that's not a good choice. If only 2 are sugar, that's a better choice.

Keep an eye on fats, too. Some reduced sugar foods have increased fats in them.

Your wife needs to know what percent of carbs for her day she is allowed per meal. After that it's just simple math. Even for a type 2.

You can get a glycemic index on most foods. You can use the weight watchers point system or diabetic exchange system as guidance (many products have these nummbers on them, and there are websites that have listings of individual foods with system numbers). Ask the doctor about diabetic education classes (very helpful). Join a diabetes support group. Work with a nutritionist if you need to.

Once you have an idea of how many carbs you can have per meal or snack, you will surprised how much you can really eat just by choosing wisely.


Is it safe for a diabetic to get body piercings?
Q. I want to have my tongue pierced but I have type 2 diabetes which makes my body heal slower. I really want the piercing but not sure of all the risk with me being a diabetic. There is not much info on this that I have found.

A. Diabetics are *generally* advised no, because of poor healing and risk for infection.

However, nowadays many diabetics (especially Type 2) can control their blood sugar quite well and maintain normal or near normal levels. This is because new diabetes care technology and treatment has come a long way.

*If* your blood sugars are well controlled, you don't have any issues with circulation, and you generally heal well, you may be able to get a piercing.

Your best bet is to ask your doctor if this may be possible for you. Only they know your medical history. With good control and normal healing times, I would not rule it out. That said, you will be at higher risk overall, and your doctor may want you to be on antibiotics to prevent infection.

I would avoid navel rings at all costs, they take a very long time to heal and are easily infected even in non-diabetics.

Discuss this with your doctor.


How exactly do you get diabetes?
Q. I'm so curious. I'm confused about how people get diabetes. I've read articles about how you get it but I still just don't understand. Do you get it from too much sugar, or not eating enough, or what? How do you get Type 1 diabetes? Do you only get Type 2 diabetes if you're overweight, do all overweight people get diabetes?

A. It is a myth that you get diabetes from eating too much sugar, according to the American Diabetes Association.

People are not all born with Type 1. For instance, I did not have it til I was 11, and my friend did not have it til she was 16.

"Type 1 diabetes is an autoimmune disease. An autoimmune disease results when the body�s system for fighting infection�the immune system�turns against a part of the body. In diabetes, the immune system attacks and destroys the insulin-producing beta cells in the pancreas. The pancreas then produces little or no insulin. A person who has type 1 diabetes must take insulin daily to live.

At present, scientists do not know exactly what causes the body�s immune system to attack the beta cells, but they believe that autoimmune, genetic, and environmental factors, possibly viruses, are involved. Type 1 diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States. It develops most often in children and young adults but can appear at any age."
(from http://diabetes.niddk.nih.gov/dm/pubs/overview/index.htm#types)

For Type 2:
"The most common form of diabetes is type 2 diabetes. About 90 to 95 percent of people with diabetes have type 2. This form of diabetes is most often associated with older age, obesity, family history of diabetes, previous history of gestational diabetes, physical inactivity, and certain ethnicities. About 80 percent of people with type 2 diabetes are overweight.

When type 2 diabetes is diagnosed, the pancreas is usually producing enough insulin, but for unknown reasons the body cannot use the insulin effectively, a condition called insulin resistance."
(From the same source as the info on type 1)

Type 1 is not preventable. Type 2 is preventable to a certain degree, but obviously there is nothing a person can do about their age or family history.





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