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How is Diabetes Treated?
The goals of HealthyLife Diabetes Care Treatment are to control your blood glucose levels and prevent diabetes complications. Your diabetes healthcare team will focus on these three areas to help you achieve optimum health:
Medical Nutrition Therapy :
When you have type 1 or type 2 diabetes, you need to be very aware of not only what you eat, but also when and how much you eat. A Certified Diabetes Educator (CDE) at Healhy Life can work with you to develop a healthy& nutritive meal plan that fits your lifestyle. Following a meal plan can also help you lose weight and lower your risk of developing complications.
Physical activity (Not Gymming / Exercising) is an important part of controlling diabetes and preventing complications such as heart disease and high blood pressure. “We know that exercise is a very effective way to help bring blood sugars under control for someone with type 2 diabetes,” says Dr Farheen, Director Healthy Life Clinic. Try for 30-35 minutes of moderate exercise, like brisk walking, on most days. Healthy Life’s Why WAIT? and Easy Start exercise programs are great resources for developing a safe weight loss program.
If you have type 2 diabetes, sometimes eating healthy and engaging in physical activity is not enough. Your doctor may give you oral medication to help control your blood glucose levels. For people with type 1 diabetes (and some people with type 2 diabetes) this means taking insulin. People with type 1 diabetes must take insulin to control diabetes–and this can only be done through multiple injections or by an insulin pump, a small device that delivers insulin continuously throughout the day. For more on medications details and diabetes and To make an appointment with a Certified Diabetes Educator at HealthyLife please call +91-98217-94242
Diet and Diabetes: A Personalized Approach
By Dr, HealthyLife Obesity Clinical Program HealthyLife Diabetes Education Program Manager
Despite the new fad diets published and diet aids marketed each year, Asians’ waistlines and the epidemic of obesity and diabetes continue to expand. With current scientific knowledge and clinical experience, however, health care providers and industry influencers can make a difference.
In 2005 for the first time in 13 years, the United States Department of Agriculture (USDA) updated the Food Guide Pyramid. The USDA touts the latest version as no longer a “one size fits all” approach, but rather an “individualized approach to improving diet and lifestyle.” Though this long-awaited update to the nation’s only federal nutrition guidelines offers healthier food choices for healthy Americans, for the 17 million Asians with type 2 diabetes and the 41 million more who are at high risk for developing the disease, these guidelines are not enough.
One Size Fits Some
HealthyLife’sapproach to diabetes management has always been to focus on the individual, and not dictate a “one size fits all” strategy. At a time when the diet advice waters are muddied with thousands claiming the answer to the battle of the bulge, HealthyLife offers evidence-based clinical nutrition guidelines for overweight and obese people with type 2 diabetes, prediabetes or at high risk for developing type 2 diabetes. The ultimate goal is to help these populations improve cardiovascular health, reduce body fat and increase sensitivity to insulin. This decreases their risk for devastating diabetes complications, including kidney disease, heart disease and amputations.
The biggest difference between the USDA’s guidelines and Healthy Life is the recommendation of fewer carbohydrates and more protein in the diet, as recent studies have shown that this helps people eat less and lose weight.
The following are Healthy Life’s guideline essentials (shown as approximate percents of daily calories):
Carbohydrate: 40 percent from carbohydrates, including at least 20-35 grams of fiber. Best carbohydrate/high-fiber sources: fresh vegetables, fruits, beans and whole-grain foods. Eat less of these carbs: pasta, white bread, white potatoes and sugary cereals.
Protein: 20-30 percent from protein (unless you have kidney disease). Best protein sources: fish, skinless chicken or turkey, nonfat or low-fat dairy products, tofu and legumes (beans and peas).
Fat: 30-35 percent from fat (mostly mono- and polyunsaturated fats). Best fat sources: olive oil, canola oil, nuts, seeds and fatty fish like salmon.
With 80 percent of people with type 2 diabetes overweight, and weight loss directly related to improved diabetes control, these guidelines are meant to help people with diabetes or at risk for the disease lose weight and keep it off. To initiate and maintain weight loss, Healthy LIfe recommends losing just 1.5-2kgs every week by reducing daily calories by 250 to 500 calories.
An essential component of any healthy lifestyle is physical activity.Healthy Life encourages a target of 30-50 minutes of modest-intensity physical activity (including cardiovascular, stretching and strength training) most days of the week, with a minimum of 110-150 minutes per week.
Healthy Life’s bottom line: There is no fad diet that will help people with type 2 diabetes lose weight and reduce their risk for serious complications—just a lifestyle change.
To learn more about how food affects Blood Glucose (Glycemic Index) and about Medical Nutrition Therapy – Go Diabetes — Blood Glucose & Medical Nutrition Planning is available from HealthyLife
Will Diabetes Go Away?
There is no cure for diabetes. Neither type 1 (juvenile onset or insulin-requiring) diabetes or type 2 (adult-onset) diabetes ever goes away.
In type 1 diabetes, patients sometimes experience what physicians have come to call a “honeymoon period” shortly after the disease is diagnosed. During the “honeymoon period” diabetes may appear to go away for a period of a few months to a year. The patient’s insulin needs are minimal and some patients may actually find they can maintain normal or near normal blood glucose taking little or no insulin.
It would be a mistake to assume that the diabetes has gone away, however. Basically, type 1 diabetes occurs when about 90 percent of the body’s insulin-producing cells have been destroyed. At the time that type 1 diabetes is diagnosed, most patients still are producing some insulin. If obvious symptoms of type 1 diabetes emerge when the patient has an illness, virus or cold, for example, once the illness subsides the body’s insulin needs may decrease. At this point, the number of insulin-producing cells remaining may be enough — for the moment — to meet the person’s insulin needs again.
But the process that has destroyed 90 percent of the insulin-producing cells will ultimately destroy the remaining insulin-producing cells. And as that destruction continues, the amount of injected insulin the patient needs will increase — and ultimately the patient will be totally dependent on insulin injections.
Scientists now think that it is important for people with newly diagnosed diabetes to continue taking some insulin by injection even during the honeymoon period. Why? Because they have some scientific evidence to suggest that doing so will help preserve the few remaining insulin-producing cells for a while longer.
Patients diagnosed with type 2 diabetes may discover that if they are overweight at diagnosis and then lose weight and begin regular physical activity, their blood glucose returns to normal. Does this mean diabetes has disappeared? No. The development of type 2 diabetes is a gradual process, too, in which the body becomes unable to produce enough insulin for its needs and/or the body’s cells become resistant to insulin’s effects. Gradually the patient goes from having “impaired glucose tolerance” — a decreased but still adequate ability to convert food into energy — to having “diabetes.”
If the patient were to gain weight back or scale back on their physical activity program, high blood glucose would return. If they were to overeat at a meal, their blood glucose probably would continue to go higher than someone without diabetes. Also, the decreased insulin production and/or increased insulin resistance that led to the initial diabetes diagnosis will gradually intensify over the years and during periods of stress. In time, the patient who could maintain normal blood glucose with diet and exercise alone may discover that he or she needs to add oral diabetes medications — or perhaps even insulin injections — to keep blood glucose in a healthy range.
The good news for a type 1 and type 2 patient is that if insulin, medication, weight loss, physcal activity and changes in eating result in normal blood glucose, that means their diabetes is well controlled and their risk of developing diabetes complications is much lower. But it doesn’t mean that their diabetes has gone away.
Find more information about diabetes in Go Diabetes – A Short Handbook Guide available from Healthy Life
Can I Treat Diabetes Without Drugs?
If you have type 1 diabetes, you must take daily insulin injections to keep your blood glucose in a normal range. Your body produces little or no insulin. Insulin is a vital hormone that helps your body convert food into energy. Without insulin, you would die.
If you have type 2 diabetes, the answer to this question is much less clear. Many people can keep their blood glucose in a healthy range without medications (either oral DIABETES MEDICATIONS or insulin injections) if they lose weight and keep their weight down, are regularly physically active, and follow a meal plan that helps them keep portion sizes under control and helps them spread the amount of carbohydrate they eat at each meal throughout the day.
Eventually, however, many people with type 2 diabetes find that despite their best efforts, weight control, exercise and diet aren’t enough to keep their blood glucose in a healthy range. This is not unusual. One theory is that some people’s insulin-producing cells just get tired out from having to produce more and more insulin because their cells are resistant to the effects of insulin.
If your healthcare team tells you that you need to take oral DIABETES MEDICATIONS or insulin injections to manage your blood glucose, it’s important that you follow their instructions. Keeping your blood glucose in a healthy range is key to preventing long-term complications, such as eye disease, KIDNEY DISEASE, heart attacks, and other problems that poorly controlled blood glucose can cause over a period of years.
Healthy life diabetes care & mgmt. clinical program : includes THE FOLLOWING :
Comprehensive Diabetes Checklist
This is a list of management skills and required tests all people with diabetes should review.
If you don’t have all of these skills contact the Healthy Life Diabetes Clinic nearest you. In order to get as full a picture of your diabetes as possible, it is also crucial for you to have all of the tests outlined here, and within the time frame recommended.