History of Diabetes

This is a short history of diabetes. From the times of the Ancient Egypt, Greece, and Rome to modern day, diabetes has been present throughout our history.

Diabetes mellitus comes from the words diabetes (Greek) meaning siphon, to pass through, and mellitus (Latin) honeyed or sweet. This is a reference to the excess sugar found in the blood and urine of someone with diabetes. In the 17th century, diabetes was known as the ‘pissing evil’ because of the excessive urination and thirst.

It was first recorded in English in a medical text around 1425 though the symptoms of diabetes were recorded as far back as Ancient Egypt. In the Middle Ages, diabetes was believed to be a disease of the kidneys, but in the late 18th century they found it occurred in people who experienced an injury to the pancreas. Before proper research and treatment, when someone had symptoms of diabetes it was often thought as a death sentence as they would often die within weeks or months of symptoms appearing.

In 1889, Joseph von Mering and Oskar Minkowski discovered the role of the pancreas in diabetes through research with dogs. They would remove the pancreases of multiple dogs and observe the symptoms of diabetes develop in the dogs before they passed away.

In 1910, Sir Edward Albert Sharpey-Schafer found that diabetes was a result from a lack of insulin.

In 1919, Dr. Frederick Allen introduced a therapy of strict dieting or starvation treatment as a way to manage diabetes, not unlike the treatments that were used by others in history.

In 1921, Sir Frederick Grant Banting and Charles Herbert Best repeated the work of von Mering and Minkowski. They also gave the diabetic dogs insulin extracts from healthy dogs and found the results to be in their favor. In 1922, they purified insulin from pancreases of cows and created an effective treatment for diabetes available. This earned them a Nobel Prize in 1923.

January 1922 saw the very first patient to receive insulin injections, a 14-year-old named Leonard Thompson. He lived another 13 years before he died of pneumonia at age 27.

In 1936, Sir Harold Percival Himsworth published his work about differentiating between type 1 and type 2 diabetes.

In 1982, the first biosynthetic human insulin, Humulin, was created that was identical in chemical structure to human insulin. It was mass produced and available globally.

In 1988, metabolic syndrome was discovered by Dr. Gerald Reaven. Metabolic syndrome is a group of risk factors that raises risk of heart disease, diabetes, stroke, and other health problems. Metabolic syndrome is a serious health condition. It is diagnosed when any three of the following five risk factors are present:
• High blood glucose (sugar)
• Low levels of HDL (“good”) cholesterol in the
blood
• High levels of triglycerides in the blood
• Large waist circumference or “apple-shaped” body
• High blood pressure

In the centuries that diabetes has been present in human history, we as humans have come so far. In Ancient Greece, they prescribed physical activity and a change in diet, just as we do today. Where they might only have lived weeks or months with their condition, now we can survive many years and thrive with diabetes.

Perhaps someday we can find a cure to diabetes instead of preventative measures. There are many organizations around today doing research in diabetes to find a cure. You can help donate to their efforts.

American Diabetes Association
Cures Within Reach
American Society of Nephrology


References

American Heart Association
News Medical: Life Sciences
Medical News Today


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Does Diabetes Affect Hormones?

In short, to answer that question, no, diabetes does not affect your hormones, however, your hormones have a massive effect on your diabetes and blood sugar levels. Hormones are released by various organs and glands within your body that affects pretty much everything.

Some hormones that affect your diabetes are insulin, glucagon, amylin, epinephrine, cortisol, and growth hormone. The most directly related hormones are glucagon and everyone’s favorite, insulin. However, even our own sex hormones can affect our blood sugar levels. In those who have ovaries, estrogen and progesterone levels can affect how well our insulin works, or doesn’t. Same with those who have testes, testosterone levels can cause insulin resistance.

Let’s work out our sex hormones first. Estrogen is the hormone that helps with the development of female sex characteristics. It can also improve insulin sensitivity, however, the loss of estrogen can also lead to insulin resistance.

Insulin sensitivity is when your insulin works properly. Insulin resistance is when your insulin sensitivity is low and your cells can’t use your insulin very well.

Progesterone is the hormone that helps the body prepare for the possibility of pregnancy. Progesterone levels go high in the middle of your menstrual cycle and decrease when you’re about to have your period. If you are pregnant, your progesterone levels go up in preparation for the fetus to protect the fetus and allow proper amounts of glucose. However, high levels of progesterone can lead to insulin resistance.

Testosterone helps with the development of male sex characteristics. Lower testosterone levels lead to insulin resistance.

To counteract the affect your changes in life stages on the way your body interacts with your blood sugar, you should:

  • Keep track of your blood sugar levels and show any fluctuations to your doctor to examine and make any necessary changes
  • Watch your weight, being overweight can lead to out of control blood sugar levels
  • Eat a healthy diet full of high-fiber vegetables
  • Exercise at least 30 minutes per day to help your body use its insulin more properly

You’re going to grow older and your body is going to change, keep up with its changes so you can better manage your diabetes. To learn more about how those life stage changes can affect your diabetes, check out this article.

The other hormones are listed:

  • Insulin – released by the pancreas, allows the body to use glucose for energy by helping cells absorb sugar from the bloodstream. Resistance to insulin will make it difficult for the body’s cells to absorb the sugar causing all that unabsorbed sugar to stay in your bloodstream.
  • Glucagon – produced by the pancreas to control glucose and ketone production in the liver. It gets released between meals and overnight. If you’ve had a high sugar meal, the glucagon won’t be needed as there’s already a lot of sugar in bloodstream which can lead to less and less of the hormone being produced. This low level could cause your blood sugar levels to go too low because there wasn’t enough glucagon to help produce glucose from the liver.
  • Amylin – released along with insulin. It decreases the body’s glucagon levels, this decrease helps to decrease the production of glucose in the liver and slows the rate that food empties out of stomach.
  • Epinephrine – aka adrenaline, released from adrenal glands and nerve endings to stimulate the liver to produce sugar.
  • Cortisol – type of steroid hormone from adrenal gland. Works to make muscle and fat cells resistant to insulin action and enhances glucose production from the liver. High levels of cortisol can lead to insulin resistance.
  • Growth Hormone – released from the brain’s pituitary gland and has the similar functions of cortisol.

All of these hormones help to keep our blood sugar levels in check or keep them out of control. I’m not sure what we can do about helping our hormones to help our blood sugar but there is hormone therapy for our sex hormones.

I don’t think diabetes directly affects our hormones like our hormones do to our diabetes, but having out of control diabetes and blood sugar levels can throw everything out of whack. I hope this post helps lead you to more answers down the line for you.


References

Viveve.com
WebMD
Diabetes Health


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What is the Glycemic Index?

Some of you may have heard the term “glycemic index” thrown around in the diabetes community and you have no clue what that means. That’s perfectly fine, here’s an entrance in to the topic of the glycemic index.

The glycemic index (GI) is a system that ranks foods on a scale from 0 to 100 based on their effect on blood sugar levels. The higher the number, the faster the food effects your blood sugar level. However, there is another term that goes hand in hand with glycemic index and that’s glycemic load (GL). The glycemic load is how much of that certain food will negatively or positively affect your blood sugar levels.

For example, watermelon is an 80 on the GI, but there is relatively low amounts of digestible carbohydrates in a typical serving of watermelon, usually 3/4 cup. The GL value of watermelon is then 5, meaning it’s high in sugar but if you control the portion size, it won’t affect your blood sugar too much. You’d have to eat a whole watermelon by yourself for you to experience a negative effect on your blood sugar levels.

The GI helps to categorize foods as either slower-acting good carbs or fast-acting bad carbs. This reflects on how fast your body converts carbs into glucose. The smaller the value, the less of an impact the food will have on your blood sugar levels.

Glycemic IndexGlycemic Load
55 or lower = Low/Good1-10 = Low
56-69 = Medium11-19 = Medium
70+ = High/Bad20+ = High

Food package labels might have the glycemic index for reference. If the labels don’t have anything, you can find a list of common foods online.

If you don’t find the food you’re looking for on the list the general rule of thumb is if the food is closer to its natural form it will have a lower value compared to a refined or processed food which would have a higher value.

There are other factors that can affect a foods GI value such as how it’s prepared, if the fruit is ripe, or what kinds of other foods you eat with it.

For example, carrots are fairly low in value. It’s best eaten steamed or raw. If you boil them, they lose some nutritional value and can break down in to glucose easier when digested than when raw making their GI value go up. If you eat raw carrots with ranch dressing, that increases the GI value. If you eat a whole bad of baby carrots, you can bet that’ll have an affect on your blood sugar.

Other factors that can affect GI is yourself personally. Your age, metabolism, and activity level all affect how your body reacts to carbs. So when looking at the Glycemic Index of a food, don’t take the number at face value just note that if it’s in the low category, then it’s good. If not, then be careful how much you eat.

Portion sizes really matter when it comes to Glycemic Index. Just because something is healthy, doesn’t mean you should eat a ton of it.

To recap, glycemic index and glycemic load should be taken with a grain of salt but do let it guide you to make the right dietary decisions in your life. Be aware of how the carbs in the food can affect your blood sugar level and don’t eat too much. Too much of a good thing can be a bad thing.


References

WebMD
Mayo Clinic


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Possible Causes of Morning Highs

Do you ever just wake up in the morning and check your blood sugar only to find that it’s higher than 125 mg/dL? You were sure you did everything right the night before and yet your sugar is still high. Maybe it’s been high for the past week or two and you don’t know why. There could be a reason behind your morning highs. Two theories that scientists have come up with are the Dawn Phenomenon and the Somogyi Effect. Let’s begin!


The Dawn Phenomenon


Also called the dawn effect, is described as an abnormal early-morning increase in blood sugar – usually between 2AM and 8AM that occurs regularly in diabetics. The occasional high isn’t much of a worry, but when it happens almost every day, it’s an issue.

There is a natural overnight release of counter-regulatory hormones – the growth hormone, cortisol, glucagon, and epinephrine – that increases insulin resistance, causing blood sugar to rise.

High morning blood sugar may also be caused by not enough insulin the night before, low dosage of diabetes medication, or eating a carb-heavy snack at bedtime.

What You Can Do

If you suspect the Dawn Phenomenon, consult with your doctor. Your doctor may make some recommendations to help prevent or correct your high morning blood sugar levels:

  • Avoid carbs at bedtime
  • Eat regular meals (stay consistent with meals per day, times of day, etc.)
  • Adjust your dose of medication or insulin
  • Eat dinner earlier in the evening
  • Switch to a different medication
  • Do some light exercise after dinner, like walking, jogging, or yoga
  • Change the time you take your medication or insulin from dinnertime to bedtime
  • Use an insulin pump to administer extra insulin during early-morning hours

Personally, I have moved from taking my insulin at a set time each night to within one hour of falling asleep. Once I start feeling tired, I inject my insulin. So far my levels have been lower than when I take it at 9:30pm.

The Somogyi Effect

Also known as the rebound effect, is another possible cause of high blood sugar in the morning. Not all scientists believe this effect is real, but it happens when blood sugar levels drop too low.

If a diabetic were to take insulin without a bedtime snack or inject too much insulin, their blood sugar levels may drop during the night. The body then responds by releasing growth hormones that trigger sugar levels to go back up causing blood sugar levels to be high in the morning.

The Difference Between the Two

The biggest difference between the Dawn Phenomenon and the Somogyi Effect is that the Somogyi effect includes a decrease in glucose levels causing hypoglycemia which is then followed by a rebounding hyperglycemia.

The easiest way to find out which one is causing your high glucose levels in the morning is to record you blood sugar throughout the night. Take your sugar before bed, then again at 3AM in the morning, and then once more when you wake up in the morning.

If your 3AM reading is low, there’s a likelihood that the Somogyi Effect is the cause. If your 3AM reading is normal or high, then it is likelier to be the Dawn Phenomenon that caused your morning highs.

The only way to be sure is to do this process of at least three readings each night for at least one week. The longer you do it, the more familiar with your body you become. Then relay this information to your doctor and they will be able to work with you to correct these morning highs.


References

Mayo Clinic
Medical News Today


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Diabetes Complications

Diabetes is one of the deadliest diseases when left uncontrolled. While diabetes is not a direct cause of death, an uncontrolled diabetes diagnosis can lead to many complications that can lead to death. Diabetes affects your immune system, your blood circulation, your kidneys, and more. Here are some complications that uncontrolled diabetes can lead to.


  • Cardiovascular disease: Diabetes can dramatically increase the risk of cardiovascular problems such as coronary artery disease (angina), cardiac arrest (heart attack), stroke, and the narrowing of the arteries affecting blood circulation.
  • Nerve damage (neuropathy): Excess sugar in your blood can injure the walls of tiny blood vessels (capillaries), especially in your legs. This leads to tingling, numbness, burning, or pain in the limbs (mostly the feet). Left untreated, you could lose all sense of feeling and your limb might need to be amputated.
  • Foot damage: Nerve damage or poor blood flow can increase the risk of foot complications. Untreated cuts and blisters can develop infections that often heal poorly. This may require toe, foot, or even leg amputation.
  • Kidney damage (nephropathy): The kidneys filter waste from your blood. Diabetes can damage the filtering system by overworking it as the kidneys try to filter all the excess sugar from your blood. This can lead to kidney failure and the need for dialysis or even a kidney transplant.
  • Eye damage (retinopathy): Diabetes can damage the blood vessels in your retina. Excess sugar in your blood vessels can injure the walls and cause the blood vessels to burst. It can also cause blindness and increase the risk of cataracts and glaucoma.
  • Skin conditions: Diabetes may leave you susceptible to skin problems if you have open wounds. Open wounds for diabetics tend to heal slower than non-diabetics leaving you vulnerable to bacterial and fungal infections.
  • Hearing impairment is more common in people with diabetes.
  • Alzheimer’s disease: Diabetes increases the risk of dementia. The poorer the control of your blood sugar, the greater risk you have of contracting dementia.
  • Depression: Common amongst Type 1 and 2 diabetics, depression can affect diabetes management.
  • Ketoacidosis and ketones: This can lead to a diabetic coma. This is caused when your cells don’t get the glucose needed for energy so the body burns fat for energy, this produces ketones. Ketones are chemicals used to break down the fat for energy. When there is not enough insulin to use glucose for energy the ketones go to work, however, this leads to a build-up of ketones in the blood making it more acidic. High levels of ketones can become poisonous to your body and lead to ketoacidosis. The goal is to burn fat, but not as your main source of energy otherwise you’ll have high levels of glucose and ketones in your blood reacting with each other.
  • High blood pressure: A healthy blood pressure is below 120/80, prehypertension is 120/80 to 140/90, high blood pressure is above 140/90. Your heart has to work harder to pump blood through your blood vessels increasing the risk of stroke or heart attack.

This is a list of just some of the complications that diabetes can lead to when your diabetes is left uncontrolled. The goal for diabetics is to keep your blood sugar under control and get your A1C to a reasonable number (as determined by your doctor). If you can do that, you can keep from these very serious complications. Who knows, maybe you could even reverse your diabetes?


References

Mayo Clinic
Diabetes.org


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Diabetes Myths & Misconceptions

Here are some myths about diabetes that you may have heard. If anyone ever confronts you with these, just inform them of what diabetes really is. If you have any more questions about diabetes, feel free to contact me and I’ll get them answered.


Diabetes isn’t that serious.

In 2018, 34.2 million, about 10.2%, of the population in the U.S. have diabetes. The 1.5 million new cases in 2018 were aged 18 years and older. Approximately 210,000 were aged 20 years and younger; about 6,000 were children and adolescents, aged 10 to 19, were diagnosed with type 2 diabetes. In 2017, diabetes was the #7 leading cause of deaths in the U.S., about 83,500 death certificates listed diabetes as the underlying cause of death. In 2016, there were about 235,000 hospital visits were for hypoglycemia and about 224,000 were for hyperglycemia, with diabetes as the listed cause.

Being overweight causes diabetes. Thin people can’t get diabetes.

This isn’t necessarily true. There are many people who are overweight that aren’t diabetic and there are some “normal” people who are diabetic. Body size doesn’t determine whether or not you’re diabetic. There are many risk factors that may lead to diabetes, such as family history, age, and poor diet to name a few. Only about 80% of diabetics are overweight. Even if you don’t have a lot of visible fat, your body might have visceral (hidden) fat. The presence of visceral fat can be a factor that leads to diabetes.

Diabetes doesn’t run in my family, so I’m good.

Just because you don’t have diabetes in your family history, doesn’t mean you guaranteed won’t get diabetes. There are a lot of factors that lead to diabetes, not just family history. If you live a sedentary life and have a poor diet, you might just increase your chances of getting diagnosed with diabetes.

It’s okay to stop my medications once my blood sugar is under control.

Unless your doctor tells you you’re okay to stop your medication, don’t stop your medication on your own. Your doctor may want to come up with an alternative treatment plan before you stop your medication.

People with diabetes can’t eat sugar.

It’s not completely okay to stop intaking sugar especially if you have a history of hypoglycemic episodes or have Type 1 diabetes. You should definitely monitor how much sugar you take in and have a balanced diet. Sugar is necessary to fuel your body.

Diabetes is contagious.

Diabetes is a non-communicable illness, meaning it is not something that can be passed on to someone else. There’s no sneezing or coughing that can cause you to spread it. There are multiple risk factors that can help determine how at risk you are of getting it, but just because you hung out with your best friend who has diabetes, doesn’t mean you’re going to become diabetic from them.


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references

Beyond Type 2
Diabetes.co.uk

How to Check Your Blood Sugar

Regardless of what type of diabetes you have, you need to know how and when to take your blood sugar. It is one of the most important aspects of diabetes management.

Find the Right Meter

First thing first is to find the right glucose meter. I am not familiar with ones used by Type 1 diabetics, but I can definitely help you find one for Type 2. I have used two meters so far, Reli On and True Metrix.

My Reli On was from Walmart. It worked well enough, simple to use and easy to read. I loved the lancer and the lancets I used for it. The lancer looked nice and the lancets came in ultra thin which didn’t hurt my fingers that bad. I loved it. However, in January, I tried to get more glucose strips for my Reli On and my Walmart didn’t have any. For a whole week, they were completely out. I couldn’t wait for a shipment to come in or restock or whatever, so my husband went to CVS pharmacy and bought a True Metrix Air.

When I say I love my True Metrix, I mean it. I HATE the lancet. It’s ugly and the lancets that came with it are definitely not ultra thin. It hurt like a mother when I first pricked myself. I decided to never use that lancer again. So I use my Reli On lancer and the remaining ultra thin lancets with my True Metrix. The best thing about the True Metrix is that it has bluetooth connectivity and comes with an app on my iPhone. I check my blood sugar open my app and it logs the reading. It gives me an average of all my readings, let’s me know when my blood sugar is in range (it hasn’t been yet), and I can take notes about the dosage and which side I inject on my tummy.

My Personal Glucose Meter

I love my meter. Super convenient to keep track of my readings with the bluetooth function. I think I want to name her Trixie.

The True Metrix isn’t super cheap or expensive. It was around $20. I haven’t gotten a prescription to get one, but I think you might be able to get one. I don’t know how that works, bring it up with your doctor. Maybe you could get a prescription on the glucose strips too.

When you go to choose your meter, price is definitely one of the things to look for. I feel like anything over $25 is ridiculous. It better be able to make me some morning coffee for $25+.

My second requirement is aesthetics. If I have to look at this thing every day, I’d like it to look nice. True Metrix definitely fits that bill. The meter, the lancer, the lancets, and strips should look nice to me.

My last requirement is ultra thin lancets. Anything thicker and it hurts, no matter how warm my finger is before I prick it, it always hurts. The less painful it is, the better.

When to Check

Some of the best times to check your blood sugar are:

  • Mornings, before breakfast
  • 1-2 hours after a meal
  • Before, during, and after exercise – just to make sure your blood sugar doesn’t dip too low
  • Bedtime
  • Whenever you feel the symptoms of hypoglycemia or hyperglycemia.

*** Also don’t forget: DO NOT reuse your lancets for more than one reading. If you didn’t draw enough blood the first time, I see no sense in using a new lancet for a second draw, but discard the lancet after you test your blood.***

Testing Your Blood Glucose

Before you use your glucose meter for the first time, you need to calibrate it. You should by calibrating solution for your meter and follow the directions in your device’s instruction manual.

After that is done, prepare your lancer and get a test strip from your bottle. Close the bottle immediately after removing a test strip and use the bottle within 30 days.

Before lancing, wash your hands with soap and warm water. The warm water will help to get your blood circulating so it will be easier to draw blood the first prick without having to lance again and use another test strip.

When choosing the spot to lance and draw blood, obviously choose your non-dominant hand. This poor hand is going to get poked and pricked a lot in the foreseeable future. Personally, I only use my middle, ring, and pinky fingers on my left hand, because I tend to not use those fingers as much as my index and thumb and it stings a little after lancing.

I suggest choosing a site on the sides of your fingers, avoid the pads and tips since they are the most sensitive.

Possible Lancing Sites

Choose the sides of your fingers (within the black circles) and avoid the pads and tips (the red areas).

Also be sure to remove any rings before lancing to maximize the blood flow in that finger.

Prepare yourself for the prick. Once you have lanced yourself, massage the palm directly below the finger and massage upwards so a droplet of blood comes from the site. Once there’s enough blood for the sample, put your test strip into your meter.

When the meter turns on, take the strip and put it up to the blood droplet. You don’t want too much that an error shows on your meter, but you don’t want too little either or an error message will show. If an error does occur, you need to get out a new test strip. Hopefully, you will be able to massage more blood from the original site. If not, you will have to lance again. Because my needles are ultra thin, it’s really hard to draw enough blood for a sample and if I don’t get it the first time, then I have to move to another site because it’ll be impossible to massage more blood from the same spot.

Discarding the Waste

Once the blood sample is in the strip it will take a few moments before the result pops up on the screen. Log that number down and what time it was that you took the reading. Once you’re done, remove the strip from the meter and discard it and the lancet you just used. Use a tissue to clean your finger of the blood. Once everything is put away, go ahead and wash your hands. Please don’t touch your face after drawing blood, you could have blood-borne pathogens and that would suck.

I use an empty laundry detergent container for my used needles and test strips. The plastic is hard enough that the needles won’t puncture and I don’t have to use one of those biowaste containers from the pharmacy. Whatever container you choose to use, make sure it’s made of durable plastic so the needles don’t puncture.

Congratulations, you just took your blood glucose reading. For a step-by-step visual process, feel free to check out YouTube. I like this video from Mayo Clinic. It’s a bit old but meters still work the same way. Maybe one day I’ll make my own video and post it on my YouTube channel but for now go ahead and find any one.


Related Content

What is Blood Sugar and A1C?
Some Signs You Might Have Diabetes


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How to Support Your Diabetic Loved Ones

There are many ways you can support your loved ones, it depends on the situations that surround your relationship. This is a general guide full of suggestions that can help you support the loved ones in your life who, just like me, are diagnosed with Type 2 diabetes. I have no experience with supporting someone with Type 1 and I wish you the best of luck with your journey, hopefully these suggestions can help guide you in the right direction.


What is Type 2 diabetes?

Type 2 is when the body cannot use insulin the way it should, also known as insulin resistance. The food we eat is broken down in to glucose which the body uses as fuel. The pancreas releases insulin to help get the glucose from your blood to the other cells in the body. When the body continues in-taking sugar, the pancreas creates excess insulin and eventually the body cannot keep up with production and that function becomes impaired and sugar begins building up in the bloodstream.

How do you manage it?

A photo of my sisters and I at my wedding having fun. We have fun when we're together and I love them.
My sisters and I at my wedding, laughing and having fun. We always have fun together, I don’t know what I would do without them.

Type 2 is managed using insulin, oral medications, and glucose monitors. Monitors are used at various times of the day to measure our blood sugar levels and can tell us if we are experiencing low-, high- or normal blood sugar levels. We use lancets to prick our finger to draw a drop of blood. We put a test strip in to our monitor and put it up to the drop of blood, hopefully it is enough of a sample, and the device reads it. For treatment, we take oral medications, mostly metformin. If we need an extra boost, we have a dose of insulin, which can be taken with every meal, at bedtime, or once a week.

What can I do to help in cases of emergency?

If we are having an emergency, it will most likely be the result of a low blood sugar episode. This could look like cold sweats, disorientation, fatigue, and light-headedness. This can be remedied with fast-acting glucose such as juice boxes, hard candy, glucose tablets, or any other sugary food or drink. On the extreme, we might have passed out and become unconscious. If this happens, call emergency services immediately. Hopefully we will have set up our Medical ID that can help emergency personnel treat us properly.

What can you eat?

Type 2 diabetics can eat whatever they choose to eat, as long as they mind the glycemic index (sugar content) or the amount of carbs in the foods they eat and the amount of insulin they need to inject after consuming food. Sugary foods and carbs are okay in MODERATION.


Beware of sugar-free, low-carb, etc labels. Just because it says sugar-free does not mean they are not filled with other alternatives. Most of the time when they say it is free of or low in something, companies have had to add something else to make it taste nearly the same to keep people coming back for more.


Most doctors will tell their patients that were recently diagnosed that they need to make a lifestyle change in order to control their blood sugar. My biggest advice for you is to support our new lifestyle. We may need to go out and exercise more, why not go on that walk around the neighborhood with us? We may need to cut out excess desserts from our diet, why not avoid eating sugary foods in front of us?

Please avoid micromanaging us, we know what we can and cannot eat. Please avoid chastising us, we know we shouldn’t eat that slice of pizza, just let us and make sure we don’t eat too much of it.

You do not need to tiptoe around us, just keep in mind that these changes could be drastically different from the lifestyle we lived before and it may be hard for us to change everything in our life in the beginning. Help make it easier for us, do it with us. Who knows, maybe that walk might help you keep diabetes away from yourself.


Related Content

What is Diabetes?
Some Signs You Might Have Diabetes


References

Beyond Type 2 Blog