Tag: diabetes

  • Foot Health Matters With Diabetes

    SELF-CARE CORNER

    Patient having his foot examined by a doctor.

    People with diabetes have a higher risk of getting certain foot problems. This usually happens because diabetes can cause nerve damage in the feet. This is known as diabetic neuropathy, which can lead to tingling, burning or weakness in your feet.

    Why does neuropathy matter?

    Diabetic neuropathy isn’t just painful. It also means that you may not feel things like cuts, injuries or heat or cold on your feet. Your feet could get hurt or burned and you wouldn’t know it. Then, with reduced blood flow, your body may not be able to heal the skin very well.

    Keeping skin healthy

    Wash, dry and moisturize the skin on your feet every day. Also, check for problems. Here’s how:

    *  After bathing, dry your feet gently with a towel.

    *  Look for corns, calluses, blisters or cuts. If you notice any of these, call your health care provider. Don’t try to remove corns or calluses yourself.

    *  If your skin looks healthy, you can moisturize. Apply a skin cream to dry areas.

    *  Don’t apply cream between your toes. This can cause fungus to grow. Keep the area between toes clean and dry.

    *  If you can’t trim your toenails easily, have this done by a podiatrist or other health provider.

    Good shoes are your friend

    Poorly fit shoes can cause sores, or ulcers, on your feet. These can lead to infection. Even if you don’t feel pain, see your doctor about any sores on your feet. You should also stay off your feet until your doctor says it’s ok. Don’t walk in your bare feet because this can put your feet at risk.

    You can avoid many foot ulcers by getting comfortable, supportive shoes. A podiatrist or foot specialist may help you find a pair that fits your feet well without rubbing. Wearing socks that wick moisture, such as wool socks, can also help. Wearing wet socks or shoes can lead to fungal infections.

    Helpful ways to avoid foot problems with diabetes:

    1.  Go to regular checkups.

    2.  See your doctor if you have any foot injuries or skin changes on your feet.

    3.  Follow your diabetes plan to keep blood sugar under control.

    4.  Check your feet every day.

    Source: American Diabetes Association

    © American Institute for Preventive Medicine

  • Diabetes Prevention

    Diabetes Education

    Gloved hands, helping another hand check blood sugar level.

    Step 1: Lose weight if you are overweight.

    *  People at risk of type 2 diabetes may be able to delay or prevent it by losing five to seven percent of their total body weight.

    *  Aim to lose one pound a week.

    *  Ask family and friends to support you.

    Step 2: Make wise food choices.

    *  Control food portions.

    *  Reduce serving sizes of high fat and high calorie foods.

    *  Increase the amount of veggies (especially nonstarchy veggies, like leafy greens), and fiber that you eat. Choose fruit for desserts.

    *  Avoid sugar sweetened beverages, such as regular soda and sweet tea.

    *  Limit your sodium intake to 1,500 mg a day.

    Step 3: Be physically active every day.

    *  If you are not already active, start slowly.

    *  Build up to at least 30 minutes a day of a moderate-intensity physical activity five days a week.

    Action Step:Keep a log of what you eat and how much you exercise. It will help you stay on track.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • 4 Ways To Help Others With Diabetes

    MEDICAL NEWS

    Image of man holding a sign that says 'sugar free.'

    Diabetes affects millions of Americans. Although diabetes can be challenging, it can also be managed with proper health care.

    People with diabetes often need to change the way they eat and may need to exercise more and make other lifestyle changes. These changes can be hard for many people. But support from family and friends can make these things easier for them.

    If you have a loved one with diabetes, try supporting them with these tips.

    1.Learn about diabetes.If you understand the disease, you’ll be able to better understand what they’re going through. Use reputable sources like government health websites and the American Diabetes Association.

    2.Eat what they eat.Talk with your loved one about their diabetes eating plan, and buy foods they can eat. Avoid buying or eating foods that are “off limits” for them. This makes their diet easier and can also help improve your own health!

    3.Try exercising together.Walks, swimming, bike rides and trips to the gym can be more enjoyable with another person. Be sure the exercises you choose are safe for both of you, and ask your doctor first if you have any health conditions.

    4.Recognize signs of a problem.Get to know the signs and symptoms of blood sugar that is too high or too low (see sidebar on this page). You’ll be able to help your loved one get the help they need if this happens.

    Recognize blood sugar problems

    Signs of low blood sugar (hypoglycemia):

    *  Sudden mood changes or anger

    *  Feeling very tired, yawning

    *  Sweating or twitching

    *  Loss of coordination

    *  Inability to talk or think clearly

    *  Seizures

    *  Feeling faint or passing out

    If you notice signs of low blood sugar, offer the person a piece of sugary candy and take them to the emergency room. Or call 911.

    Signs of high blood sugar (hyperglycemia):

    *  Feeling very thirsty

    *  Extreme fatigue

    *  Blurred vision

    *  Having to urinate more than normal

    If a person is having high blood sugar too often, they should call their doctor right away. It needs medical attention.

    © American Institute for Preventive Medicine

  • Diabetes-Related Vision Loss Increasing

    MEDICAL NEWS

    Image of older women with thumbs up at an eye doctor appointment.

    More than 30 million Americans live with diabetes today. Living a healthy life with diabetes is possible, but it is a serious disease that requires proper medical care.

    Diabetic retinopathy is a possible complication of diabetes. It is caused by damage in the blood vessels of the eye’s retina. It is also a leading cause of vision loss and blindness.

    Diabetic retinopathy rates are rapidly increasing, according to the National Eye Institute. From 2000 to 2010, diabetic retinopathy cases increased 89 percent from 4.06 million to 7.69 million. And, that number is expected to nearly double by the year 2050.

    Keeping eyes healthy

    If you have diabetes, there are ways to lead a healthy life and avoid problems like diabetic retinopathy. The National Institute of Diabetes and Digestive and Kidney Disease recommends:

    *Keep blood glucose (blood sugar) levels under control.High blood glucose damages the blood vessels on the retina over time. The blood vessels may become blocked, cutting off blood supply to the retina. Work with your doctor to set a target blood glucose number. Get clear instruction from your medical team on how you can meet your goal. A healthy diet, regular exercise, and certain diabetes medicines may be needed.

    *Track your blood pressure.Many people associate blood pressure with heart disease, but it matters for diabetes too. Long-term high blood pressure also harms your retina’s blood vessels. Be sure to have your blood pressure checked regularly. Ask your doctor how often it should be checked. If you need blood pressure medicine, take it exactly as your doctor prescribes.

    Early signs of eye problems

    Diabetic retinopathy may not have any early signs or symptoms. That’s why it’s important to keep blood sugar and blood pressure under control, even if you feel fine.

    If you notice any of the following problems, see your doctor:

    *  Double vision

    *  Blurry vision

    *  Seeing rings, flashes or spots

    *  Eye pain or a feeling of pressure in the eye

    *  Trouble seeing out of the corner of your eye

    You can take steps to manage diabetes. Talk to your doctor, nutritionist, and medical team about keeping your eyes – and your entire body – as healthy  as possible.

    © American Institute for Preventive Medicine

  • Prevent Diabetes

    SELF-CARE CORNER

    Image of home testing glucose machine surrounded by vegetables.

    Diabetes may run in your family, but you can avoid or delay its development.

    You can reduce your risk for type 2 diabetes by eating a healthy diet, getting plenty of physical activity, and losing  excess weight, according to NIH in Health. Type 2 diabetes occurs due to problems related to a hormone called insulin. When your body digests food, it’s broken down and converted to glucose and other molecules, which then travel through the bloodstream. Insulin signals cells to let glucose in for use as an energy source.

    In a person with type 2 diabetes, either the body’s cells have trouble using insulin or the body isn’t making enough insulin. As a result, glucose can build up to harmful levels in the blood. That’s why people with diabetes often have high blood glucose levels.

    These high levels raise your risk for heart disease, kidney problems, blindness, amputations, and other serious conditions.

    Being overweight, obese, or inactive increases the risk to develop type 2 diabetes. You can change these risk factors. Losing just 5-10 percent of your weight and exercising 30 minutes a day on 5 days a week goes a long way to lower your risk.

    Steps to prevent diabetes

    *  Move more. It doesn’t matter what activity you do, as long as you enjoy it.

    *  Choose healthy foods. Eat fiber-rich fruits and vegetables.

    *  Maintain a healthy weight. With healthy eating and physical activity, you can drop pounds and keep them off.

    *  Set reasonable goals. Start with small changes, even walking 15 minutes a day. Add 5 minutes per day next week and so on. Goal: 30 minutes, 5 days a week.

    *  Record your progress. Keep a diary of what you eat and drink and the number of minutes you exercise to stay focused on your goal.

    *  Keep at it. Making even small changes is hard in the beginning. If you get off track, start again.

    © American Institute for Preventive Medicine

  • Simple Steps To Prevent Diabetes

    MEDICAL NEWS

    Image of man with bicycle along the beach.

    The good news is that many cases of type 2 diabetes, which account for between 90 and 95% of all adult cases of the disease, can be prevented by leading a healthy lifestyle, according to the CDC. So whether you’re flirting with pre-diabetes or just want to lower your risk, the American Diabetes Association suggests eating a balanced diet and getting regular exercise.

    Follow these tips on how to fit healthy eating and exercise into your busy day.

    *Sneak some exercise into your day.Being physically fit can lower blood sugar, blood pressure, and cholesterol by helping insulin work better. All of these factors help reduce your risk for diabetes, heart disease, and stroke. Plus, being in shape helps you feel better both physically and mentally.

    *Add exercise to your daily routine.If you don’t currently exercise on a regular basis, start with small amounts of physical activity. For instance, take a brisk 15-minute walk in the morning. Have a walking meeting with co-workers instead of meeting in a conference room.

    *Make exercise fun.Any kind of physical activity is exercise. This includes doing yard work, dancing, or walking the dog. Choose a few activities you enjoy, and take steps to fit them into your schedule. Find a workout buddy to do a few laps around the neighborhood after dinner. Make bike riding or hiking regular family activities.

    *Choose foods with a low glycemic index.The glycemic index is a measure of the effects of carbohydrates on blood sugar levels. These foods include white pasta, cookies, and crackers. They are typically made with processed white flour. When we eat these foods, it causes a spike in blood sugar. Eating these foods also tends to result in weight gain since they are often high in calories. Plus, they are often high in sodium and not very nutritious. Most Americans eat foods with a high glycemic index.

    *Cut back on your sugar intake.If you eat a lot of sugar in your diet, try to reduce sugary foods and beverages. For example, instead of soda and juice, try seltzer or water. When the craving for a cookie or piece of cake hits, try a piece of fruit instead. Some studies have shown that the natural sugar in fruit can help decrease sugar cravings.

    *Incorporate more fresh fruits and vegetables into your diet.Eating more fruits and vegetables keeps your blood pressure stable and gives you much-needed nutrients and fiber. Plus, most fruits and vegetables are low in fat and calories.

    *Choose healthy snacks.Before having a high-sugar or high-fat snack, reach for a handful of nuts, some low-fat popcorn, or whole-wheat crackers. Keep healthy snacks on hand whether you are at home, at work or on the go.

    *Remember these tips when eating out.Think of your plate as a pie chart. You should fill up half of your plate with vegetables, a fourth with protein, and a fourth with a starch or carbohydrate.

    © American Institute for Preventive Medicine

  • Take These Small Steps To Manage Diabetes

    MEDICAL NEWS

    Close up image of female hands taking a sugar glucose reading.

    Nearly 26 million Americans have diabetes, and more than a quarter of them do not know it. Left untreated, diabetes can lead to serious problems such as heart disease, stroke, kidney disease, blindness, and loss of limbs.

    An estimated 79 million adults have pre-diabetes, a condition that places them at increased risk for developing type 2 diabetes and heart disease.

    Even if you know what to do to improve your health, figuring out how to do it and fitting it into your daily routine can be a big challenge. Making changes in how you care for your health is a matter of trying and learning.

    The National Diabetes Education Program suggests you make a plan and take small, but important steps to help you reach your goal:

    *  Think about what is important to you and your health.

    *  What changes are you willing and able to make (such as testing your blood glucose, exercising, planning diabetes-friendly meals and snacks)?

    *  Decide what steps will help you reach your health goals (such as talking with your doctor about your blood glucose goal, taking a tour of the grocery store with a diabetes educator, learning how to make healthier meals).

    *  Choose one goal to work on first. Start this week. Pick one change you can start to make right now.

    *  Don’t give up. It’s common to run into some problems along the way. If things don’t go as planned, think about other ways to reach your goal.

    © American Institute for Preventive Medicine

  • Traveling With Diabetes

    SELF-CARE CORNER

    Image of pricked finger about to test blood glucose levels.

    The American Association of Diabetes Educators suggests a plan for ensuring your next travel adventure is safe and successful.

    Over-pack your medications.

    Gone for a week? Pack two weeks’ worth of your diabetes medications in case of travel delays or misplaced supplies (insulin, syringes, testing strips, extra batteries for your pump, a first-aid kit, glucagon emergency kit). If you use an insulin pump, ask the company if you can bring a backup in case yours fails. Have a prescription from your doctor for insulin or oral medication in case of an emergency.

    Protect your supplies.

    Keep your medications and supplies close at hand and don’t put them in checked luggage or in the car trunk, where they can be exposed to harmful extreme temperatures (too hot or too cold). If you’re flying, keep them in the original packaging (so no one questions they’re yours) in a bag separate from your toiletries, as requested by the TSA. Don’t worry, the TSA allows you to go over the 3.4 liquid-ounce carry-on limit for diabetes medications and supplies.

    Identify yourself.

    Wear your medical bracelet or necklace that notes you have diabetes and take insulin (if you do). Bring a doctor’s note that explains you have diabetes and lists your medications, as well as a prescription in case you need more. Carry a health card that includes your emergency contact and doctor’s name and phone number. Learn how to say “I have diabetes,” “sugar,” and “orange juice, please” in the language of the country you are visiting.

    Carry snacks and low blood sugar treatment.

    Low blood sugar (hypoglycemia) can strike any time and food access during travel is unpredictable, so be sure to bring plenty of snacks such as peanut butter crackers, granola bars, and trail mix as well as glucose tablets or gel.

    Simplify flying.

    Tell the TSA folks that you have diabetes (they’re used to accommodating people with health issues). Visitwww.tsa.gov/traveler-information/passengers-diabetesbefore your trip to learn about current screening policies. If you plan to inject insulin while flying, be forewarned-the pressurized air can make it more challenging to draw up your insulin, if using a vial and syringe, so be extra careful not to inject air into the bottle.

    Test often.

    New foods, increased activity, and different time zones can throw your glucose levels out of whack, so be sure to test frequently, including before and after meals. If you take insulin, keeping your levels steady can be tricky when changing time zones, so make a plan to adjust your schedule for injecting. Before your trip, see a diabetes educator, who can help you with this challenging process.

    Favor your feet.

    Wear comfortable well-fitting shoes and socks at all times. Never go barefoot. Check your feet often, especially after a hike or long walk. Feet and ankles often swell during flights so consider wearing light knee-high compression stockings or bring thinner socks to change into if your feet swell. Wear a shoe that can be loosened if that occurs. Pointing and flexing your ankles during a flight can improve blood flow in your calf muscles and decrease swelling as well as lower the risk of blood clots.

    Prepare for a health emergency.

    If you need medical treatment, ask your hotel to recommend a local doctor who treats diabetes. Before you travel overseas, get a list of local English-speaking doctors through the International Association for Medical Assistance to Travelers atwww.iamat.org.

    © American Institute for Preventive Medicine