Once you’ve been diagnosed with diabetes, it is important to know what you can do to manage it and gain control!
The first thing to do is to work with your GP. If your GP has prescribed medication, or given you a referral to a specialist, it is important to follow your GP’s plan.
Aside from medication, there are other things you can do to help manage your diabetes. Lifestyle modification – including increasing your activity levels, and improving your diet – is effective in assisting in the management of type 2 diabetes.
Exercise improves glucose control in a number of ways. When you exercise, glucose is utilised as a source of energy. Glucose is stored in your blood, muscle and liver, so that after you exercise, the amount of glucose in your muscle and liver has been reduced. The next time you eat, glucose replenishes those diminished stores, rather than building up in your blood.
If you build some muscle through resistance exercises (also known as “weight training”), this provides even more storage sites for glucose, which also help to reduce the amount of glucose building up in your blood.
When you exercise, you also improve your insulin sensitivity – this means your cells respond better to insulin, so less of it is required to perform the same job. This also helps to improve your glucose control. On top of that though, it means your insulin levels tend to be lower – which is really important if you’re looking to lose weight, as high insulin levels signal your body to store fat from the food you eat, and prevent that fat being used as an energy source.
When it comes to diet, stick to a few simple rules to help keep you glucose levels in control:
- Slow & steady carbs!
You’ve probably heard about low GI carbohydrates a lot! And it can be hard to know what to go for. Choose brown and grainy options over white options wherever possible! Except for rice – the best rices to go for are a couple of “white” options – doongara and basmati. These are even better than brown rice in terms of GI!
- Go for green!
Fill up your plate with veggies at every meal – these provide lots of vitamins and minerals, but also tend to be low GI, helping to keep you feel satiated for longer. Plant sources of fats also tend to be mono and polyunsaturated (which are the good kind!) – things like avocado, nuts and seeds.
- Keep it lean!
When it comes to animal sources of protein, trim all visible skin and fat prior to cooking, and keep portion sizes for meat to the size of the palm of your hand and fish up to the size of your whole hand.
For ideas about what sort of exercise you should get into, and meal and nutrition ideas, check out The Glucose Club’s articles page, or book into see one of our accredited exercise physiologists in our clinics, or through one of our programs.
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World Diabetes Day 14th November - Key message # 3: Know how to manage diabetes and take control
Kids at risk of major health problems!
An article in yesterdays Daily Telegraph (Monday 6th July 2009) entitled “Kids put at risk by fatty diet” brings to the fore some startling statistics about Australian Children (http://www.news.com.au/adelaidenow/story/0,,25737756-2682,00.html).
The research to be published in Diabetes Care states that one third of all 14 year olds and one in four eight year olds fall into high-risk category for heart disease, stroke and diabetes. One of the authors for the report, Professor Stanley, advises that this is so because there has been a dramatic increase in the amount of cheap and high fatty foods with “slick” advertising. She also states that more activity for the whole family is needed. They also comment that the definition of obesity is too focused on Body Mass Index alone and that in this report they considered waist circumference, blood pressure and insulin resistance.
This highlights how important a healthy lifestyle and getting control of your Sugar Daddy is for the whole family and how our kid’s health is suffering in this fast paced society. I for one look forward to reading the report in full!
Fructose-sweetened Drinks Increase Nonfasting Triglycerides In Obese Adults
Taken from http://www.sciencedaily.com/releases/2009/02/090212161819.htm
Fructose-sweetened Drinks Increase Nonfasting Triglycerides In Obese Adults
ScienceDaily (Feb. 12, 2009) — Obese people who drink fructose-sweetened beverages with their meals have an increased rise of triglycerides following the meal, according to new research from the Monell Center.
"Increased triglycerides after a meal are known predictors of cardiovascular disease," says Monell Member and study lead author Karen L. Teff, PhD, a metabolic physiologist. "Our findings show that fructose-sweetened beverages raise triglyceride levels in obese people, who already are at risk for metabolic disorders such as cardiovascular disease and diabetes."
Triglycerides are manufactured by the body from dietary fat and are the most common form of fat transported in blood. Although normal levels of triglycerides are essential for good health, high levels are associated with increased risk for atherosclerosis and other predictors of cardiovascular disease.
In the study, published online by the Journal of Clinical Endocrinology and Metabolism, Teff and her collaborators studied 17 obese men and women. Each was admitted two times to the Clinical and Translational Research Center at the University of Pennsylvania. On each admission, the subjects were given identical meals and blood was collected from an intravenous catheter over a 24-hour period. The only difference was the sweetener used in the beverages that accompanied the meals; beverages were sweetened with glucose during one admission and with fructose during the other.
Blood triglyceride levels were higher when subjects drank fructose-sweetened beverages with their meals compared to when they drank glucose-sweetened beverages. The total amount of triglycerides over a 24-hour period was almost 200 percent higher when the subjects drank fructose-sweetened beverages.
Although fructose increased triglyceride levels in all of the subjects, this effect was especially pronounced in insulin-resistant subjects, who already had increased triglyceride levels. Insulin resistance is a pre-diabetic condition often associated with obesity.
"Fructose can cause even greater elevations of triglyceride levels in obese insulin-resistant individuals, worsening their metabolic profiles and further increasing their risk for diabetes and heart disease," said Teff.
Fructose and glucose are forms of sugar found in both table sugar (sucrose) and high fructose corn syrup. Both fructose and glucose are present in lower concentrations in many fruits and vegetables. Although fructose tastes much sweeter than either glucose or sucrose, it typically is not used alone as a sweetener.
Future work will seek to determine how much fructose is needed to cause an increase of triglyceride levels when it is combined with glucose in beverages. Additional studies will explore the metabolic and health effects of long-term fructose intake.
In addition to her appointment at Monell, Teff serves as Associate Director for Translational Research at the Institute for Diabetes, Obesity & Metabolism, University of Pennsylvania School of Medicine.
Also contributing to the study were Peter Havel from the University of California, Davis and his colleagues Kimber Stanhope, Nancy Keim, and Bethany Cummings; Sean Adams, Ryan Grant, and Tamara Dunn from the USDA Western Human Nutrition Center; Joanne Grudziak from Monell; and Raymond R. Townsend from the University of Pennsylvania.
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