Archive for Diabetes Management

New American Diabetes Association (ADA) nutrition guidelines

In light of the American Diabetes Association (ADA) recently releasing new nutrition guidelines, I want to highlight some of the important changes, as well as some of my favorites.

The best news is that there is no specific recommended eating pattern for people with diabetes!! Therefore, each eating plan needs to be specialized. There is no “best” diet for a person with diabetes. However, it is strongly encouraged that you (and everyone else in the world, if you ask me) stick to a diet that contains a variety of minimally processed foods. These foods should be healthy and eaten in appropriate portions.

Invokana – An exciting new treatment in type 2 diabetes

Diabetes medication is a very exciting field right now – there are always new products on the horizon. I could spend many blog posts covering the basics of all of them. However, today I want to discuss Invokana, a promising new drug.

Fist let’s talk about how this drug fits into diabetes management. Keep in mind everyone’s story is different. When a person is first diagnosed with diabetes, they are usually treated with diet and exrecise or diet, exercise, and Metformin. As the disease progresses, a sulfonyurea maybe added like Glipizide or Glimepride. When blood glucose control isn’t able to be achived with these stratgeies, third line treatment is necessary, which could include insulin or something like Januvia. This is where Invokana, in studies, has proved to be beneficial. This medication could be used instead of
insulin or Januvia.

Small dietary changes can equal great results

Lately I have been seeing a lot of adolescents with pre-diabetes and new diagnosis Type II. It’s quite disconcerting… I meet with them and explain their lab values and the importance of taking control now, instead of later. Like most people, these kids respond best to small, reasonable changes. If you were to ask a teenager to avoid soda and fast food, good luck. You might as well tell them you want to take away their video games and cell phone while you’re at it.

Why I like products that treat low blood sugar

It might sound like I’m trying to get kickbacks for endorsing certain companies, but I promise I’m not. Products designed specifically for treating lows work best for many reasons. First, let’s go over the basics of low blood sugar. When you’re experiencing low blood sugar, you can feel start to feel shaky, sweaty, dizzy, faint, or nauseated. Many people follow, or are encouraged to follow, the 15/15 rule. When your blood sugar is under 70 mg/dL or you are feeling low blood sugar symptoms, you have 15 grams of carbs, wait 15 minutes, test your blood sugar. Repeat the process as necessary until you are over 70 mg/dL.

The basics of continuous glucose monitoring (CGM)

This summer I had two friends mention to me that their endocrinologists or internist was considering continuous glucose monitoring (CGM) for them. One of them is a Type I, diagnosed for 40+ years ago. The other is a relatively newly diagnosed Type II, but uncontrolled.

What in the world is CGM, you ask? Well, it’s basically what it sounds like.

CGM begins with a sensor inserted under your skin (That sounds a bit big brotherish, doesn’t it? But I promise there’s a big upside.). This sensor measures your blood sugar every few seconds and sends this information to a monitor that is attached to your belt or waistline (connected via a wire).

Hypoglycemia (LOW blood sugar) – It’s no joke!

Pappermint candyHaving low blood sugar could cause you to pass out, have a seizure, it could even be life threatening. There are several things that could cause low blood sugar:

Dining out healthier

Chances are you’ve heard a million healthy dining out tips, but honestly you can’t hear this kind of advice enough. I’m definitely not perfect in this category either. I am completely aware that most restaurants post their menus online (with nutrition data). However, I can’t say I always check before we leave the house. Maybe I don’t want to be reminded that the three-piece chicken strips at Chick-fil-A has 1230mg of sodium… or that the chicken burrito I enjoy at Moe’s has 600 calories, 9g of saturated fat, and 63 carbs. When I do take the time to look over the facts before heading out, seeing the numbers gets me thinking, and that’s important!

Navigating the grocery store – Dairy, breads, cereal, cereal bars

I hope that you found part 1 of this series interesting and useful. Today we’re turning down the dairy, bread, cereal, and cereal bar isles, so let’s get moving.

Top 10 sodium bombs

saltI saw the most interesting top 10 list today. It was the top 10 sources of sodium in the American diet. We all know that we consume way too much sodium on any given day; I mean it’s just so easy to overdo it. Go out to eat one meal during the course of the day and you’ve blown it! The American Heart Association recommends that people with heart disease and hypertension (high blood pressure) try to stick to no more than 1500mg per day.

Supplements that could raise your blood sugar levels

It’s a good idea to seek the advice of your primary care physician and pharmacist before starting any supplements, as I mentioned in “How to choose a quality supplement.”

The following supplements could increase your blood sugars: