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Friday, May 16, 2014

Diabetes Positive Approach Newsletter #1405 on Fats and Fiber

Welcome to Diabetes Positive Approach Newsletter #1405 issue on fats and fiber. It has been documented that fats can be good for you. Don’t get me wrong. There are good and bad fats and we will feature here how to make the right choice. We have to learn to understand both the bad fats and the good fats so we will make good choices. The bad ones are a threat to the heart because they will keep clogging the blood vessels which could lead to a heart attack.

Dietary fiber is vital for a healthy diet. It provides many health benefits. Do you know why fiber is good for our health? For one thing, it helps control the blood sugar level and lowers the cholesterol level as well. That is why we have to try hard to incorporate this in our daily meals. It should not be difficult and we will show you in this issue.

In This Issue: Fats and Fiber - The Good, the Bad and the Ugly for PWD (People With Diabetes)"

The Bad and Ugly Fats

Since we know that bad fats increase the risk of a heart disease, we have to limit the intake of this type of fat. What are they, you asked? Well let me tell you what the experts say when I researched the matter fully. They are saturated fats, hydrogenated fats and trans fats. Let’s take them one at a time so we will have a better understanding of them.

What Are Saturated Fats?

These fats usually come from animal sources. At room temperature, they appear solid like butter, milk fat, chicken skin, meat, pork skin, cheeses and ice cream. My research also shows that palm oils and coconut oils are something we have to be careful about. And this is where I am in a bit of quandary because on one hand, there are reports on the goodness of coconut oil.

What Are Hydrogenated Fats?

A chemical process turns vegetable oils that are liquid into something solid or semi-solid at room temperature. These are called hydrogenated fats. They are unnatural fats that are bad for our health. What they do is forced addition of hydrogen into omega-6 polyunsaturated oils. Why do they do this? Well to make them hard and less perishable to last longer on the shelf.

What Are Trans Fats?

Sometimes hydrogenation changes oils into trans fats. This is very unhealthy but unfortunately is the key ingredient in packaged foods, stick margarines, shortening, baked goods and fast foods. Limit the intake of these foods or avoid them altogether by getting foods that are trans fats free. There are more and more of these products in the market now.

What Are Good Fats?

For a long while, we were told that all fats are bad. Not anymore, for there are certainly good fats that can protect the body from heart disease. How does that happen? Well they help lower the cholesterol level, that’s why. But go easy on them because they have high calories and will raise the cholesterol level. These good fats are monounsaturated fats, polyunsaturated fats and omega-3 fatty acids. Let’s take them one at a time.

What Are Monounsaturated Fats?

These are vegetable oils that at room temperature are in liquid form. If you use these instead of the saturated fats, you will come ahead in the diabetes diet game. Why? It’s because they help lower the bad cholesterol without lowering the good ones. Use olive oil and olives, canola oil and peanut oil and peanuts. Oh, and avocados also belong to the monounsaturated fats family.

What Are Polyunsaturated Fats?

These are vegetable oils that are also in the form of liquid at room temperature. You can replace those saturated fats, trans fats and hydrogenated fats with cotton seed and sunflower oils. Salad dressings and mayonnaise also contain polyunsaturated fats. So does soft tub margarines. They will help improve the ratio of the good and bad cholesterol.

What Are Omega-3 Fatty Acids?

These are from fish sources that are considered to be healthy for the heart. Why? It’s because they help lower both the triglycerides and cholesterol level. They also lower the blood clotting. So eat fish two or three times a week like salmon, mackerel, halibut, tuna, sea bass, sardines, herring and trout, Soybean and soy items and flax seeds, canola oil and walnuts are also rich in omega-3 fatty acids.

How About Fiber, How Much Do We Need to Eat For Optimal Health?

It depends on how old you are and your gender. A man who is fifty years and younger need 38 grams while those over 50 should consume 30 grams of fiber a day. As for women, those who are fifty years old and younger need 25 grams of fiber while those who are over fifty years old should consume 21 grams of fiber a day.

What Are the Best Sources of Fiber?

Here are the best sources of fiber. Fruits and vegetable are among them. That’s the reason our mothers literally force us to “Eat your veggies or you don’t get any dessert.” Whole grain products and nuts and seeds are also rich in fiber. So do peas, beans, and other legumes. I’m telling you it’s true because whenever I eat at Olive Garden where I have their soup full of beans, my tummy is celebrating.

What About Fiber Supplements?

If we don’t get enough fiber, what does one have to do?

Well, don’t fret because there are such things as fiber supplements. There are FiberCon, Citrucel and Metamucil but personally I don’t think these provide the nutrients that whole foods do. Of course some people with conditions like irritable bowel syndrome, diarrhea and constipation may need to take fiber supplements. Ask your doctor if you need them.

These Are All Well and Good But How Do We Fit All These into Our Schedule?

Okay, I hear you so here are some tips: Start the day right with a good breakfast of cereal containing high fiber if you choose bran and whole grain. That will give you at least 5 grams or more of fiber.

Use whole-whole grain flour for baking and if you need to add baking powder, here’s the deal. For every 3 cups of flour, put in a teaspoon of baking powder. Or do what I do, for everything I bake or cook, I sneak in some flax seeds and chia seeds and my family has no idea what they’re eating. I get scared though when I see them wince a bit. But that’s how far it goes. They put up with me because they know I’m a health nut.

For the breads, buy one that lists whole grain as its first ingredient and check if it has at least 2 grams of dietary fiber.

Have a fruit for every meal.

Add some frozen or fresh vegetables into salads or soup. That reminds me to put some carrots into the mix because my eyesight is deteriorating.

Mix some legumes like peas, lentils and beans into the salad or soups.

Snacking on fresh fruits and vegetables add more grams of fiber into your daily schedule. So do nuts and dried fruits.

Reference: http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/in-depth/fiber/art-20043983?pg=2 .

Here’s a video on Fat and Fiber

2. Must-Reads from Around the Web

Don't Forget the Fiber in Your Low-Carb Diet

Almonds

Nuts and Your Heart: Eating Nuts for Heart Health

Dietary Fiber: Essential for a Healthy Diet

3. “Alerts I Can’t Resist To Send You

Stay away from the Skinny Fiber Scam!

List of Carbohydrates, Fats, and Fiber

Soluble Fiber Strikes a Blow to Belly Fat

10 Everyday Super Foods

4. A Success Quotation of the Month“

“Happiness is not the absence of problems but the ability to deal with them.” H. Jackson Brown

5. Dessert Recipe”

Fruit and Nut Bar

6. Some Humour - Let's laugh together at the joke below even if it's not funny. Laughter protects the heart, did you know that? A research at Loma Linda University study found that diabetic patients who have high cholesterol and high blood pressure were found to have improved their HDL which is the good cholesterol and lowered their levels of inflammatory compounds when they watched funny shows or movies for 30 minutes a day.

Mother‘s Day Jokes

1. Ron said he learned from his mother to always tell the truth . When he asked her why, his mother said, “Because I said so.“

2. She also told Ron how to behave by not acting like his father.

3. She also taught Ron the cycle of life by saying, “I brought you into this world; I can take you out again.”

4. A child wanted to buy his mother a present but he didn’t have money so when nobody was watching the flower shop, he rushed in and stole a wreath and gave it to his mother who saw that it says RIP.

5. A boy told his mother he wanted to give her everything to make her life easy: an electric stove, an electric washer and dryer, an electric toothbrush and an electric chair so she can rest easy.

7. Do you have a question or comment for the team?

Drop us a line at diabetes.alertatgmail.com. Put on the subject line “Diabetes Positive Approach” so no one can mistake it as spam. Write your questions or comment there.

You may see your question answered in an upcoming issue of Diabetes Positive Approach like the one below.

7. How Do I Know Which Butter to Buy?"

Answer: Some years ago there was a panic about saturated fat so butter lost its appeal and margarine became the king of the table. But soon enough studies revealed that margarine is like an imposter pretending to be what he is not. It was revealed that the trans fat it contains is worse than saturated fat so now there appears in the dairy section a creamy light yellow spreads made up of less than 80% oil.

Most of these spreads say they’re trans free or not hydrogenated oil but they still contain some because food marketers are allowed to say free if there is only .5 grams or less. Butter is better because it’s rich in vitamin A and contains D, E, and K2. Butter is rich minerals like manganese, zinc, chromium, selenium and copper.

How to Purchase Butter, that is the question. Raw butter is the best as they are from cows that are grass-fed. It is better to buy the organic variety. The next best butter to buy is the pasteurized butter from cows that are grass-fed. Then it is the regular pasteurized butter from the supermarkets which are healthier than the spreads and margarine.

8. Got something to say? Please write down your questions and comments in Facebook.

Just go to the https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

Conclusion

There you have the fats and fiber you need to be as healthy as you ever want to be. But go easy at the start because if you rush into increasing your fiber intake fast you may end up bloated and have intestinal gas. And drink plenty of water, please, because fiber works well when it soaks up water.

Don’t be afraid of fats. Results from research have shown that people from all over the world eating diets high in fat and low carbohydrates are thriving. This is how our forefathers who are hunters and gatherers ate. They ate plant foods in season like fruits, roots and berries. The rest is meat, but not the ones full of chemicals. Rather they ate what they caught which are free-range, fed with grass and therefore healthy meat.

So don’t be afraid of fats when you eat like caveman’s diet. It’s when people started to switch to Western diet when the health started to fall apart. But don’t worry, we don’t have to go back to pre-Cambrian age to eat healthy because results have shown even modern people like the Villagers in Switzerland's isolated Loetschental Valley. They eat lots of milk, butter and cheese and seasonal treats of fruits and vegetables and they enjoy good health.

How about you? What works well for you? Let us know at the email address below the authors’ names.

Warm Regards,

Roger and Evelyn Guzman

diabetes.alertatgmail.com

Try this and see that You have the Power to Get Your Family Healthy . Finally there's a way to protect your family and avoid all the health problems that come with unhealthy meals!

Our families are in trouble with the processed food we eat and all the ingredients that do not help us get healthy.

In fact sugar is now the #1 additive found in most food, yet it provides zero nutritional value and has been linked to a dramatic increase in obesity, diabetes and a list of 29 other diseases that are cutting down the quality of life your family leads.

What we feed our kids significantly influences their health, quality of life, and ultimately their lifespan. Traditional family meals are based around processed grains, unhealthy fats, sugar filled items and contain low quality protein. This is a recipe for disaster.

Here are the 3 main problems with mainstream family meals:

Problem #1: These traditional family meals are built around fattening ingredients.

Problem #2: These traditional family meals are lacking in fiber.

Problem #3: These traditional family meals contain way too many calories.

Our families are in crisis YOU hold the power to save them. Here’s what will help you put the power into your hands with a Money-BackGuaranteed-for-60-Days! You have the Power to Get Your Family Healthy . Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

This newsletter is copyright 2014 Roger Guzman, M.D.

Remember that all these are for your information only. They do not take the place of the treatment and advice of health care professionals. You should continue to consult and work with them.

Please get permission if you want to publish this. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

Know somebody who'd like to read this? Please forward it to your family, friends, coworkers, and anyone else that you think might need or enjoy it. Thank you for your help and support.

Wednesday, April 16, 2014

Diabetes Positive Approach Newsletter #1404 on Fatigue

Welcome to Diabetes Positive Approach Newsletter #1404 issue on fatigue. We may be tired today especially dealing with the topic Fatigue on this issue, but we will not forget the different ways we have been building our self image. I must confess that my main purpose is for you to accept yourself because once you accept yourself, it is not important anymore when you feel others do not accept you.

At this point you will feel welcome wherever you go. Why? Because anyone who meets you will see the real you. It is not someone who is pretending to be somebody else. The real one is the much nicer person not the one who is trying hard to conform. This is when your conduct changes to be better. Never mind all that fatigue stuff. There is now more spring to your walk!

In This Issue: Fatigue Among PWD (People With Diabetes)"

What is Fatigue?

Fatigue has different meanings as many as the people are suffering from it. People use such words as tiredness, sleepiness, no energy and exhausted interchangeably. And no wonder, for even in the world of science, the definitions of fatigue can differ greatly due to inability to differentiate properly the signs, causes and effects. What the scientists do agree is that it is complex and has many aspects including physiological, situational and psychological.

For us laymen people, fatigue is a normal part of every day life, usually happening when we are physically and mentally tired and are not able to sleep well. This is referred to sometimes as a healthy type of fatigue because our body is telling us to rest. If we are smart enough to follow the body’s call to get rested, then this type of fatigue heals itself.

What are the Types of Fatigue?

But the trouble is the chronic type of fatigue is very stubborn and does not easily go away with rest. This is the type that is linked to diseases like cancer, arthritis, depression and also plays a role in diabetes. Fatigue has been differentiated as central or peripheral but its details are not within the scope of this report. However, if you write to me at the address below the authors’ names I can send you the literature on this very topic.

Some experts believe that fatigue has a psychological foundation. Defining psychological fatigue however is not giving the experts an easy time. Thank goodness for that because I don‘t want anyone to say that we are complaining about being tired because we are just being emotional or some other related psychological insinuations.

What Are The Effects of Fatigue?

Even the so-called healthy people without diabetes have been known to have lower quality of life and as well, fatigue negatively affects their self-rated health. Physical functioning is decreased and so is the ability to manage the daily routine. How much more will the PWD‘s feel with so many things they have to deal with in managing their diabetes?

What scares me the most is when fatigue gets in the way of the diabetics trying to promote and act on healthy behaviors like involving themselves in self-care as in eating healthy and moving more. Can anyone blame them when they get so tired taking care of their diabetes and this fatigue comes rolling in like a thief in the night?

It is a slippery road indeed if they disconnect themselves from self-care and let everything slide. This is what scares me the most because then they will be setting themselves up for complications down the road for they will certainly not thrive if they get frustrated and just put everything on auto pilot.

What can we do to help these people live a near-normal life?

I am glad therefore that the researchers are studying this area and finding out that all these effects of fatigue is still a problem that challenges the health care teams. Because fatigue is not specific and is a universal symptom, the clinicians are stuck in diagnosing and treating this problem.

How can they when the researchers have not even come up with a definitive definition and the measurement of the criteria for diagnosis? This therefore makes it difficult for those involved in further understanding fatigue in diabetes. How much harder is this for the diabetics when they are faced with challenges day after day?

What is Fatigue in Diabetes Like?

Just like with the other conditions, fatigue among the PWDs is more likely to have many sides to it among which are physiological, aspects of lifestyle and psychological are noted. The reason for fatigue in diabetes is the variation in blood glucose level. The complications of diabetes like cardiac disease, neuropathy and retinopathy are also linked with increased fatigue.

Research has shown that the rise in glucose levels can predict the presence of the symptoms that includes fatigue. This is also reported when hyperglycemia is of lower level even before such symptoms as excessive thirst and urination are observed. Even the newer studies reported that hyperglycemia was linked to lower cognitive function and change in mood states that includes severe fatigue.

In another study, the morning after an acute hypoglycemic episode, the subjects reported more fatigue syndromes and lower level of well-being. They were also more prone to get tired easily during an exercise session than when the blood glucose levels were maintained within the target level. Chronic hyperglycemia has been believed to cause fatigue but this has not been supported by the available data.

One study examined the connection between glucose control and physical indications, well- being and mood conducted among 188 type 2 diabetic Dutch patients. They used two instruments to measure the fatigue and found using one measurement, there is a relationship between A1c and fatigue thus concluding that persistent hyperglycemia may be a factor in fatigue.

The second type of measurement did not find a correlation between the A1c and fatigue but the researchers found a link between increase in insulin dosage and complaint scores including fatigue, anger, displeasure signifying increased emotional fatigue probably due to more hypoglycemic events and the burden of having to inject everyday.

Variations in glucose levels can also lead to psychological fatigue. Those who have roller coaster readings may feel they fail at maintaining their self-management. They can feel burned out or worn out from the everyday task they have to do for diabetes and this is where I am scared that they may stop taking care of themselves altogether which could make the blood sugar control worse and that could lead to the complications, later on.

Complications and Fatigue

Fatigue is associated with many chronic complications of diabetes. Duh, tell us what we don’t know. The side effect of damage in the kidney, for instance, is anemia which leads to increased fatigue. Anemia, by the way, occurs more often in the diabetic than to those without diabetes. Needless to say, quality of life is negatively affected even during the earliest stage of kidney impairment despite very small amount of urinary protein is present.

Neuropathy is also linked to symptoms of general and physical fatigue. Symptoms related to diabetes have also been found to be associated with fatigue that is more prolonged than those without diabetes. The studies also reported that this fatigue may have harmful effects on the job though they didn’t make a distinction between type 1 and type 2.

Psychological Factors and Fatigue in Diabetes

There are two important psychological issues that are most related with fatigue in diabetes. They are diabetes emotional distress and depressive symptoms. Diabetes emotional distress is related to the complicated regimen the diabetics have to do for their self-care. They are burned out and overwhelmed with the burden of daily care they have to do.

As for the depressive symptoms, research has shown that PWDs are two times more prone to become depressed than the rest of the population. Researchers have found that higher depressive symptoms are present in 11% of the cases while major depression is present in 31% among those with diabetes. They better offer some solutions to this.

Lifestyle Factors and Fatigue in Diabetes

While it is true that lifestyle factors have an effect on fatigue, what is most strongly linked are low level of physical activity and overweight. In fact, overweight and obesity have been connected with higher level of fatigue even in the general population. A lot of literature supports the idea that increased body mass index may be an important factor on the fatigue level.

Let me tell you a personal story of mine. Long time ago when I was young and foolish and suffering from hyperthyroidism, I was always tired. So I decided that what I needed was rest. So I rested, but the more I rested, the more tired I got. I could not understand it so I took the matter in my hands and rebellious as I was, I did the opposite and walked when I got tired.

You know what, things got better from then on. And that’s how exercise became part of my life: 15 minutes of yoga, 15 minutes of tai chi and 15 minutes of aerobic exercises every morning, every day even when I am in the airport waiting to catch a plane (not Flight 370, my prayers for those people and their families!)

That is why I so believe in what the researchers found that regular physical activity can ease the symptoms of fatigue. The age group of between 20 and 59 years who have low physical activity were more prone to feel tired and exhausted even after a night’s sleep. Even those who are physically fit and exercised for 6 hours a week felt tired more easily when they stopped their exercise routine.

Effects of Fatigue in PWDs

The top four symptoms that affect the women’s quality of life include fatigue. There have been studies on the bad effects of fatigue among the people with diabetes. African-American women who participated in the study reported that fatigue restricted their ability to increase the physical activity.

Women living in Australia who participated in a study used such words as “overwhelming tiredness”, “sleeping through most days”, and “I can’t do what I want, I feel weak, I am lonely”. Fatigue was among the top concerns of these women so much so that they have limited their activities to only the necessary ones.

You can tell from the studies that the effect of fatigue in diabetes is far-reaching. The consequence from this is serious as diabetes is a self-managed disease. This self-care requires the physical and mental energy in order to fully participate in the tasks involved to ensure the best health possible.

More Studies are Needed on Fatigue and Diabetes

Only 18% of the studies included the ways to measure the important outcomes in the life of the diabetics like their quality of life that is related to health. I must say that instead of spending money on studies after studies, just go out there and help the diabetics. Organize groups who will take the diabetics in a walk around the shopping mall. Do what Pope Francis advocates to throw away your desks and chairs and get out there and do pastoral work.

A Working Model to Research Fatigue in Diabetes

Physiologic variables on acute hyper/hypoglycemia, chronic hyperglycemia, glucose variability and diabetes symptoms are found to increase fatigue in PWDs. Then there are the psychological variables of diabetes like the emotional distress and depressive symptoms and the lifestyle variables of increased body mass index and reduced physical activity. All these lead to increased fatigue.

More importantly, I would like to add this. How can we help the diabetics in facing all the above challenges? Without this important part to improve the life of the diabetics, a study will just be a study. Nothing will change in the life of the diabetics. They will continue on as usual, waging a war against diabetes and losing it in the process.

Conclusion

There you have all the aspects of the variables that just enhance the fatigue the diabetics feel in the management of their condition. Fatigue is identified as both cause and effect of inadequate self-care. There is nothing there that will help them turn this around that will make their life better. This I am going to attempt in the Q&A section of this Positive Diabetes Approach Newsletter.

How about you? What are your thoughts on this? Write down your thoughts in the comment box below.

Reference: Research funded in part by National Institutes of Health and National Institute for Nursing Research.

Chronic Fatigue Part 2: Diabetes Video 2. Must-Reads from Around the Web

Sharpening My Routine on Trashing Used Diabetes Supplies

Diabetes Support Groups

What to Do When You're Feeling Defeated

7 Ways to Relieve Stress in Under an Hour

3. Alerts I Can’t Resist To Send You

Drinking and Diabetes

Your A1C and the Blood Sugar Roller Coaster

Eating Well With Diabetes on a Budget

6 Sugar Substitutes For Diabetes

Mari Ruddy Says ANYONE Can be an Athlete with Diabetes

4. A Success Quotation of the Month"

“The most certain way to succeed is always to try just one more time.” Thomas Edison

5. Dessert Recipe

Zucchini Bread

6. Some Humour - Let's laugh together at the joke below even if it's not funny. Since I am not good at this sort of thing, why not join a laughter yoga group or a local laughter club? You will be asked to participate playfully and imitate sounds of laughter and breathing, until the pretend laughter becomes the real thing. You will then feel the humor and the physical feeling of deep laughs and get healed.

Play Ball

Can anyone tell me what is funny with this joke? I can’t for the life of me know what it is.

Play Ball
Speaker Words Spoken
Ron: Hey Don, let’s play ball.
Don: Okay, what‘s the game about?
Ron: We’ll throw the ball at each other.
Don: Whoever the ball hits loses.
Ron: Without catching it of course.
Don: Right!
Ron: Here it is. (Throws the ball, boomerang and hit him.)
Don: Ha! It hit you; you lose!
Ron: Oops! That was just practice.


7. Do you have a question or comment for the team?

Drop us a line at diabetes.alertatgmail.com. Put on the subject line “Diabetes Positive Approach” so no one can mistake it as spam. Write your questions or comment there.

You may see your question answered in an upcoming issue of Diabetes Positive Approach like this one below.

7. Q&A: What Can We Do to Prevent or Fight Fatigue in Diabetes?"

Answer: Reach out and get help. I believe one of the links above will get to diabetes support. When you get there, click the state you are in and they will show the support groups near your residence. Then change your heart and mind for whatever we think will affect the way you feel. Try to be optimistic and life will be a little bit brighter.

A Study on Fatigue and Depression

Some 214 patients from 18 years old to 75 years old were matched with a controlled group.. All finished the fatigue scale to assess the severity of their fatigue according to this 8-item checklist and a score of 35 and up was considered severe. Other questionnaires were also used to determine other factors that are related to diabetes. Here’s what they found.

The presence of chronic fatigue is found in 40% of the type 1 diabetics compared to just 7% in the control group. The advice is that if you’re already taking the medication and it is still not working, discuss it with your doctor who may help you find the right medicine for you. As well, sticking to a diabetic diet and regular exercise will help.

Are fatigue and lightheadedness diabetes symptoms? An expert replied to this question with a qualified yes. Because the body is unable to create insulin which is in charge of getting the sugar to the blood cells to create energy, you just end up feeling tired and woozy. It feels like all the energy is sapped from your body.

No wonder 85% of the diabetics experience being tired. They feel tired and sluggish with no energy or just a little bit of it. Sometimes they fall asleep during the day and sleep longer at night for managing diabetes is so demanding. They have to keep track of a lot of things: blood sugar level, portion sizes in food along with carb content and medication doses plus exercise. Who would not feel overwhelmed at this and feel tired every day?

Because fatigue is high among the diabetics, it is important for the diabetes care team to assess it and talk about it with the patients and more importantly develop interventions. In this connection behavioral modification has been found to be useful in treating fatigue in diabetes. Aside from this, what else can help this widespread problem? This brings us to the next subtopic.

What is the Treatment for Fatigue?

If you wake up tired, it is a good idea to check your blood glucose level to see if the fatigue stems from that. But since tiredness is a sign of an underlying condition, the treatment has to depend on what is causing it. So if it is from anemia once the red blood cells count goes up, the fatigue severity goes down. If the underlying condition is infectious mononucleosis then it may take weeks.

While there is no solution there are ways to fight fatigue. Eat healthy as fatty and junk foods can make fatigue worse. Consume a balanced diet with plenty of fruits and vegetables. Eat only healthy fats like nuts. Light exercises like swimming and walking will help. Also reduce caffeine consumption. Taking a break too will help along with taking vitamin supplements especially vitamin B12 and iron pill as deficient supply of iron causes anemia and fatigue. Sleep is important so keep a regular schedule of sleep.

If the feeling of tiredness is severe, make sure you see your doctor. If the fatigue is less serious, there are some home remedies: Herbs can help with diabetes like Fenugreek seed, Asian Ginseng and Gymnema that can lower blood sugar levels. In addition, Gymnema also helps the pancreas make insulin for type 2 diabetics. Then there’s bitter melon that has anti-diabetic properties. And let’s not forget good old cinnamon that makes the cells respond to insulin better. It also blocks free radicals so sprinkle them on your bowl of whole grain oatmeal.

The company that makes supplements for the diabetics, DRSI or Diabetica Research Solutions Inc. said that only very few diabetics use Energy Drinks and rightly so. They therefore offered supplement without caffeine, but I don’t know for sure if this will work out. I am going to have to wait to learn more about it before making a suggestion on this.

Can We Prevent Fatigue?

Eat a well balanced diet and light exercise can help. Since it is caused by many other conditions, prevention is not an issue. If it is recognized early then the underlying cause can be revealed. Sometimes though fatigue comes gradually so you will have to rely on friends and relatives to observe the gradual decline in your body performance .

8. Got something to say? Please write down your questions and comments in Facebook.

Just go to the https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

Don't you find that despite all this fatigue stuff, we can feel better if we just be a little cheerful? The tension disappears and we stop sweating the small stuff. Because we are more secure of ourselves we find the things that used to bug us are not there anymore. We are more confident and our relationships with others will improve.

Then when we accept ourselves, it is easier to accept other people. We have to be careful here though. We can accept anybody and even understand how they feel but it does not mean that we agree with them. There is a world of difference between the two. Accepting is just understanding others but it does not mean it is embracing what they believe in.

Conclusion

Now, what can we take away from all of these? We admit that there may be a time when we get just plain tired. Don’t let the feeling of tiredness take over your diabetes self-care. It’s okay to rest a bit before taking that walk, eating that apple and all the rest we have to do, but don’t altogether give up.

How about you? Have you ever gotten tired? What did you do to make things better? Please share them with us at the email address below the authors’ names so we can help all the others.

Warm Regards,

Roger and Evelyn Guzman

diabetes.alertatgmail.com

Try this: Unconditionally Guaranteed to Normalize Your Blood Sugar Levels and Reverse The Root Cause of Diabetes!

Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

This newsletter is copyright 2014 Roger Guzman, M.D.

Remember that all these are for your information only. They do not take the place of the treatment and advice of health care professionals. You should continue to consult and work with them.

Please get permission if you want to publish this. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

Know somebody who'd like to read this? Please forward it to your family, friends, coworkers, and anyone else that you think might need or enjoy it. Thank you for your help and support.

Sunday, March 16, 2014

Diabetes Positive Approach Newsletter #1403 on Eye Care

Welcome to Diabetes Positive Approach Newsletter #1403 on Eye Care. For this issue, it is not an accident that our discussion is on looking at a person in the eye because it is time to discuss taking care of our eyes since this is a very important aspect of the diabetes condition. Anyway, if we have trouble looking at a person in the eye, I have some kind of training for this.

Let us start by looking at ourselves in the eye in front of the mirror. We can set aside a few minutes to do this and while we look at ourselves in the eye, let us repeat the positive qualities that we listed down on a piece of paper. So while we are looking at the mirror, let's say those positive qualities we have like being compassionate and cheerful.

In This Issue: Diabetic Retinopathy“
What is Diabetic Retinopathy?

This is a complication of diabetes that have an effect on the eyes. What happens is that the blood vessels at the back of the eye are damaged. This can develop to anybody who has type 1 or type 2 diabetes whose blood sugar is less controlled and has had diabetes for a longer period of time.

What to do? Protect your eyes, control your blood sugar and get a yearly eye exam.

Is It Possible to Prevent Diabetic Retinopathy?

As they say “An ounce of prevention is worth a pound of cure.” How true is this! Just take any condition and put the Prevention of It and Its Treatment in a scale and you will see right off which one will win the contest. In terms of time and money alone, there is no comparison. And this is without considering the worry, stress and other emotional trauma that will come around. So? Am I skirting the issue? Enough being diabetes police already. Get down to the prevention ASAP.

You can reduce the risk of developing diabetic retinopathy by doing the following religiously. And I mean religiously. Okay, I am being a diabetes police again but really, don’t you know that I am on your side? I have been doing this for seven years expecting nothing in return. I have no ulterior motive.

It is just that I care, really and truly care. I am the one who cries when one of you gets hurt and some of you write to let me know about it. I am the one who prays for you every night to spare you all the pain and suffering you must be feeling. So go easy on me, will you? Again do the following and you reduce your risk to get that darn thing.

1. Commit to manage your diabetes really well by eating healthy and moving more like walking for at least 150 minutes a week. Take medications as prescribed.

2. Check and record your blood sugar level everyday and see what triggers the high and low and make adjustment where necessary.

3. Keep cholesterol and blood pressure at target levels and for goodness sake, don’t be like me eating shrimps like there’s no tomorrow keeping my cholesterol level up so my doctor is threatening to put me on medication. Ha! What she does not know is I have some weapon in my sleeves. I’m not going to eat eggs, caviar, foie gras, butter, prawns & Colonel’s Secret Recipe because I read they are bad for cholesterol level. So there!

4. Taking the A1C test to keep the blood sugar within your goal will slow down diabetic retinopathy and will lessen the need for surgery. In this connection, I have a secret to share with you. This is from someone I know who has had diabetes for a long time. She said that taking a walk even just for ten minutes after a meal will give lower A1C reading.

5. Pay attention to changes in your vision and take the dilated eye exam every year. For any sudden change, call the doctor very quick. That may not be grammatically right but that’s a nursery rhyme in my childhood and I can’t get it out of my head.

6. Stop smoking, pretty please, and quit the use of all other tobaccos for they only exacerbate diabetic retinopathy.

Symptoms of Diabetic Retinopathy

In the beginning, there are really no symptoms, and this is the scary part because it is not giving us any warning. So unfair! But as the condition matures, the following symptoms may appear:

  • 1. The vision is blurry and fluctuating.
  • 2. There are empty or dark parts of the vision.
  • 3. There may be vision loss.
  • 4. It is not easy to perceive colors.
  • 5. There are dark spots floating in my eyes.
Oh my God, I have floaters in my vision. But I only got them when I was watching a soccer game and the ball hit me in the eye! I will call the eye doctor first thing tomorrow.

There are two types of diabetic retinopathy depending on the stage the condition is in. They are the early diabetic retinopathy and the advanced diabetic retinopathy. I won’t go into the details of both of them because to tell you the truth, I am scared so unless you write to me at the email below the name of the author, asking for more details, I will let this be. I will concentrate on the prevention. After all, this is a Diabetes Positive Approach Newsletter. Anyway, regardless of types, this condition affects both eyes.

When Should I See the Doctor?

To prevent this from happening, let’s carefully manage our diabetes. Easier said than done, right? Just get the annual dilated eye exam even if we feel our eyes are fine to make sure because we do not feel it coming at the beginning stage. Pregnant women may have to get the exam more than annually. But call the doctor right away if there are any changes in your vision.

Causes of Diabetic Retinopathy

Too much sugar in the blood as has been mentioned earlier is the culprit. This is what can damage the blood vessels in the retina and may even totally obstruct them. The poor eye grows new blood vessels to compensate but these blood vessels are not very smart. For one thing they do not develop properly and they leak!

What Are The Risk Factors?

While diabetic retinopathy can happen to any PWD (Person With Diabetes), the following factors can increase the risk:

1. Poor blood glucose control so eat foods rich in magnesium like avocados, raw pumpkin and sun flower seeds, almonds, green vegetables like spinach and green chard, raw broccoli, raw organic cacao, black beans, navy beans and peas. Snacks for low blood sugar? Mozzarella string cheese, whole wheat crackers and natural peanut butter, pear with handful of almonds, sugar- free jello and pudding, humus and veggies. Hey, where’s my walnuts? They’re supposed to be good, too. Don’t tell me I’ve been eating them religiously for nothing!

2. Length is a risk factor, for the longer one has had diabetes, the greater the risk but don’t despair because just think of Mary Tyler Moore and Sonia Sotomayor, Associate Justice of the Supreme Court of the United States who has had diabetes since she was a child. It just goes to show, all of us can be anybody we want to be, diabetes or not, so there!

3. High cholesterol so avoid eating caviar, eggs, foie GRAS, Colonel’s Secret Recipe, butter and prawns for I read that they’re bad for the cholesterol that will increase the risk to develop retinopathy. This is another one of those that should come with OMG because my cholesterol is now bad according to my doctor which happened only since we moved to the Toronto area where I have been eating a lot of shrimps. This is it; I will stay away from them starting now! Red Lobsters, get away from me!

4. High blood pressure is a risk so fight this by eating more of potatoes, bananas, (watch your carbs though), cantaloupe, yogurt, beetroot juice, hot cocoa and beans because they’re supposed to lower the blood pressure. I have all these foods in my Ipod so I can be ready to buy them when shopping for groceries.

5. Smoking - please stop smoking, that’s all I can say.

6. Pregnancy - I can’t do anything about this.

Complications of Diabetic Retinopathy

Complications? What are you talking about? Diabetic retinopathy is already a complication, for crying out loud. How can a complication have its own complication? Are you messing up with our mind? I know, you’re the experts so here it goes but I refuse to dwell on them: The complications are glaucoma, bleeding of the blood vessels, detachment of the retina and blindness. Hmm, thanks a lot! (Whisper to you, my friends, sarcastically of course!)

How Do We Get Ready For Our Doctor’s Appointment?

Time for the visit is short so let’s write down what we need to remember before we go, like so:

  • 1. List all medications you take.
  • 2. Write a brief history of your diabetes.
  • 3. Write all your symptoms related or unrelated to problems with the eyes.
  • 4. Bring a friend or a family member so you’ll get help remembering all the things that will transpire at the doctor’s office.
  • 5. Write all the questions you want to ask your doctor.
Be ready to answer the doctor’s questions like your eye symptoms and floaters, how long have you been feeling your symptoms, your last A1C reading, any eye injury and surgery, your diabetes management, and any other health conditions like the high blood pressure and cholesterol.

Be prepared to answer those questions as good doctors are very nosy and want to know everything about you.

Tests and Diagnosis

1. The dilated eye exam is the test used to diagnose diabetic retinopathy. How is this done? The doctor puts drops on the eyes to make the pupils of the eye open widely. This enables the doctor to see inside the eye better. In the meantime, you will have blurry vision for several hours after this test.

What Will the Doctor Look For?

  • Blood vessels that are abnormal
  • Swelling in the retina
  • Presence of cataract
  • Optic nerve abnormalities
  • Detachment of the retina
  • Presence of new blood vessels
  • Bleeding
2. Optical coherence tomography is an eye exam the doctor may request . This is an imaging test that will show cross-sectional images of the retina. It will provide the doctor the information on how thick the retina has become which will show if fluid has licked into it. This is also the test they use to see how the treatment is coming along.

3. Fluorescein angiography is the photography test of the retina that the doctor may do. While the pupils of the eyes are dilated, he will take pictures inside the eyes. The doctor will inject a special dye into your arm and take more pictures as the dye flows through your eyes. The doctor will be able to see from the pictures which blood vessels are leaking fluid, closed or broken.

What Treatments and Drugs Are Used to Treat Diabetic Retinopathy?

The treatment depends on the type, the severity, and the track record of the previous treatments.

The early diabetic retinopathy may not be treated at all but it has to be carefully watched by the eye doctor. This is to see when treatment may be needed. Meantime it will be wise to consult with the endocrinologist to see how the diabetes can be better managed. At the early stage of this condition, good blood sugar control can slow the progress of diabetic retinopathy.

The advanced diabetic retinopathy, if it is proliferate, needs prompt treatment which is surgery. Even for the ones that are not propagating but severe, the recommendation is also sometimes surgery. Here are the different options depending on the specific problems:

1. The focal laser treatment is done in the doctor’s office in a single session or in the eye clinic. It can slow down or even stop the leakage of fluid and blood in the eye. What they do is treat the leaks from the abnormal blood vessels with laser burns. After this treatment you may have blurry vision for around a day and see small spots that will go away within weeks. For some, vision improves but those with swelling of the central macula may not totally regain normal vision.

2. The scatter laser treatment, also done in the doctor’s office in two or more sessions or eye clinic, can reduce the size of the abnormal blood vessels. How they do this is they treat the areas of the retina away from the macula with scattered laser burns. After the procedure you will experience some blurry vision for around a day. It is also possible to lose some night and peripheral vision.

3. Vitrectomy is used to remove blood from the middle of the eye plus the scar tissue on the retina in a surgical procedure in the hospital or surgery center with the use of local anesthesia. The doctor makes a small cut in the eye, removes the blood and scar tissue and replaces it with a salt solution to maintain the normal shape of the eye. He sometimes puts a gas bubble in the eye cavity to help the reattachment of the retina. For days you remain facedown until this gas bubble dissolves.

Unfortunately, surgery is not a cure although it stops or slows down the progression of diabetic retinopathy. Vision loss and damage to the retina are possible. Regular eye exams are still needed. They are studying new treatments like medicine and direct injections to the eye that shows potential but they have not gone trough long term studies.

Are There Alternative Options to Treat Diabetic Retinopathy?

There are home therapies and natural cures but nothing has really been proven as yet. What is important is not to postpone standard treatment to try others that have not been proven. To treat early before losing the vision is still the best policy. Other alternative treatments have shown benefits like the following:

  • Blood vessels that are abnormal
  • Butcher’s broom
  • Grape seed and extract
  • Ginkgo
  • Pycnogenol (Pine bark)
  • Bilberry
I tried Bilberry but it caused some discomfort to my eyesight so I gave it up.

Inform your doctor of all the supplements and herbs you’re taking as they may interfere with your other medications. Or worse during surgery they may cause complications and extreme bleeding.

How Does One Cope With The Devastating Vision Loss?

Losing one’s sight is a biggie. It’s up there with Oh My God Lists. After all, the eyes are supposed to be the windows of the soul. You may have to talk with a therapist to deal with this situation. Your family doctor will refer you to one. Also there are support groups around. It helps to be with people who are experiencing the same situation. Ask your doctor for any support groups near your residence.

There are also products and services that can make living a lot easier. There are magnifiers and special lenses available. Video magnifiers may also help.

standard treatment 2. Must-Reads from Around the Web

Eyes Q - Problems on the Rise: Don’t Let This Be You

Protect Your Eyes

Protect Your Eyes and Vision

Diabetic Retinopathy and Diabetic Eye Problems

Diabetic Eye Problems

3. “Alerts I Can’t Resist To Send You

You Can Get Answers Here to a Lot of Your Questions< Prevent Diabetes Problems: Keep Your Eyes Healthy

Most Americans Are Not Aware of Eye Health Dangers From Diabetes Diabetic Retinopathy News

The Ophthalmologists Are Given an Alert on the Early Treatment Diabetic Retinopathy Study. Clinical Alert for Ophthalmologist

DO YOU KNOW THE ABCs OF DIABETES AND EYE HEALTH? ABCs of Diabetes and Eye Health

Here are the Most Frequently Asked Questions about Diabetic Eye Care Questions about Diabetic Eye Care

4. A Success Quotation of the Month“

"'If you don't take care of your body, where are you going to live?" - Unknown

5. Dessert Recipe”

Watermelon-Cranberry Agua Fresca

6. Some Humour - Let's laugh together at the joke below even if it's not funny. It is really good to try having a good laugh. And I like you to laugh so much because research has found it effective in treating diabetes, stress and chronic pain. In fact as I write this, scientists are studying how much more laughter can help.

The Lawyer and His Creative Defense

Defense: My client did not do that burglary.

State Lawyer: How can you say that when he was caught in the act?

Defense: I repeat, he did not burglarize.

State Lawyer: Then prove it.

Defense: He just inserted his arm into the window and removed a few items.

State Lawyer: How is that not burglary?

Defense: Don’t punish the whole man by the offense committed by the arm.

Judge: Well put, I sentence the man to one year in jail.

State Lawyer: That’s good, the client can choose to accompany it or not.

The defendant smiled while his lawyer helped him detach the artificial limb. Then he laid it on the bench and walked out.

7. Do you have a question or comment for the team?

Drop us a line at diabetes.alertatgmail.com. Put on the subject line “Diabetes Positive Approach” so no one can mistake it as spam. Write your questions or comment there.

You may see your question answered in an upcoming issue of Diabetes Positive Approach like this one below.

7. Q&A: What is macular edema, or diabetic macular edema?"

Answer: Consistently high blood sugar levels can damage the blood vessels in the eyes. When this happens, the blood vessels begin to leak fluid into the retina. This leads to the vision becoming blurry. And the vision can become distorted, too.

8. Got something to say? Please write down your questions and comments in Facebook.

Just go to the https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

My! All that reading tired me out. Truth be told though, I feel great after reading all these. It is only at the start that I feel, “Yikes, not again! Why do I have to do this? But then comes the end of the session and I feel like I can do anything. I can even look at Prime Minister Harper in the eye.

When you look at the mirror and saying those positive qualities about yourself, did you concentrate on your thoughtfulness and cooperation? That's good. Now we can look at the children in the eye and they will love you more. Then it is the next stage which is looking at your peers and co-workers in the eye.

Don't you find sometimes it is hard to look at other people in the eye? There are some people who cannot look directly at someone they are having conversation with. Some have such low self-image they feel they are not worthy to look at some people directly. Well, we are not like these people because we have been developing our self-image. And lastly, we can look at everyone we meet in the eye. Hey, we did it, let’s give ourselves a high five! Yay!

Conclusion

Now, what can we take away from all of these? Just take care of your eyes by keeping your blood glucose within the target level, eating healthy, moving more and getting that annual eye exam?

How about you? What have you been doing to take care of your eyes? Please share them with us at the email address below the authors’ names so we can help all the others.

Warm Regards,

Roger and Evelyn Guzman

diabetes.alertatgmail.com

Try this Natural Clear Vision !which is guaranteed for 60 days. If you’re not satisfied you get a full refund.

Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message.

This newsletter is copyright 2014 Roger Guzman, M.D.

Please get permission if you want to publish it. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

Know somebody who'd like to read this? Please forward it to your family, friends, coworkers, and anyone else that you think might need or enjoy it. Thank you for your help and support.

Sunday, February 16, 2014

Diabetes Positive Approach Newsletter #1402 on Exercise

Hey you guys, how's our self-image coming along? Great, I suppose because we are all here for each other. How can it be otherwise? But you know what? The best and most effective way to improve our self-image is to join a club or an organization that has worthwhile purposes. And we have that in our own little club, don't we, The Diabetes Positive Group. There's a ring to it, isn't there?

This is great for our next topic which is Exercise. Some of us will not want to do that but we will push each other. We might experience some difficulty getting people up but know that it is not necessary to become an exercise pro. We can just start somewhere and pretty soon as our confidence develops, I bet we will have a hard time getting you to stop. Exercise and Diabetes

Exercise is one of the three fundamentals in treating diabetes. The other two are food and medications but among these, exercise is cheap, easy, convenient and results in better blood sugar control. On top of this one cannot deny the fact that after the exercise, one usually feels well and healthy. How does this come about?

You see, whenever we use our muscles and that’s a given when we exercise, we burn both the glucose and the fatty acids. The beta cells in our pancreas can feel this so they relax the production of insulin giving them a much needed break. The lower insulin level alerts the liver to release its glucose reserves into the blood because the muscles need the energy for the exercise.

As the exercise continues, the liver turns the fats, lactic acid and amino acids into glucose to give the muscles what they need. This tells us that exercise is the best diabetes treatment because not only does it lower the blood sugar and fatty acid levels but also it gives the pancreas some time off from its work. You won’t suffer from hypoglycemia because exercise won’t lower the blood glucose to way below, the way some treatments may. But there are some risks, so listen up!

Heart Disease Risk

Before going into an exercise plan, consult with your doctor as it is imperative to know if heart disease is present as this is common, as much as 50%, among the PWD (people with diabetes). The doctor will consider your age, how long you have had diabetes, the family history, the blood fats and blood pressure and the presence of protein in the urine.

Undergo an exercise tolerance test if needed where they will make you walk on a treadmill and measure your heart’s response to stress. Don’t lose hope though if you find yourself in the positive territory because you can still exercise following some guidelines your diabetes care team will provide you. Besides, there may be medications that can lower this risk.

Hypoglycemia

This is a concern for those who take insulin or some form of medication. If you’re in this category, you will have to do glucose testing to monitor how your body responds to exercise or any type of activity so you will be prepared for the low blood sugar that might come for a visit.

What some people do in such a case is drink orange juice or some other thing to treat the low making their blood sugar go high. This leads them to take extra medication or insulin only to continue the roller coaster ride with another low. It is very frustrating, isn’t it? What is worse is that they may stay away from exercise thinking it is not worth it when it leads to such confusion and scary scenario.

They are missing the point that testing the blood sugar more often will help them understand better the body’s reaction to exercise. With this more frequent blood glucose testing, they will be able to make better adjustment to the other two cornerstones of diabetes treatment: medication and food.

Diabetes Complications

Believe it or not, there are complications that may make it unwise to increase the physical activity. For example, any activity that requires one to strain and lift weights may just do more harm than good for those who have high blood pressure. In fact the aforementioned activities will just exacerbate hypertension. So make sure the blood pressure is under control before increasing the activity level.

Another medical condition that can be harmed by increased exercise is retinopathy. Exercise that includes straining will increase the pressure on the eyes’ blood vessels which may already be weak to begin with. So before starting an exercise program, get your eyes checked for the presence of retinopathy and do this annually.

With nerve problems in your feet, you may not be able to feel injuries in the form of blisters and sores. Get to the doctor to have this checked before embarking on a rigorous exercise program. You should also examine your feet every day and wear appropriate shoes for exercise. It does not mean you cannot exercise. Just build your own program to suit your needs and follow the guidelines for your specific situation.

Guidelines for Exercise

Guidelines can help you ease into increased level more safely. Monitor your body’s response and request your health care to help you with this. After you have been screened through treadmill stress test, eyes and foot examination and protein in the urine, you are ready to choose appropriate activities or exercise.

Type of Activities

Choose activities that you enjoy so you don’t get bored to the point you will make excuses to stop. Indulge in a variety of exercises, some by yourself, others with a group. Some can be outside in the open air like tai chi and others inside the house. You could have more moderate ones when you have time and lighter type of exercise when you are pressed for time.

Best Time to Exercise

The best time to exercise? Anytime at all. It is hard enough for some people to find time to exercise. It will even make it harder if we dictate the best time to do it. For one thing it is an individual thing. We have different schedules for work and play so only each person can work out a plan to suit his own time frame.

The more important question is on what to remember when you start an exercise plan. Test the blood sugar before and after the exercise. It is because when you do this, you will know how exercise affects your blood sugar level. It is a balancing act but we have to tract how the body responds to exercise, food, medication and even stress. This is the way we can make the necessary adjustment for optimal health.

Intensity of Exercise

Do warm up first by mild stretching and marching around the room. This will help the heart get ready for the exercise. Since most PWD have brittle tendons due to years of high blood sugar level, it is good to do some gentle stretching to warm up in order to avoid trouble with muscle and tendons.

Glucose and Exercise

The next question is how much to exercise. The recommendation from the American Diabetes Association is not to exercise when the fasting blood glucose level is higher than 13.89 mmol/l (250 mg/dl) and ketone is present. We also have to be careful when the ketone is not present when the reading is16.67 mmol/l (300 mg/dl). ADA also recommends for us to eat a snack before exercise when the level is below 5.56 mmol/l (100 mg/dl ). Then test again after 15 minutes.

Do the activity or exercise after eating as this will help bring down the increased blood sugar after a meal. If you take insulin, know the peak times so you can plan your activities appropriately. Avoid the activities when the insulin is peaking to prevent hypoglycemia. Bring glucose tablets if you are at risk for hypoglycemia which if this occurs, stop the exercise right away and take the glucose tablet.

If you have repeated hypoglycemic episodes when you increase your activity, you should tell the doctor as he may have to change your medication. Monitor your blood glucose while exercising to see how the activity affects you. Check it before you start and every half hour during exercise.



2. Must-Reads from Around the Web

Optimize Your Diabetes Regimen for Physical Actvity

A Hassle for your Health

Tips for Beginner Joggers

Boost your Mood, Lower your Stress

Frugal Fitness: 7 Tips to Work Out on a Budget

3. “Alerts I Can’t Resist To Send You

Warning: Foods to Avoid to Prevent Complications Prevent Complications: Avoid These Foods

A Bad Habit That Makes Diabetes Worse Diabetes and Smoking

The Messed-up Healthcare Reimbursement System New Credo for Diabetes Health Insurance Coverage

Consumer Guide 2014 For Living With Diabetes Your Guide to 180 Tools for Living Well With Diabetes

Bayer Diabetes Care Would Stop Making the A1C A1C Lives On After All

4. A Success Quotation of the Month“

“You have brains in your head, You have feet in your shoes, you can steer yourself any direction you choose.” Dr Seuss

5. Dessert Recipe”

Warm Chocolate Souffles

6. Some Humour - Let's laugh together at the joke below even if it's not funny. It is really good to try having a good laugh. It’s the best medicine. Why not try laughter meditation? This consists of stretching, laughing, and silence. It can change your mood and energy.

Who Won The Best Joke Contest?

Roselyn: Why is Alabama a smart state? Because it has 4 A’s and one B

Peter: Which city cheats at exams? Peking.

Roselyn: How come birds fly south in winter? It‘s too far to walk.

Peter: How come the flamingo lifts just 1 leg? He’ll fall over if he raised 2.

Roselyn: What comes after the dinosaur? Its tail.

Peter: Why are some goldfish red? The water turns them rusty.

Roselyn: I’ll tell you a joke about a pencil but it has no point.

Peter: Why do idiots eat biscuits? Because they’re crackers.

Who won the contest? No one because the judge left the room disgusted, 7. Do you have a question or comment for the team?

Drop us a line at diabetes.alertatgmail.com. Put on the subject line “Diabetes Positive Approach” so no one can mistake it as spam. Write your questions or comment there.

You may see your question answered in an upcoming issue of Diabetes Positive Approach like this one below.

7. Q&A: I get too busy all day long. How can I fit in an exercise plan?“

Answer: Being busy all day long is good. You are probably burning all kinds of calories every day. In fact, the surgeon general said some activities will burn 150 calories a day or around 1000 calories a week. How do you like that? You may be wondering what those activities are. Here are some examples:

Shoveling snow for 15 minutes, climbing steps for 15 minutes, walking 2 miles in 30 minutes, gardening for half an hour to 45 minutes, bicycling 4 miles in 15 minutes, pushing a stroller for one a half miles for half an hour are some of the activities. They are heart-pumping ways and burn calories to help you get fit.

8. Got something to say? Please write down your questions and comments in Facebook.

Just go to the https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message. My! All that exercise tired me out. Truth be told though, I feel great after the end of an exercise session. It is only at the start that I feel, “Yikes, not again! Why do I have to do this? But then comes the end of the session and I feel like I can do anything. I can even look at Prime Minister Harper in the eye.

Don't you find sometimes it is hard to look at other people in the eye? There are some people who cannot look directly at someone they are having conversation with. Some have such self-image they feel they are not worthy to look at some people directly. Well, we are not like these people because we have been developing our self-image. Yay!



Warm Regards,

Roger and Evelyn Guzman

diabetes.alertatgmail.com Check out Defeat Diabetes Now It's a Natural Cure For Diabetes E-book, Doctor Recommended, Safe And Effective, Results Guaranteed! You will learn how to reliably control your diabetes through diet and exercise.

Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message. This newsletter is copyright 2014 Roger Guzman, M.D.

Please get permission if you want to publish it. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

Know somebody who'd like to read this? Please forward it to your family, friends, coworkers, and anyone else that you think might need or enjoy it. Thank you for your help and support.

Friday, January 17, 2014

Diabetes Positive Approach Newsletter 1401 - Eating Out

First, I must say a one-sentence explanation for this post. This is really a newsletter for my subscribers as I have migrated from SBI, my previous host to Blogger, but new readers are more than welcome to join us. I am so excited about this topic for this newsletter. It is eating out. Yay, that's right down my alley. But in my excitement we should not forget that we are building our self-image. Do you know how else we can improve our self-image? It's by studying how others failed and survived!

I can give you a lot of examples. There's Michael Jordan who said he failed so many times and yet he's known as Mr. Basketball. There's Henry Ford, a wealthy man, but when he was 40 years old, he was broke. There's Albert Einstein who failed his math courses. Can you believe it? That genius failed at Math? Oh, there's still hope for us. And now don't get me distracted from this favorite topic: Eating Out.

Eating Out and Diabetes

Making healthy choices when eating out is a must. Notice that I didn’t add for the diabetics because it’s true. We all have to eat healthy but temptations are everywhere and that’s the problem. Especially if you’re like me, who loves to eat at buffets. I have a good reason for this, you know. When you order something at regular restaurants and you happen not to like the food, you’re stuck with it. Whereas at buffets, when you don’t like something you can go back and try something else. Does that make sense?

Okay no more excuses. We should really be careful with what we eat if we want to manage both the weight and the blood sugar level. I am not going to say it is easy but with self control, it can work out. It really is doable. And if you do this regularly, it becomes a habit and that’s when it becomes easy. Okay, let’s follow my journey at the buffets I frequent.

Let’s start with the drink. You know how they start the meals at any restaurant. The waiter asks your drink preference. You wouldn’t believe what I prefer to drink. Yes sir, it’s a glass of water, that’s my baby. I can’t even have a lemon with the water which I used to love so much. But you see, my body is acidic so lemon is a no, no.

Now the rush to the buffet table is on and what do you think do I choose for my appetizer? Two of them! Oops, you caught me red-handed, but let me explain before you condemn me without trial. Appetizer #1 is a salad and I don’t really like it that much, but I have to eat something raw at every meal. At least, that’s what my mother told me. Anyway, for the salad, I opted for a light dressing. So at least you should be proud of this girl for trying!

Now let’s go to the soup, my appetizer #2. It’s clam soup, my favorite. The chef at this restaurant makes this soup so good, I drool at the thought of it even in my sleep. No, it’s not the creamy Boston Chowder, that’s too heavy even for me, a buffet lover. It’s just a clear soup with real clams in it. Oh my gosh! I hope he didn’t put MSG in it! Oh, well, I don’t get a headache or other side effects from it. Besides, a girl has got to live and enjoy life sometimes.

And now, drum roll please, let’s go to the entrée table. This is easier than I thought. For one thing, I don’t eat beef. No, I don’t belong to that religion where beef is taboo because they think the cow is sacred. I don’t even know now if there is such a religion. But I digress, pardon me. I don’t eat beef because I am afraid of Mad Cow Disease.

I have no explanation as to why I am afraid of Mad Cow Disease for I was told it has an incubation period of 30 years; I will be long gone before that happens. But that’s not true really because I saw a teenager suffer from it. And since then I refused to eat beef, not even the beef from a cow bred with Japanese tender loving care and fed with beer. And that’s why chickens hate me.

So the choice is clear. It’s either fish or chicken. That fish looks so inviting and the chicken, well, it’s beckoning to me. So how can a girl resist those looks, you tell me. So I got both. Now you’re giving me a dirty look, you diabetes police, you! Don’t be so down on me. It’s just half a fish and a chicken wing, for crying out loud. Besides, I loaded my plate with a lot of vegetables, so there.

And now to the dessert table we go. It is an easy choice; I picked an assortment of fruits - apples slices, watermelon, melon, papaya, oh no, this is a GMO (genetically modified organism) so I left that in the serving tray. I did the same to the pineapple and oranges because remember I am acidic. Then I looked at my husband’s plate and saw this gorgeous-looking cheesecake, reminiscent of the Lindy’s Cheesecake we had in Manhattan.

I made a quick dash to the dessert table racing against my self-control and dove right in before my right mind gets the better of me. But this, I’ve got to tell you and you will be proud of me. I took a spoon and just cut a piece from the slice of cheese cake and while I was there, I also cut a spoonful out of the carrot cake and the blueberry pie and went back to my table mates happy as a clam. I savor each bit of those three desserts ever so slowly so it felt like I ate the whole piece and that I‘ve gone to heaven. Watch below a more disciplined person eating out.



2. Must-Reads from Around the Web

Power Foods on a Budget

The Hidden Calories in Healthy Party Foods

Five Foods That Can Help Your Diabetes and Your Mouth

Hues of Orange

How To Stop Those Dreaded Food Cravings

3. “Alerts I Can’t Resist To Send You

Warning: Foods to Avoid to Prevent Complications Prevent Complications: Avoid These Foods

A Bad Habit That Makes Diabetes Worse Diabetes and Smoking

4. A Success Quotation of the Month“

"A crust eaten in peace is better than a banquet partaken in anxiety." -Aesop 

5. Dessert Recipe”

Vanilla Poached Peaches

6. Some Humour - Let's laugh together at the joke below even if it's not funny. I really want to make you laugh because I feel that laughter makes one feel better. With humor, you can entertain people but you have to remember a few things the first of which is you have to know what’s funny. And that’s where I think I fail. But at least I’m trying.

Caught Cheating!

Teacher: Hey Peter! What do you think you’re doing?.

Peter: Nothing, Ma’am?

Teacher: Nothing,? You opened your notes and copied them.

Peter: Ma'am, seeking help is not a sign of ignorance.

Teacher: You are really something else.

Peter: What I did was an intellectual act.

Teacher: Stay after school and I‘ll have a talk with you.

Peter: It made me think there are things that can’t be handled alone.

7. Q&A: How Do You Survive a Restaurant Meal?“

Answer: One really has to be careful when dining out. Think of ways to keep control like calling the restaurant ahead. Find out the different menu options they offer. They will be glad you called. Calling ahead will enable you to decide what to order that will best fit your needs. You will be comfortable knowing there will be something in the menu you can order.

If there is a kids’ menu, maybe you can order from there. Unless of course the children’s menu only comes with hotdogs, burgers and similar items. Failing this, you can request for a children’s size from the regular menu or a half portion. Ask questions for there maybe substitutions available. You can also checkout the nutritional information for the meal.

8. Got something to say? Please write down your questions and comments in Facebook.

Just go to the https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message. Okay, I failed at this. Eating out is my Waterloo, especially when indulging in a buffet. But I will not let that get me down. I will rise above that, I promise. Didn't Babe Ruth strike out many times more than anyone else? Didn't Enrico Caruso fail to reach the high notes many times to the point his teacher told him to quit?

We should all try to imitate Thomas Edison whose teacher called him a dunce and to prove it, he failed 14,000 times trying to perfect the incandescent light! We should also try to emulate Walt Disney who went broke seven times and had a nervous breakdown before he became successful. These people succeeded because they kept at what they had to and that's what all of us will do!

Warm Regards,

Roger and Evelyn Guzman

randeg@free-symptoms-of-diabetes-alert.com

If you want to have your cake and be well too, try Guilt Free Desserts: Gluten Free Diabetic Safe which helped people to dramatically improve their health by simply following an all-natural, low-glycemic diet.

100% Guaranteed Satisfaction while you have 60 days to try the product and if you are not completely satisfied, let them know and they will issue you a full refund, no questions asked. Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at https://www.facebook.com/pages/Free-Diabetes-Alert/22286671840 Just copy and paste that on your browser. Facebook will want you to join me first before you can send me a message. This newsletter is copyright 2014 Roger Guzman, M.D.

Please get permission if you want to publish it. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

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Monday, December 16, 2013

Have You Seen This New “Points System” for Better Nutrition and Physical Activity?

There really is a good tool to help choose foods that are good for diabetes. And it is good for tracking the meals. What it does is calculate the food score and then you can easily find recipes, menu plans and meals in restaurants that will suit your particular needs and will be better for your blood sugar. You will find this tool at thrive365.com

They say Thrive 345 will make you fall in love with food again. How will this tool do it? By simplifying the process. The complicated way of tracking what we eat will soon be over because this tool will do the counting for us. We will be able to meet head on the challenge of eating right.
Don’t let diabetes take away your enjoyment when eating out. With the help of this tool, you will have control over what are your choices to eat before you even arrive at the restaurant. You can select the food you want to order in the menu. Then thrive 365 will score the items to check out if they fit your particular needs.

You will be able to choose what foods to eat on your way to the restaurant. You will be able to choose nutritious foods that are good for your blood sugar. Can you see how this will expand your selection of foods? You will be in the driver’s seat as you will have full control on what to eat.

This tool consists of two parts. The food scores will help you select the nutritious foods that are right for you. The beauty of this is that you can make the right selection whether you are at home, in the restaurants or at the grocery store. This is great because now I don’t have to bring a calculator as well.

Mind you, my ipod has a calculator so that helped me a lot because then I don’t have to dig it out of my purse while keeping an eye on people with evil intention of taking a photo under your skirt. What they can get out of that is beyond my understanding. But you still have to watch for that and other shenanigans as well. Hmm, may be those people should get diabetes so they can make better use of their time.

Thrive 365 I think also has Healthy Eating Guidelines that will help us balance the nutrients in our meals. They have patented this food scoring system. It is designed particularly for type 2 diabetics who are not dependent on insulin. I don’t know why the type 1s will not benefit from this either but they have it in mind. I can’t wait to get my hands on this but they are still on beta. But I am so excited over it that I just had to report it to you.

Being in beta is not a bad thing. That only means there are still features that are under development. I wish windows would be on beta longer whenever a new one comes around so I don’t have to squash some bugs. That happens to me a number of times whenever I buy a new computer and it always comes with a new window.

I always prefer the old window because we have already developed a rapport and so we kind of understand each other. Not with the new window. It does not like me and I don’t like it and many a time I have had to report why something does not work on my computer with the new window. Has that ever happened to you? Or is it just me being so technologically challenged?

Sorry to digress, but Thrive 365 consists of two key parts: food scores to help you make better food choices at restaurants, at home and at the grocery store and Healthy Eating Guidelines to help you balance the nutrients in your meals. It is a patented food scoring system designed specifically for Type 2 diabetic people who are not dependent on insulin.

Physical activity is a good partner to nutrition and you can keep track with this with the help of Thrive 365. Of course the first step is good nutrition. Then comes the next step which is physical activity. In this connection, Thrive 365 can keep track of the blood sugar, the exercise and the score. You will be well informed of your progress in both the eating and physical activity departments.

There are some quotations there that I like:

“An early morning walk is a blessing for the whole day.” Henry David Thoreau

“Food is for eating and good food is to be enjoyed.” Della Smith

“One cannot think well, love well, sleep well if one has not dined well.” Virginia Woolf

“There is no love sincerer than the love of food.” Bernard Shaw Now this one I don’t believe much because of an experiment that has nothing to do with this report but I just love to share it with you. If you put your wife and your dog inside the trunk of your car, and after awhile, you open the trunk, who do you think will jump up and down in joy at the sight of you? I rest my case.

Research to make Thrive365 available costs over $10 million dollars.
Developed by over 300 nutritionists who specialized in diabetes, they assessed what foods are most advantageous to the diabetics although this has not been studied with the type 1s but they have this in mind as well. Developed for your body type, this food scoring system is customized to make certain you have good nutrition for breakfast, lunch and dinner.

The thrive 365 is available at the website mentioned above and you, iPhone fanatics, will celebrate. Why? It is because your iPhone can scan the UPC code on selected food items at the supermarket and then the iPhone mobile application will automatically upload the scores. How cool is that!

Then just when you think everything in honky dory, it gives you an eye-popping revelation. It is integrated with the blood glucose meter called Telcare to track blood sugar automatically and of course, exercise cannot be left behind, heaven forbid. It is also integrated with Fitbit to track exercise automatically as well. Now I hate to think how much will all of these cost.

By Roger Guzman, M.D. and Evelyn Guzman

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