"The Sugar That You Eat, The Sugar That Makes You Sick"-The Flight of a DiabeticT
Diabetes. Insulin. Glucose. Carbohydrates. Sugars. Glycemic Index (GI). Glycemic Load (GL). Pancreas. Calories.
This is an interview with George (not his real name), a diabetic patient, George is over sixty years old, a retired teacher three years ago.His left leg was amputated due to diabetes. But what did really happen and this is his story: when asked, do you know what is diabetes? No, not until I was diagnosed in 1997. What happened? I was taking my graduate program when one morning, woke up with a severe headache and an unusual vomiting. Since the pain is exasperating, I decided to see a doctor and was given a medication to ease the pain and advise to have my blood tested and come back with the results of the laboratory test. After several days, I came back with the laboratory results, based on the results, the doctor informed me that I am diabetic, issued prescription drug for me to take for several days and come back again for another checkup. I was shocked, I can't believe, I'm healthy. Well anyway.I feel better with the medicine and didn't come back again. that was my big mistakes, and I regretted it very much, George said.
George's life style
George is one of the many victims of diabetes that refused to believe that this debilitating disease kills. However, we cannot blame George, the etymology of disease in not fully known 20 years before compared to the present.George had a healthy life, being a soccer player and served as the varsity coach of soccer for several years, so, physical exercise is not a problem for him.How did you acquire diabetes? I think the change in the environment did that, when I was doing my graduate program I ate too much as pressured probably by academic works. Too many carbohydrates, soft drinks, and sweets, I gained weight, 82 kilograms for 5'4'' height. The doctor at the clinic told me that I am overweight and advice to cut down on my carbs, sweets, and soft drinks again I did not take it seriously. After taking my medicines, three times a day some hypoglycemic agents, I feel good again. Then five years ago, the malady came back but this time more intense, my weight dropped to 60 plus kilograms from 80 plus kgs before. The doctor changed my medications to newer drugs at least six tablets a day, but it did not do good, George said. The probability that George did not comply with doctor's advice is a major factor in the return of the malady.
the athlete who burns thousands of calories a day and the somewhat sedentary retiree are poles apart in their energy needs. Still both require the same balance of nutrients to stay healthy.
— Readers Digest
From medical point of view- What is diabetes anyway?
The term diabetes, words in Greek means "to pass through" (dia=through, betes=to go). In 1809, John Rollo, surgeon general to the British Army, added the term" Mellitus" (derived from the Greek word for Honey) to "Diabetes" in order to distinguish it from Diabetes insipidus.
Diabetes Mellitus (DM), as it is known today, is a combination of heterogeneous disorders presenting with episodes of hypoglycemia and glucose intolerance, such complication arise due to derangement in the regulatory system for storage and mobilization of metabolic fuels including the catabolism and anabolism of carbohydrates, lipids, and proteins emanating from defective insulin secretion, insulin action or both (Piero, M, N. et al.2014). Projected diabetic population in The US is about 25 % in 2030. Translating this to Healthcare costs and loss of human productivity will be staggering.
DM has been known since antiquity, in the Middle Ages, its treatment is already known, moreover, the elucidation of its pathogenesis occurred only in the 20th century discovery of the of pancreas in 1889, as a significant step towards the understanding of the role of pancreas in Diabetes treatment. Re-enforced by the discovery of insulin in 1909, the hormone that regulates blood glucose concentration in the blood, secreted by the pancreas, specifically from the beta cells of the islet of Langerhans( Patlak,2002). Prevalence of diabetes among American Indians and Alaska natives are high followed by none- Hispanic blacks in 2002.
According to World Health Organization, Diabetes is currently a common and serious health concern globally. The problem is further aggravated by rapid cultural and social dynamics, aging population, increasing urbanization, dietary changes, reduced physical activity and another unhealthy lifestyle and behavioral patterns. World Health Organization (2011) estimated that SouthEast Asia and Western Pacific will have more diabetics in 2030. SACA and AFR has a very interesting data but don't be mislead, it's only because of political and social unrest in these regions that makes data gathering impossible this time. In fact, the onset of diabetes is becoming younger, from 20 years old and younger. In 2013, alone 79,000 children died of diabetes (Type 1).
Check your insulin now !
- Discovered in 1909 by Jean de Meyer, who coined the term Insulin (Latin: Insula, as it is produced by the islet cells of the pancreas)
- Insulin is a polypeptide hormone synthesized in humans and other mammals within the beta cells of the pancreas in the islet of Langerhans.
- The basic physiological function of Insulin is promoting the synthesis of carbohydrates, proteins, lipids, and nucleic acids (eg. ATP, RNA, DNA )
- Insulin is the major hormone that enable cells (primarily muscle and fat cells) to uptake glucose from the blood stream for use as fuels, for conversion to other needed molecules, or for storage.
- Insulin deficiency lead to chronic hypoglycemia with disturbances in carbohydrate, fat, and protein metabolism
- As the malady progresses, tissue or vascular damages ensue leading to severe diabetic complications such as retinopathy, nephropathy, neuropathy, cardiovascular complications and ulcerations.
- Thus, diabetes covers a wide range of disorders compared with other human ailments
Diabetes Timeline-important milestone
Circa,1500 BC-Ebers Papyrus, first written reference to diabetes by ancient Egyptian physician.
230 BC-Apollonius of Memphis, coined the term diabetes(from Greek " to pass through")
First Century AD, -Aulus Cornelius Celsus, first to give description of diabetes
Second Century AD-Arataeus of Cappadocia, first to distinguished between what we call Diabetes mellitus and Diabetes insipidus.
1776-Matthew Dobson showed that the urine of diabetic patient has sugar
Do you know?
That a normal person need at least 2,000 calories/day?
Not more than 20 grams of saturated fats and 1,500 to 2,300 milligrams of sodium?
Type1 Diabetes. Previously called insulin-dependent diabetes mellitus(IDDM) or juvenile onset diabetes may account 5 to 10 percent of all diagnosed cases of diabetes.Risk factors are less well defined as in Type 2 diabetes but may involved the following: Autoimmune, Environmental factors among others.
Type 2 Diabetes. Previously called non-insulin dependent diabetes mellitus(NDDM) or adult-onset diabetes. Type 2 diabetes account for 90 to 95 percent of all cases of diabetes. Risk factors are as follows; Old age, Obesity, Family history of diabetes, Previous history of gestational diabetes, Impaired glucose tolerance, Physical inactivity, and Racial ethnicity.
Type 3 Diabetes. Gestational Diabetes. Developers 2 to 5 percent of all pregnancy but normally disappear when pregnancy is over. Risk factor occurs frequently with a family history of diabetes.
Types of Diabetes and important symptoms
There are three important types of Diabetes namely. Type1 Diabetes, Type 2 Diabetes and Type 3-Gestational Diabetes. General symptoms are as follows:
- Excessive thirst
- Unexplained weight loss
- Extreme hunger
- Sudden vision change
- Tingling or numbness in hands or feet
- Very dry skin
- Sores that are slow to heal
- More infection than normal
NOTE: if you are suffering from any of this symptoms, consult your physician immediately
Facts and Figures
Cost of Diabetes:
USD 245 Billion, total costs of diagnosed diabetes in the United States in 2012
USD 176 Billion, for direct medical costs
USD 69 Billion, in reduced productivity
Source: The National Diabetes Statistics Report, 2014
the GOOD, the BAD sugars and Diabetes
- Avoid sugar-sweetened beverages to help prevent diabetes.For example, regular soda, fruit punch, fruit drinks, sports drink and other sugary drinks. This will raise blood glucose and can provide several hundreds of calories in just one serving. For instance, just one regular can of soda has about 150 calories and 40 grams of carbohydrates. This is the same amount of carbohydrate in 10 teaspoons of sugars! Moreover, don't forget that the same sugar that you're trying to evade is the same sugar that will make you sick! Lack of sugar (HYPOGLYCEMIA) or low blood glucose can make you shaky, weak, confused, irritable, hungry or tired, You may sweat a lot or get a headache. If you have these symptoms, check your blood glucose. If it is below 70, have one of the following right away:
- 3 or 4 glucose tablets
- 1 serving of glucose gel-the amount equal to 15 grams of carbohydrates
- 1/2 cup(4 ounces) of any fruit juice
- 1/2 cup(ounces) of a regular(not diet) soft drinks
- 1 cup (8 ounces) of milk
- 5 to 6 pieces of hard candy
- 1 tablespoon of sugar or honey
- After 15 minutes check your blood glucose again. If it is still below 70 have another serving. Repeat this steps until your blood glucose levels to 70 or higher (WHO, International Diabetic Federation, 2013)
- WARNING: lack of sugar may lead to coma or death, seek medical attention immediately.
Do you know ?
- Diabetes caused 5.1Million deaths in 2013.Every six seconds a person dies from diabetes ?
- 382 Million people have diabetes.By the year 2035 this will rise to 592 Million?
- The greatest number of people with Diabetes are between 40 and 59 years of age.?
- 80 percent with Diabetes live in low- and middle-income countries?
- More than 79,000 children developed Type 1 diabetes in 2013?
"Diabetes is not a disease but a medical condition. In most cases, the condition is caused by man-made factors, including bad food habits, lack of exercise. lacking discipline in lifestyle, some medications, stress, and tension"— Diabetes Lifestyle Journal, June 2015
Barriers to Insulin therapy
Despite the medical advances in Insulin therapy, the numbers of individuals afflicted by Diabetes is rising by millions every year and most affected will be the low and middle-income nations. Two major issues emerged:
- psychological "personal failure "
- fear of complications, weight gain, needle phobias
- hypoglycemic issues
- dietary issues
- none- compliance
- lifestyle issues.
Physician or Caregiver related
"clinician inertia" lack of early initiative
- lack of knowledge and technical expertise
- poor access to organizing research and trial outcomes
- lacking proper health education and motivation counseling
- logistics issues in developing nations
Source: Das, A, K. and Siddharth Shah.2011.
How to achieve a low carb diet
A common approach is to compare calories in foods, but studies revealed that this approach is not reliable. A newer approach is to link your food with GI's( Glycemic Index). GI is a measure of how fast your body absorbs carbohydrates and increases blood sugars. Carbohydrates that break down easily and quickly during digestion and release glucose rapidly into the bloodstream have high GI's, others it is low GI"s. Low GI food have a value of 55 or less, medium GI food has values between 56 to 69 while high GI foods have values higher than 70. This information can be obtained from your physician, dietician, and or nutritionist in your area or hospitals, ask for this list and used this as the common reference to eating a balanced diet with low carbs. According to Peter's principles, for those diabetics who need to control their blood sugars and dieters who are trying to lose their weight, the four primary foods that fit their profile are:
- Whole Grains-oatmeal, bran cereals, brown rice, whole wheat pasta and whole wheat bread, are excellent low GI's. Whole grain foods should be part of
TAKE a QUIZ !
Match Column A with B.Letters ONLY.
Column A Column B
---1.Diabetes a.Complex sugar
---3.Hypoglycemia c.Complex to simple molecules
---4.Glucose d.Quality of glucose
----5.Carbohydrate e.Quantity of glucose
----6.Insulin f.Coined the term Insulin
---7.Catabolism g.medical condition
----8.Glycemic Index(GI) h.High blood glucose
-----9.Glycemic Load(GL) i.Low blood glucose
-----10.Jean de Mayer j.Six carbon sugar
Excellent=10, Very Good=8-9, Good=6-7, Average=5
- of your diet no matter what your goals may be,
2.Vegetables. Vegetables are among the popular and ideal low GI foods for dieters because they are low in carbohydrates. they are also rich in dietary fibers. Look for non-starchy vegetables. Examples of non-starchy veggies are:
- Green beans
- Bell peppers
- Green peas and Lettuce
3. Fresh fruits. Fruits do contain sugars, but it's not refined unlike the sugars in high GI foods such as candy bars and processed foods. Low GI fruits include:
- Apples, Bananas, Grapefruit
- Grapes, Pears, and Oranges
- Have GI's below 55.
- Grapefruit is a GI lean machine of 25.
4.Non-carbohydrate. Carbohydrate had the greatest effect on your blood glucose levels, however, foods such as:
- Egg white, Fish,
- Poultry and lean red meat do not significantly affect your blood sugar level
“Focussing on low GI diet can provide long-term benefits for your health”
-Peter's principle, November 11, 2011. BerkeleyWellness, July 12, 2015
However, be reminded that GIs can be affected by the following factors: the plant variety, ripeness, food processing, cooking methods, and other foods served with it. The third approach to achieving low carb diets is Glycemic Load (GL). According to Wikipedia, the glycemic load of foods is a number that estimates how much the foods will raise a person's blood glucose level after eating it. One unit of GL approximates the effects of consuming one gram of glucose. The GL of a particular food can be calculated as its carbohydrate content measured in grams (g) multiplied by its food GI's and divided by 100 (constant).Thus,
Example 1-Water melon's GI is 72, has 5 grams of carbs (contain a lot of water): GL(5 x 72/100)=3.6 Example 2-Food with GI=100 and 10 grams available carbs, GL=10 (100 x 10/100), Example 3-100grams carbs, 10 GIs has also a GL=10. Plan your diet to achieve low or medium GL.
- GL> 20 High
- GL=11-19 Medium
- GL=10 or less Low
Now there are three choices to make (Calorie counting, Glycemic Index, and Glycemic Load )in order to achieve low carb diet. Calorie counting may sometimes misleading as it tends to hide the real value of food.For instance two foods with 100 calories each, one is junk and the other is nutritious. Glycemic Index(GI) tend to concerned with quality while Glycemic Load(GL) is more of quantity or probably you can combine the three. Take note, however, that serving portions will still affect the overall sugar levels in your blood. Nevertheless, whatever choice you make will depend on your present condition especially if you're taking already special medications and already have a diet plan, consult your Dietician or Nutritionist before changing your diet. Regardless of the advantages and disadvantages of these methods, they are the most natural way of managing carbs with fewer complications.
Spices that cures Diabetes
- Cayenne pepper
SUGGESTED low carb diet
Eat and Enjoy
potatoes and other starchy vegetables
oat, rice and other grains
seeds and nuts
anything sugary or sweet, including some fruits
fats and oils
beans and legumes
tofu, cheese and other high-fat grass fed dairy
low carb geen drink or tea
cereal, sodas, pops and candy
Know your BLOOD SUGAR symptoms
- Blurry vision
- Excessive thirst
- Frequent urination
- Extreme fatigue
- Extreme hunger
- Lightheadedness or dizziness
- Feeling cold and clammy
-Harvard Health Publications, 2015
Note: if you're suffering from any of these symptoms consult your doctor immediately.
Harvard Health Advice
- S-set a very Specific goal
- M-take time to Measure progress
- A-make sure it is Achievable
- R-make sure it is Realistic
- T-set Time commitment
Do's and Dont's-Managing Diabetes the natural Way
Lifestyle management of diabetes is the is the cornerstone in managing Diabetes Mellitus(DM) or Type 2 diabetes. Lifestyle interventions including diet and physical activity led to a 63 percent reduction in diabetes incidence in those that are in high risk(World Health Organization, ) Dietary management aim at optimal metabolic control by establishing a balance between food intake, physical activity and medications to avoid complications. Food intake. Like George and many others who did not consider food as bad for health when taken without moderation, too many sugars lead to Diabetes. So, How did you manage to control your food intake that you are now a diabetic? I made some modification as to the quantity and quality of foods I eat and follow the doctrine of “eating all you can”. How did you do it? My policy is to eat whatever is offered in the table during meals, I think everyone has the right to a balanced diet. What about the sugars? My secret, in order to take control of my sugar, I follow one-half, one-half portioning of my meals. What is that? For instance, before, I eat 3 cups of rice now one cup only, so with meat and fish, but the problem here is that your brain interpret it that it is not enough. to condition my brain and to feel full without compromising my sugar, I ate a lot of vegetables and fruits as fillers. In his way, I still maintain my sugar and ate a balanced diet.Physical and mental activity. Any program on this? well, I can not play soccer anymore( with a smile on his face) I am doing some light exercise in my" walker" 16 counts pushups and some stretching when I woke in the morning. What about mental exercise? I read novels. books, magazines, play chess, tv or the internet. In this, way I kept my brain busy, George, said. The last time I saw George, I think he is good, having asked about these things, but George is already having insulin shots, he's pancreas must have stopped producing insulin anymore, as many experts said diabetes can be managed.
Manage Diabetes the Natural way-Plants with healing POWERS
While medications on the symptomatic treatment of Diabetes is available worldwide, still people with diabetes seek the natural methods derived from the healing power of plants. Plants possessed cures to many human ailments including diabetes has been used since antiquity Some of these plants are still with us today. Take note that, if you are not familiar with these plants be sure to consult your physician or knowledgeable persons especially those that are specializing in herbal medicines before using any part of these plants.
ten plants with healing powers- CURES DIABETES ?
Allium cepa Linn.
the onion bulb
Anacardium occidentale Linn.
bark, leaves, fruits and seeds
Papaw or Papaya
Carica papaya Linn.
the whole plant
Citrus maxima Bum.
leaves, fruits, and seeds
Cyanara scotynus Linn.
the whole plant
Musa paradisiaca Linn.
the whole plant
Juglans regla Linn.
the bark, leaves, oils and nuts
Acasia nelotica Linn.
the whole plant
Orthosiphon aristatu Benth.
Crocus sativus Linn.
Recommendation and conclusion
As many experts said, back up by medical research and personal testimonies, diabetes can be managed and a person's life can be prolonged over the period of time to lead a productive life. But despite this assurances cases of diabetes is still rising worldwide. Attendant to this problem is the need to follow strict rules to prevent further complications, the following are recommended:
Carbohydrate- another word for sugar, the main source of energy for the cells. Carbs are easily and quickly converted to glucose.
Catabolism-the breakdown of complex molecules into smaller ones, accompanied by the release of energy
Calories- a unit representing the energy provided by food ( carbohydrate, protein, fat, and alcohol)
Glycemic Index (GI)- GI measures how carbohydrates containing food raises blood glucose. A system that ranks foods on the scale from one to 100 based on their effects on blood sugar levels in the bloodstream
Glycemic Load (GL)-.GL of food is the number that estimates how much the food will raise a person blood glucose level after eating it.
Glucose-a six carbon sugar. The food we eat that gets digested and broken down into sugars your body cells can use. This glucose is the simplest form of sugar.
Insulin- a peptide hormone secreted by the beta cells of the pancreas required for normal glucose metabolism.
Prevalence-the proportion of a population with specific disease or condition at a given point in time.
a) change in lifestyle. Changing lifestyle is central to the management of diabetes and this may include, diet, exercise, and social connectivity. In a diet, planning what to eat, watch for hidden sugars and above all adapt the policy of moderation. Exercise is important, don't forget to do stretching when you wake up in the morning, light exercise as far as your body will allow, For this you have to consult a physical therapist what is best for you. Exercise help you burn extra calories and improved circulatory system Social connectivity is needed to keep your mind active so as not to dwell on self-pity that may only lower your immune system's fidelity to fight against diabetes. Involved in the community volunteerism example, teaching pre-school children, counselling home for the elderly or religious activity.
b)comply doctor's advice or experts in this areas. Don't escape, none compliance may result to more complications. However, don't forget to have the log book for record purposes. This is for your personal files as to medications, a food you eat, activities you do that may have strong connections to your blood sugar. Check your blood glucose in the morning before you take anything else, in this way you're aware of the "native blood sugar" which probably important in adjusting the quantity of food to eat for the whole day. Secure your own glucometer for this purpose.
c)healthy food, healthy body and healthy mind. This should be your policy, as you change your lifestyle, the quality and quantity of food you eat also improved. Consult your dietician or nutritionist what is best when referring to diabetes food pyramid. Watch out for bad carbs, good carbs and smart carbs Better planning and control in this area benefits the whole body and improve your blood sugar levels.
d)Cognizant of the complications of diabetes. Knowing what are the complications of having diabetes will guide you to adapt a healthy lifestyle. NO smoking, alcohol, stress and other activities that promote diabetes. Read articles about diabetes to increase your knowledge of this malady, exchange information with other diabetic patients of what they are doing, this may be vital in treating diabetes.
And lastly, we are, what we eat, it's not your choice it's your destiny, prepare for the inevitable but don't forget your Divine Creator. "Knock and ye shall be opened, Ask and ye shall be given, and Seek and ye shall see." Everything goes back to HIM!" If God be for us, who can be against us?"(Romans 8:31).
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