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Health Tip of The Week

Is your dog diabetic ?

Mine is and he is doing quite well thank you! Sure, it was a shock when I found out 10 months ago he had diabetes, but we had him lose a load of weight and since he has been on insulin is like a new dog! At 7 years old he still has a few years to go, so I make sure he is well taken care of.

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Glucose Q & A

For those who have diabetes, you know what blood glucose means and how important it is in your everyday life. But, for many people, they really don't understand what glucose really is, or why they should know what their glucose levels are. Here is a short Q & A that will give you the answers you're looking for and let you know why this is so important.

Glucose, in simple terms, is a form of a carbohydrate. The energy that your body has comes from carbohydrates. They are basically a simple sugar, and are found in all kinds of foods such as bread, soda, juice, pasta, cereals, etc. The more carbs that are in a food that you eat, the higher your blood glucose level goes up after eating them.

our bodies don't just come with glucose.

It is important to note that our bodies don't just come with glucose. Our body produces it based on the foods we eat. So, when your body starts to feel run down and out of energy, it usually means your glucose level is low. You need to be 'recharged' so to speak.

In order to give your body the energy it is seeking, you eat more foods with carbohydrates. For most people they do this and don't even know it. After eating, your body then takes the carbohydrates from your food and turns them into glucose. Presto! You now have more energy.

For most everyone, glucose levels are not a problem whatsoever. Where the problem comes into play for diabetics, or pre-diabetics, is when their bodies can't burn up the extra glucose. The glucose stays in their system and doesn't burn off. This issue is compounded with every meal they eat. This is exactly the reason why it is so important to know what your glucose level is.

If you don't pay attention to your glucose level and let it go, it can easily turn into diabetes. If you still don't do anything about it, diabetes will cause severe health problems and even death. As you can see, it's very serious.

Don't confuse blood glucose with the commercial glucose you can buy that is made from corn starch. I know that many people can get confused with this and the two are totally unrelated.

This is hard to answer. Your glucose levels will vary throughout the day, and before, during, and after eating. Doctors will tell you that a good level to be at is under 120mg in the morning before eating or drinking. This is known as your fasting blood sugar level. Anything above that level and you should see a doctor. If you haven't had your blood glucose checked, it is a simple procedure. The doctor will poke your finger and check a tiny drop of blood in a glucometer. It takes all of 10 seconds. But, by checking your glucose level, you could be saving yourself from serious medical issues in the future.

Few people understand how many carbs a food contains.

Discrimination against Diabetes in the Workplace

You have two ADAs with you on this point. Not the American District Attorney (we hope…though in worse case scenarios it might get there), but the American Diabetes Association, and the American Disabilities Act. Both of these work to champion the rights of people with diabetes. The Equal Employment Opportunity Commission is another agency that advocates for equal rights for workers with diabetes.

Diabetes is legally seen as a disability, because it is a disease that affects a “major life activity.” Recent court rulings have established that eating is a major life activity, and so diabetics are protected by the disabilities act in the United States.

As a diabetic, you have certain rights. The right to eat food (either on the job, or to have a reasonable number of breaks to do so) has been recently ruled as crucial to all persons with diabetes. People with diabetes also have the right to monitor their blood glucose, and administer insulin or medication accordingly. If you work in a public environment, you might ask (or your work might ask) to have a relatively private space in which to give yourself injections. People with diabetes also need freely available bathroom breaks. As a diabetic, you might also request to work a constant shift, rather than a swing shift, if your doctor feels that your glucose will not be able to tolerate the changing schedule.

Medical information is confidential, and so you do not need to share your medical past with your employer. You can share what you want, and you should also share what will be needed. For instance, make your employer aware

The first step is to educate your employer. Explain what the effects of diabetes are and how diabetes can be managed. Explain what reasonable accommodations you might need to

Once you have a job, if you feel that you are experience discrimination, it is your job to fight to create a better work environment for people with diabetes. This might mean going higher up the management chain. As a last resort, this might even mean a lawsuit. There are lawyers who specialize in diabetes claims. You might win lost wages or damages from the suit, and you will hopefully make the work environment better for any diabetics who come later.

A person who manages their diabetes will not hold back any team. If anything, the Canadian Diabetes Association suggests that a person with well-managed diabetes will be a benefit to their workplace, because they have learned organizational skills, self-discipline, and they lead a generally healthier lifestyle which results in fewer sick days.

Diabetics can be successful in all walks of life: there are people with diabetes who are firefighters, law enforcement officers, transport truck drivers, and even hockey players. If you are applying for a position that you are qualified for, your diabetes should not stand in the way.

Vivian Brennan is an expert on diabetes, and is currently an editor at The Guide to Diabetes (http://www.theguideto-diabetes.com/diabetes_associations/). She believes in educating people about diabetes to help manage diabetes, prevent complications, and improve lifestyles. Combatting discrimination against diabetics is part of this education.

Diabetes

Diabetes has many negative factors on our economy. The average annual costs to treat someone with diabetes are over $13,000. Even if you have insurance, the co-pays, or deductibles can be prohibitive. Many people that have diagnosed with diabetes can not even afford the medication they need. This has multiple repercussions on our society as these untreated people develop complications that can take them out of the work force and leave them unable to care for their families.

Medical science has invested a lot of money in time in studying diabetes and trying to develop a cure. Before we get into the specifics of diabetes, you will need to know a few terms.

Insulin: Hormone (one of the most important ones) that is secreted by cells in the pancreas. Insulin is needed to maintain normal blood sugar levels, to keep fat stored in fat cells and to make sure protein is used to build muscles.

Pancreas: An organ located in the lower part of the stomach that secretes enzymes into the small intestine to help digest food. The pancreas is about the size of a fist. The pancreas can be donated and transplanted typically for diabetic patients who suffer kidney failure.

Diabetes occurs when people do not make enough insulin or they have problems responding to the insulin there body does make. There are 3 types of diabetes, Type 1, Type 2 and Gestational Diabetes. Type 1 is when the body makes no insulin. Type 2 is when the body cannot use the insulin it makes. Gestational diabetes occurs when a pregnant woman’s pancreas cannot keep up with the extra demand placed on it during the pregnancy. The pancreas cannot produce enough extra insulin, resulting in high levels of blood sugar. This condition is called hyperglycemia.

Type 2 diabetes and Gestational Diabetes can be prevented; Type 1 cannot. For additional information on Diabetes symptoms, supplies, remedies and research, visit http://www.diabeticadvisory.com

Perriann Rodriguez is the founder of The Official Diabetic Advisory located at http://www.diabeticadvisory.com Learn to manage your diabetes through diet, exercise and knowledge.

Type II Diabetes – Simple Tips to Help Yourself

We are being told that type II diabetes is on the rise in an alarming rate. We also hear that the pharmaceutical companies are always trying to come up with the next wonder drug to “cure” this disease. But who is telling us of ways we can help ourselves?

The majority of people who become type II diabetics start that way by first becoming insulin resistant. In plain terms that means the body is releasing more insulin than the body will use. It becomes a very vicious cycle – too much insulin released, not being used by the body ends up being stored in fat cells. The more fat cells a person has can lead to an increase of insulin being released and the cycle goes on and on and the person develops diabetes.

I would like to give you some useful tips on how you can help yourself. The key is to regulate your blood sugar as much as possible.

• Cut down on the number of carbohydrates you eat. Eating a lot of starches (pasta, bread, potatoes and desserts) can really affect the amount of insulin being released in the body. You have to eat some carbohydrates, but you can reduce it significantly and some people are able to cut back or stop taking their medicine for this completely. Don’t cut back on your medicine on your own though. Wait until your next blood work is done, and if it is better, your doctor will let you know. You can talk to your doctor at that point about cutting back on your medicine.

• When you eat carbohydrates, eat good ones! Eat grains high in fiber and vegetables – especially green vegetables.

• Limit the number of times you actually eat. Every time you eat or snack, your body releases insulin. You don’t want to do away with snacks, just be smart about it. Don’t graze all day long. Be finished with your meal within an hour. If you take longer than an hour to eat, your body will release more insulin.

• Be sure to balance any carbohydrates you eat with protein and fiber. It will help your blood sugar stay more stable and you won’t have as many spikes in your blood sugar. Most of us have heard of the sugar high and the slump that follows. Balancing carbohydrates with protein and fiber will help limit the sugar highs and slumps.

• Educate yourself. I was amazed when I learned some servings of dessert actually had enough carbohydrates for a whole meal or two whole meals! Learning how to incorporate good nutrition into your meals and limiting the empty carbohydrates really goes a long way to good health.

• Drink plenty of water. If you rely on regular sodas or fruit drinks, you will be consuming many more empty carbohydrates during the day. You want to be moving as much toxins and impurities out of your body.

• Exercise. Yes, that dreaded word. You can add exercise to your day easily though. Park at the back of a parking lot and walk. When at work, take your 15 minute break to walk around the block. It will add up.

With these simple tips and working with my doctor, I was able to completely stop taking my diabetic medicine. I found within 24 hours of really cutting back on my carbohydrates that I felt much better. I have also lost 25 pounds using these tips.

Diabetes and Shift Work

The key to diabetes is self-monitoring blood glucose levels. Always have your blood sugar monitor with you, particularly if you are away from home. Take your blood sugar a few times during your shift to see if you need to raise or lower your blood sugar levels. You will need to monitor your blood sugar most closely if you are switching to a new shift.

With day shifts, afternoon shifts, or midnight shifts, you still have to space your meals out. Diabetics should space meals out about four or five hours. Generally this is not hard to manage because most eight-hour shifts have a break in the middle. The difficulty might be remembering to eat just before your shift as well as during the break.

It is important with shift work, as with all areas of diabetes management, to always have your medication with you. You should also always have a snack or some juice with you in case your blood sugar gets low. Tell your supervisor about your diabetes so that you can take an extra ten minute break, or sit down for ten minutes to eat some fruit to raise your blood sugar. You will need to bring a planned snack for every shift in order to maintain your blood sugar. You should also have an extra snack in case your blood sugar drops unexpectedly. If, during the second half of your shift you begin to feel lightheaded because your blood sugar is low and you have already eaten the snack you brought, you will be in trouble. If you plan to bring a snack that you probably will not eat, you will be completely prepared.

It might be more difficult for a type 1 diabetic to work shifts than a type 2 diabetic, but both might have problems keeping an even blood sugar level because of the interrupted circadian rhythm. Your circadian rhythm is the cycle that your body goes through during the day to tell you when to eat and sleep. When it is disrupted by activities such as shift work, you need to be particularly cautious about your blood sugar levels.

If your job is particularly physical, you must also be aware of the effect of the physical activity on your blood sugar. You might need to adjust your eating habits accordingly. Physical activity means that sugar is absorbed by the body more quickly, and if not monitored, can result in hypoglycemia. If your job is less active, you might find less of a change in your blood sugar levels.

Track your blood sugar levels on a chart for a few days to understand how your blood sugar acts during the day. You will probably need to make changes to your diet and medicine for each of the different types of shifts you work. It is possibly to delay an insulin injection for an hour or two. However, before self-medicating, you should always talk to your doctor and dietitian to find the best plan that works for you. Even if you set up a plan before you begin shift work, you will often need to tweak it once you have been working and have established how your blood sugar is affected by the new schedule.

When you track your blood sugar level, try to plan to maintain a steady level. You don’t want to have insulin levels too high when you are doing lots of physical labour. You will also want to reduce your insulin levels when you sleep. The change in sleep patterns is often the most challenging part of shift work, and this is doubly true for diabetics, because when you sleep you are not self-monitoring your blood glucose or adjusting your food and medication accordingly.

Once you have spoken to your doctor and dietitian about your shift-work and how to manage your diet, exercise, and medication, with self-monitoring and preparedness you will be set to go for the job!

Vivian Brennan is an expert on diabetes, and is currently an editor at The Guide to Diabetes (http://www.theguideto-diabetes.com/living_with_diabetes/) She is living with and managing her diabetes. She believes in educating people about diabetes to help manage diabetes, prevent complications, and improve lifestyles.

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