Diabetes and Depression: Can Hypnosis Help?

Discussed in this article:

1) The Quiet Crisis Within Diabetes.

2) A Hidden Danger of Diabetes.

3) Are Physicians Aware Of This Danger?

4) Does Depression Cause Diabetes?

5) The Formation of Depression Post-Hypnotic Suggestions.

6) Summary

5) Next Issue Highlights.

The Quiet Crisis Within Diabetes

Depression is a 'quiet crisis' facing diabetics, their families and their health care providers. Financially and emotionally this crisis is exacting a terrible cost.

The purpose of this and following articles is to share important information about depression and how a hypnotist can responsibly and effectively help a diabetic with depression. This assistance will help to improve a diabetic's life by (a) reducing the suffering from this painful state of mind and being and (b) thus enhance their diabetes management skills which will therefore result in a state of enhanced health.

Bear in mind the importance of your contribution as a hypnotist. You can make an incredible difference because even a small reduction in a diabetic's long term blood sugar levels can result in a marked decrease in the likelihood of diabetic complications.

A Hidden Danger of Diabetes

A largely unknown hence, hidden danger of diabetes is that diabetics have twice the risk of non-diabetics for becoming depressed. Dr. Richard Surwit of Duke University states that: "Diabetes more than doubles the odds of suffering from depression at some point. One third of people with diabetes have been diagnosed with significant depression and 11 percent with major depression--twice the rate in the non-diabetic population (1)."

What is obvious and yet, not really obvious about the preceding statement is that being diagnosed with a major disease is traumatic. This, in and of itself, can lead to depression--never mind all the other contributing factors that are related to diabetes and depression.

For example, a contributing factor to depression in a diabetic can be their physiological state. As noted by Dr. Surwit, there is research indicating that high blood sugars cause biochemical changes in the brain that can lead to depression. (2)

Are Physician's Aware Of This Danger?

Physicians by and large, are extremely busy and the demands on them are greater than most can imagine. It is no wonder that many of them are simply not aware that their diabetic clients are two times more likely to suffer from depression. If they knew this, they would probably be more likely to refer their diabetic clients with poor blood sugar control to someone who could help.

When appropriate, a hypnotist can help in key ways because a hypnotist is trained to be a motivational coach and stress management consultant. One way a trained hypnotist can help a depressed person with diabetes will be explained later in this article. But first, let's look at an important question.

Does Depression Cause Diabetes?

This is an important question for many reasons. Probably one of the more compelling reasons to deeply consider this idea is because, if true to some degree, then it begs this question: Wouldn't the validity of this concept make the majority of treatment efforts inappropriate and/or ineffective to some degree? Consider the plight of many frustrated nurses and doctors who will attest that no matter what they do for their patients, nothing seems to work.

This statement is not meant to denigrate in any way the efforts of so many. It is meant to highlight the importance of timely consideration of the depression-diabetes connection before the cost for all concerned becomes not only debilitating, but also tragically unnecessary.

Consider this: Evidence, that will be discussed shortly, shows there is a strong connection between depression and diabetes. This is important because, unless diabetes treatment programs are sculpted to target a largely unaddressed cause and exacerbating feature of diabetes, many of those at risk will only become worse. Those at risk include person's with pre-diabetes as well as those with diabetes.

This pragmatic approach also prompts one to think about the idea that perhaps with re-targeted treatment methods, many of those with diabetes may actually experience a remission of symptoms. And, dwell on the idea of how many may be able to avoid developing diabetes.

Bear with me a moment while I explain. Untreated depression in those with diabetes is a personal tragedy for all family members but most especially children. I state this because children have no coping skills to handle the emotional burden of a depressed and diabetic parent.

Imagine being a child helplessly watching your mother (as in my case) being slowly, inexorably, taken apart emotionally and physically by the deadly combination of poorly controlled diabetes and untreated depression.

It is because of this searing pain that I am driven to reach whomever I can with my Diabetes Motivational Coaching TM training so that perhaps some little boy somewhere doesn't have to watch his mother go blind emotionally and physically.

I realize this may sound disingenuous or dramatic to some and I understand but I make no apologies because it is true. In fact, my feelings go far deeper than what I have communicated here. You see, the apple doesn't fall far from the tree and now that hypnosis has helped me to put my life on a previously undreamed of healthy course, my motivation is intensified because I think so many times: "What if my mother had been able to have access to these methods? How much better would her life be now?"

Now, to tie all this in to my point that perhaps an innovative approach can actually prevent diabetes: The challenge with current diabetic treatments is that no amount of chemical management (including anti-depressants as well as insulin, etc.) will ever ameliorate this significant cause of diabetes. (Depression) This is because these treatments do not address the root of the problem. Furthermore, no amount of medication given to one individual will ever prevent another from developing diabetes.

The last point seems odd until you consider a landmark Swedish study (3) in which it was discovered that there is a disturbingly high correlation between traumatic childhood life events (4) and diabetes-related auto-immune activity. This study involved 17,000 children born between 1997 and 1999. One of many conclusions in this study is that: "Experiences of serious life events (e.g., parental separation, serious illness, or death in the family) has been suggested to trigger type 1 diabetes(5) or the auto-immune process behind the disease.(6)"

An additional interesting point to take away from the preceding considerations is that current treatment programs treat one person. Limited efficacy and high cost. However, if a patient were to receive Diabetes Motivational Coaching TM then more than one person can receive the positive benefits because a healthier, non-depressed diabetic parent is less likely to have a precipitating influence on their child. Two for the price of one. A win-win situation from so many angles. Obviously more study is required but the premise is intriguing and the evidence it is based on is reasonably sound.

Another win-win benefit of appropriate, innovative treatment is that the exacerbating (and ultimately very costly) effects of depression on those with diabetes can likely be reduced or eliminated.

So, what can a properly trained hypnotist do? One key way a properly trained hypnotist can help is to reduce or eliminate depression in an individual (diabetic or not) by helping them to eliminate depression activating post-hypnotic suggestions.

The Formation of Depression Activating Post-Hypnotic Suggestions
A post-hypnotic response is a cause-effect belief program that powerfully dictates behavior. Another way to look at this is that when a specific stimulus becomes uniquely associated with a strong internal state, you have a post-hypnotic suggestion and effect. (stimulus/response)

For example, the physical lethargy and mental apathy that accompanies very high (or low) blood sugars can be a contributing factor to inappropriate cause-effect belief formation. To illustrate, let me share with this case: Shortly before I was diagnosed with diabetes, my cognitive functions were significantly reduced and my affect was severely depressed.

In layman's terms this means I felt like garbage due primarily to out of control blood sugar levels that were causing me to lose my vision as well as feel awful. (What is interesting to note is that diabetes and its attendant emotional/physical affects can go undiagnosed or misdiagnosed for years.)

Now, when a person has a strong emotional feeling, that affect state can then become associated with whatever situation and/or thoughts they are currently experiencing. I.E., uncontrolled diabetic consequences coupling with a relationship break-up, a job loss or any other stressful situation. These are common events but note that even a small, insignificant incident can also be implicated. This confluence of events is called an I.S.E. or Initial Sensitizing Event. (Please note that, as in the case of many phobias, some initial sensitizing events can have a profound post-hypnotic impact after only one learning event.)

The next stage in deepening the power of this erroneous belief programming occurs when a person is next exposed to the same stimuli that were initially associated with a powerful, negative state of mind.

The result? Generally, with enough repetition and enough time, feelings can become facts cognitively and physically. And then, a pseudo-depression cycle is perpetuated.

As a quick illustration imagine a large spider near your foot. Now, if you are a person who becomes upset when big, hairy spiders with lots of eyes and big fangs are near you, then your body will respond to some degree.

Now, imagine being unconsciously reminded (triggered or post-hypnotically influenced) to thinking and therefore feeling, many times a day that there is a nasty spider about to crawl up your leg. Ultimately, this could become a panic disorder that can even attach itself to unrelated objects and/or events. In fact, this is not uncommon.

Hopefully, this example will help to illustrate why I call it pseudo-depression. I do this because the belief syllogism is: "I feel depressed (like garbage) therefore there must be reasons."

And, when feelings happen, a person must make sense out of their world. So, they justify this unconscious, powerful, emotional experience with a conscious understanding that usually takes the form of inappropriate cause-effect associations. I.E., "I am feeling depressed because of my job--spouse--life--" or whatever seemingly reasonable explanation is available.

In other words, one's feelings of depression can be in part or whole, built on erroneous beliefs or, post-hypnotic suggestions. Therefore, all a depressed person may need are the tools and coaching in order to be able to disable erroneous cause-effect belief programs.

To finalize this point, please consider a quote from Breaking The Patterns of Depression, by Michael D. Yapko, Ph.D.:
"For most people, depression is the product of a hurtful way of interpreting and responding to life experiences."

Summary

In this article I have attempted to share information that will raise awareness on a number of different levels. If you are a person with diabetes and you are hitting a 'wall', consult with your physician to discover whether or not you have depression.

If you are a nurse or physician and you have patients who don't seem to want to take care of themselves, then perhaps there are hidden forces at work. And, there are alternatives that you may not have been aware of before now.

If you are a hypnotist and you wish to help those with diabetes, please remember four things:

1) You must always obtain a fully informed referral from your client's doctor. If you suspect your client is depressed, never diagnose. In fact, if you think they are depressed, it is incumbent upon you that you suggest they see their physician for an official assessment before you can help them further. Be sure to obtain an additional referral so that you can help them appropriately with their depression if your help is suitable. If you feel you cannot help, don't.

2) Should a physician or nurse, have time to chat with you, please remind them that if you are only allowed one approach to helping their patient, stress management alone can produce incredible blood sugar lowering benefits over time. This is attested to by an article in a January, 2002 issue of Diabetes Care in which a study done by Dr. Surwit shows that: "stress management techniques, when added to standard care, helped reduce glucose levels". Surwit notes also that: "The change is nearly as large as you would expect to see from some diabetes-control drugs".

3) By acting in a responsible manner as part of your client's health care team, you can in your way, make a big difference, even if only by reducing stress. Please note that stress is a contributing factor to depression. Therefore, as your client is reducing their stress levels they may also experience a reduction in depression. This will in turn create a need for your client to reduce their diabetic medication needs . This is because there is evidence that a reduction in depressive symptoms correlates with a reduction in blood sugar. This was demonstrated in a study conducted by Patrick Lustman, a psychologist at Washington State University School of Medicine in St. Louis.

4) Finally, before helping a person with diabetes or depression, you really need to know a great deal about both subjects.

In the next article, we will discuss several things:

1) More Ways A Hypnotist Can Responsibly Help.

2) When A Hypnotist Should Never Help.

3) The Depression-Diabetes-Pain Connection.

4) Additional Interesting Ideas and Studies.

Thank you for reading this article. It is greatly appreciated and I welcome comments.

Warm Regards,

Devin Hastings

REFERENCES AND AUTHOR INFORMATION BELOW

1. The Mind/Body Diabetes Revolution, Richard S. Surwit, Ph.D. Page 43

2. Ibid. Page 44

3. Psychological Stress May Induce Diabetes-Related Autoimmunity in Infancy --Anneli Sepa, PhD; Jeanette Wahlberg, MD; Outi Vaarala, MD, PHD; Ann Frodi, PhD; Johnny Ludvigsson, MD, PHD

4. Ed. Note: It is fascinating to note that in 1684, English physician and anatomist, Thomas Willis wrote that diabetes was the result of "sadness, or long sorrow." Apparently like DaVinci, he was ahead of his time.

5. Hägglöf B, Blom L, Dahlquist G, Lönnberg G, Sahlin B: The Swedish childhood diabetes study: indications of severe psychological stress as a risk factor for type 1 (insulin-dependent) diabetes mellitus in childhood. Diabetologia 34:579-583, 1991

6. Thernlund GM, Dahlquist G, Hansson K, Ivarsson SA, Ludvigsson J, Sjöblad S, Hägglöf B: Psychological stress and the onset of IDDM in children. Diabetes Care 18:1323-1329, 1995

AUTHOR INFORMATION:

Devin Hastings is the owner of MindBody Hypnosis and the founder of the Diabetes Research Association of America.

Devin was going blind from diabetes in 1992. He has since regained 20/20 vision using hypnosis and other mind/body methods.

To learn more please visit either: http://www.MBH4U.com or http://www.draa.NET

Thank you

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Living With Borderline Diabetes

Being told by your doctor that you have borderline diabetes can be a scary thing. It's a life changing situation. But, every year, hundreds of thousands of Americans are being told just that as the number of diabetes cases continually rises. Currently, there are over 18 million known case of diabetes in the U.S. that have diabetes. It's estimated that there's approximately 6 million more people that have diabetes and don't know it. And it remains a serious health problem costing patients billions of dollars in health care every year.

Borderline diabetes, also known as pre-diabetes, is a condition where a person has higher glucose levels than normal, but not enough to be diagnosed as diabetic. For many people this is a symptom-free disease, so most people with pre-diabetes are unaware that they have. In a person without diabetes, the body will produce insulin to help the cells break down food into energy. In diabetics and pre-diabetics, however, either the body is unable to create insulin or it is unable to utilize the insulin. This is one reason why people with borderline diabetes tend to be tired much of the time. They are eating, but their body is unable to break down the food into usable energy.

Many doctors have stopped using the term borderline diabetes to describe this condition as, in their minds, a person who exhibits the symptoms of pre-diabetes is, in truth diabetic. and they see no real medical reason to obfuscate the diagnosis. They also feel that telling a person that he or she has borderline diabetes will cause the person to not take the diagnosis seriously - since it is only borderline. Others feel that the condition of these patients is more accurately described as insulin resistant or impaired glucose tolerance. Other doctors, however, still use the term and find it useful to keep the distinction between pre-diabetes and diabetes.

For medical care physicians that continue to use the term, borderline diabetes is diagnosed when a person's glucose level, as determined by glucose tests, fall between 100 to 125 milligrams per deciliter.

Unfortunately, in most cases, a person who has borderline diabetes will see the disease progress to diabetes. In some cases, however, with a change of eating habits and other healthy lifestyle changes, the disease will be reversed.

Many health experts believe that pre-diabetes is a preventable disease. Studies have shown a distinct correlation between the increase in the amount of fast foods that we eat and the new incidences of type II diabetes. Likewise, there is a correlation between our increasingly sedentary lifestyles with increases in the number of people diagnosed with diabetics. Making the defeat of diabetes even more urgent is that a person with pre-diabetes or diabetes is at greater risk for a host of other diseases including heart disease, stroke, liver disease, and more.

Luckily, researchers have begun to identify and catalog the many risk factors that predispose one towards developing diabetes. Hopefully, in the near future, diabetes will be looked upon as a long forgotten disease of the past.

Alice Saracho is webmaster and writer of http://www.diabetescausestreatments.com Visit her site and find articles on symptoms of borderline diabetes as well as other information and products regarding diabetes.

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What Are 3 Common Types Of Diabetes

Diabetes Mellitus is now considered as an epidemic disease in most of countries. This article is about risk causes management of 3 most common types of diabetes mellitus

what are types of Diabetes Mellitus. Diabetes is classified into 3 types.

1-Type 1 Diabetes

2-Type 2 Diabetes

3-Gestational Diabetes

Here we will discuss one by one all three types of diabetes.

Type 1 Diabetes:

Type 1 diabetes is also called Juvenile Diabetes, Insulin dependent diabetes or Autoimmune Diabetes. Person with type 1 diabetes has immune response against his own beta cells of pancreas, so pancreas is unable to produce insulin at-all.That is why it is called as autoimmune diabetes. Juvenile diabetes usually occurs in children but can appear at any age. To live normal life patient has to take insulin and take regular exercise and has proper diet plan. The main cause of this type 1 diabetes are environmental factors like virus, diet or chemicals in people genetically predisposed. In USA 10-15% diagnosed cases of diabetes mellitus comprises of type 1 diabetes. Symptoms of type 1 diabetes are increase urination, increase thirst, increase hunger and weight loss. Eyes may also be affected as blurred vision. The person with type 1 diabetes should be diagnosed earlier, otherwise it can lead to a medical emergency situation like diabetic Coma with kitoacidosis.

Type 2 Diabetes:

Type 2 Diabetes is also called as Non Insulin dependent diabetes Mellitus or Adult-onset diabetes.This is most common type of diabetes affecting nearly 80% of all cases of diabetes. It is usually seen in adults. There are two mechanisms of type 2 diabetes. Either there is deficiency of insulin, or there is increase resistance of insulin. Insulin resistance means that body is unable to use available insulin.The main cause of this type of diabetes is genetic however other factors like overweight, obesity, high blood pressure, lack of exercise, overeating habits may also affect.About 80% of people with type 2 diabetes are overweight. Symptoms of type 2 diabetes in-contrast to type 1 develop very slowly. There may be fatigue, weight loss, increase urination, blurred vision or delay wound healing.This type of diabetes is treated with exercise, diet control, tablets. However later, you may need insulin injections as well.

Gestational Diabetes:

Some women who develop diabetes during later stages of pregnancy is called as Gestational diabetes. Though their glucose levels returns to normal but even then they have greater chances of developing diabetes mellitus within next 5 to 10 years. Women with gestational diabetes may have no symptoms at all. The cause of gestational diabetes is hormonal imbalance during pregnancy or insufficient Insulin. Child of women who develops gestational diabetes is also at high risk of developing diabetes in later life. Maintaining normal body weight and being physically active may help prevent development of type 2 diabetes mellitus in a patient of gestational diabetes.

If you want to know more about Types of Diabetes Mellitus , visit our web site.

Dr. Armughan (Consultant Cardiologist) Manitaining following sites Diabetes Mellitus Symptoms Causes Treatment High Blood Pressure Symptoms Diet Treatment

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Diabetes- Getting Down to the Basics

What is diabetes?

Diabetes is a disease where your blood glucose (sugar) levels are above normal. It results from the inability of the glucose to get into your cells. As a result your cells are starving for their food (glucose). It would be like a starving person surrounded by tables of wonderful food but their mouth has been sewn closed and they can't eat.

About 17 million Americans are believed to have diabetes and one-third of those patients don't even know they have it. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the 6th leading cause of death in the US. And most diabetics develop heart disease. In fact, just having diabetes carries the same risk of having a heart attack as someone who has already had such an event. Therefore it is very important for patients that have diabetes to also have a physician that closely monitors and treats their cholesterol levels as well as their blood pressure. Additionally, any use of tobacco products multiplies the risks and should be stopped.

Are there different kinds of diabetes?

Certainly. But the basic features of the disease are same. In any form of diabetes there is some underlying reason why your body is not able to utilize glucose (sugar) for energy, and that causes the levels of glucose (sugar) in your blood build up above normal. There are three areas that are important for you to understand in diabetes. First, the cells in your body which use the glucose are important as they must be able to remove sugar from the blood and put it inside the cell as a fuel. Secondly, the insulin which is made by your pancreas (an organ near your stomach) is important to allow the sugar to enter the cell (the key to unlock the door to enter), and lastly, glucose which is broken down from your food or from muscle and liver from a storage form of glucose called glycogen. Now if you think of the disease diabetes as involving a locking gas cap on your car, it will be easier to understand.

If you understand how a locking gas cap works, then you can understand how diabetes works. All of the cells in your body have a locking gas cap on them. Insulin is the key to the locking gas cap, and glucose would be the fuel for the car. In one form of diabetes, the body totally quits making insulin (keys) so you can't get glucose (fuel) into your cells. In other forms of diabetes, your body makes some insulin (keys) but not much as your body needs. Therefore, only a few of the cells can be unlocked and opened to put the glucose (fuel) inside. Another thing that happens is that some of the locks on the cells become rusty and won't work properly. So even if you have insulin (keys) you can't get the cells to open. This is called insulin resistance. If the cells won't open, you can't get glucose (fuel) inside the cell for energy. The result of all of this is excess glucose in your blood.

Types Of Diabetes.

Type 1 diabetes is usually diagnosed in children and young adults and only accounts for 5-10% of diabetes patients. In type 1 diabetes the pancreas doesn't make any insulin (keys) at all.

Type 2 diabetes is the most common form of the disease. It accounts for 90-95% of all the cases of diabetes. In type 2 diabetes, either your body doesn't make enough insulin (keys), or the cells in your body ignore the insulin (the lock is rusty and doesn't work) so they can't utilize glucose like they are supposed to. When your cells ignore the insulin, as mentioned above, it is often referred to as insulin resistance.

Other types of diabetes which only account for a small number of the cases of diabetes include gestational diabetes, which is a type of diabetes that only pregnant women get. If not treated, it can cause problems for mothers and babies and usually disappears when the pregnancy is over. Other types of diabetes resulting from specific genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses may account for 1% to 2% of all cases of diabetes.

How do you get diabetes?

There are risk factors that increase your chance of developing diabetes. Risk factors for type 2 diabetes include older age, obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity. Risk factors are less well defined for type 1 diabetes than for type 2 diabetes, but autoimmune, genetic, and environmental factors are involved in developing this type of diabetes.

What are the symptoms of diabetes?

People who think they might have diabetes must visit a physician for a diagnosis. They might have SOME or NONE of the following symptoms: frequent urination, excessive thirst, unexplained weight loss, extreme hunger, sudden vision changes, tingling or numbness in hands or feet, feeling very tired much of the time, very dry skin, sores that are slow to heal, more infections than usual. Nausea, vomiting, or stomach pains may accompany some of these symptoms in the abrupt onset of type 1 diabetes.

Glucose is sugar! So all I have to do is avoid sweets, right?

It is not that simple. The truth is, most food, and all of the carbohydrates you eat, are broken down into its simplest structure, glucose. As food arrives in your stomach, the acid starts to break the food down immediately. Proteins are broken down for their amino acids, and carbohydrates for their glucose. Once your gastrointestinal system breaks your food down into something your body can utilize, the blood picks it up and carries it to your cells to for energy. In healthy people, the blood picks up the glucose absorbed from the GI tract, and sends a signal to your pancreas (an organ near your stomach) to make and release insulin. Remember, in Type 2 diabetes your body doesn't make enough insulin (keys), or some of your cells ignoring the insulin that is there. (The locks are rusty and won't work) In both situations, your cells don't get the glucose they need for energy and they are starving while all the extra glucose is just floating around in your blood and can't be used. The worst part is, when all that extra glucose is floating around in your blood, it is causing damage to your blood vessels and organs and that damage increase your risk of heart disease. That is why it is very important to keep your blood glucose levels as close to normal as possible. When the glucose levels get really high, the glucose starts to leak out into your urine.

How do you treat diabetes?

There are several things you need to do to help control your diabetes. For type 1 diabetes, Healthy eating, physical activity, and insulin injections are the basic therapies. The amount of insulin taken must be balanced with food intake and daily activities. For patients with type 1 diabetes, blood glucose levels must be closely monitored through frequent blood glucose testing.

For type 2 diabetes, healthy eating, physical activity, and blood glucose testing are the basic therapies. In addition, many people with type 2 diabetes require oral medication, insulin, or both to control their blood glucose levels. Some of the oral medications work by stimulating your pancreas to make more insulin (keys). Other oral medicines work to make the rusty locks start working again. In a sense they are kind of like WD-40 for the rusty locks on the cells. It fixes the lock on the cells so the insulin (keys) can open the cell to allow the glucose (fuel) inside. Once the glucose (fuel) is allowed inside the cells, your blood sugar levels will drop back down to normal.

What medicine am I going to have to take for my diabetes?

There are many different types of medications that your doctor may prescribe for diabetes; however these prescriptions can cause certain nutritional deficiencies that may increase your risk for chronic degenerative diseases. NutraMD Diabetes Essential Nutrients® supplement was designed to work with your diabetic medications by replacing lost nutrients reducing the risk of dangerous side effects, and promote better health

The main classes of diabetic medications include sulfonylureas, biguanides, and thiazolidinediones.

Sulfonylureas include the following medications:

Orinase ,Tolinase, Diabinese, Glipizide, Glyburide, Amaryl, Prandin, Strarlix
The main function of sulfonylureas is to increase insulin production in the beta cells of the pancreas. Sulfonylureas can interfere with the body's normal metabolism of Coenzyme Q10. Because CoQ10 is necessary to make energy in all tissues of the body, this effect may decrease your body's natural ability to utilize or "burn up" sugars, and may even reduce the ability of the pancreas to produce insulin over time.

Biguanides include the following medications:

Glucophage (Metformin)

Glucovance (metformin + glyburide)

The main functions of biguanides are to lower the production of glucose by the liver thereby reducing blood glucose levels. Your doctor may prescribe this type of medicine in combination with sulfonylureas insulin, or a class of drugs known as thiazolidinediones. Unfortunately, biguanides have been shown to deplete vitamin B-12, folic acid and Coenzyme Q10 (CoQ10). A few of the problems which may arise from deficiencies of folate and vitamin B-12 include the following: Heart disease, stroke, anemia, arthritis, joint pain, muscle pain, and neuropathies (nerve damage). Because diabetes increases your risk for heart disease, stroke, and neuropathy, it is especially important to prevent nutritional deficiencies which may add to these risk factors. Therefore to reduce potential side effects of nutrient deficiencies you should take NutraMD Diabetes Essential Nutrients® supplement as long as you are on your diabetic medication.

Because both medication types listed above can deplete CoQ10, it is important to understand some of the symptoms of a deficiency. CoQ10 deficiency has been linked to the following diseases and symptoms: Congestive heart failure, high blood pressure, rhabdomyolysis (muscle break down), muscle and joint pain, and fatigue. Therefore to achieve maximum benefit from the diabetes medications and minimize potential side effects of nutrient deficiencies, you should compliment your prescription medication by taking NutraMD Diabetes Essential Nutrients® supplement. By doing this, you will balance the risk/benefit ratio further in your favor.

In summary, diabetic medications prescribed by your doctor are necessary to treat your condition; however, you should also be aware that the long term potential nutritional side effects may be just as big a risk factor for your health as the disease you set out to treat in the first place. Put the odds in your favor and maintain your health with NutraMD Diabetes Essential Nutrients® supplement

How do I know I am keeping my blood sugar under control?
Frequent blood tests are used to monitor your blood sugar. Most patients with diabetes should have a home blood monitoring kit. Some doctors ask their patients to check their blood sugar as frequently at 6 times a day, though this is an extreme. The more information you have about your blood sugar levels, the easier it will be for you to control it. People with diabetes must take responsibility for their day-to-day care, and keep blood glucose levels from going too low or too high.

When your blood sugar is too high, your doctor refers to it as hyperglycemia. When your blood sugar is too high, you may not experience any symptoms, but the high levels of glucose in your blood is causing damage to your blood vessels and organs. That is why it is important to have your body utilize the sugar properly and get it out of your bloodstream.

When your blood sugar is too low, your doctor refers to it as hypoglycemia. Having low blood sugar can be very dangerous and patients taking medication for diabetes should watch for symptoms of low blood sugar. It is also important that your monitor your blood sugar regularly to avoid both low as well as high blood sugar. It is important that you keep your blood sugar as close to normal as possible at all times.

How does my doctor know if I am keeping my blood sugar under control?
Some patients are may not follow the proper diet and exercise except for the days leading up to a blood test in the doctor's office. They want to look like they are doing a good job controlling their blood sugar. This way their fasting blood glucose test results will be good for the doctor. But, there is a test that will show your doctor the real picture over the past 3 months or so. It is called the hemoglobin A1C (HbA1C) test. Hemoglobin is the part of your blood, or red cells, that carries oxygen to your cells. Glucose sticks to the hemoglobin in your red cells of the blood as they emerge from the bone marrow where they are made.

The amount of sugar on the red cell is proportionate to the blood sugar level at the moment the red cell goes into circulation, and remains at that level for the life of the red cell. So if there has been a lot of extra glucose in your blood, there will be a lot of glucose stuck all over your hemoglobin. Since the average lifespan of the hemoglobin in your blood is 90-100 days, a HbA1C test shows a doctor how well you have been controlling your blood sugar over the last 3 months. This test is a check on the overall sugar control, not just the fasting blood sugar. So it is important to control your blood sugar at all times, and not just before visiting the doctor. The most important reason to control your blood sugar is so that you can live a longer, healthier life without complications that can be caused by not controlling your diabetes.

What happens if I do not control my diabetes?
The complications of diabetes can be devastating. Both forms of diabetes ultimately lead to high blood sugar levels, a condition called hyperglycemia. The damage that hyperglycemia causes to your body is extensive and includes:

Damage to the retina from diabetes (diabetic retinopathy) is a leading cause of blindness.

Diabetes predisposes people to high blood pressure and high cholesterol and triglyceride levels. These independently and together with hyperglycemia increase the risk of heart disease, kidney disease, and other blood vessel complications.

Damage to the nerves in the autonomic nervous system can lead to paralysis of the stomach (gastroparesis), chronic diarrhea, and an inability to control heart rate and blood pressure with posture changes.

Damage to the kidneys from diabetes (diabetic nephropathy) is a leading cause of kidney failure.

Damage to the nerves from diabetes (diabetic neuropathy) is a leading cause of lack of normal sensation in the foot, which can lead to wounds and ulcers, and all too frequently to foot and leg amputations.

Diabetes accelerates atherosclerosis or "hardening of the arteries", and the formation of fatty plaques inside the arteries, which can lead to blockages or a clot (thrombus), which can then lead to heart attack, stroke, and decreased circulation in the arms and legs (peripheral vascular disease).

Hypoglycemia, or low blood sugar, occurs from time to time in most people with diabetes. It results from taking too much diabetes medication or insulin, missing a meal, doing more exercise than usual, drinking too much alcohol, or taking certain medications for other conditions. It is very important to recognize hypoglycemia and be prepared to treat it at all times. Headache, feeling dizzy, poor concentration, tremors of hands, and sweating are common symptoms of hypoglycemia. You can faint or have a seizure if blood sugar level gets too low.

Diabetic ketoacidosis is a serious condition in which uncontrolled hyperglycemia (usually due to complete lack of insulin or a relative deficiency of insulin) over time creates a buildup in the blood of acidic waste products called ketones. High levels of ketones can be very harmful. This typically happens to people with type 1 diabetes who do not have good blood glucose control. Diabetic ketoacidosis can be precipitated by infection, stress, trauma, missing medications like insulin, or medical emergencies like stroke and heart attack.

Hyperosmolar hyperglycemic nonketotic syndrome is a serious condition in which the blood sugar level gets very high. The body tries to get rid of the excess blood sugar by eliminating it in the urine. This increases the amount of urine significantly and often leads to dehydration so severe that it can cause seizures, coma, even death. This syndrome typically occurs in people with type 2 diabetes who are not controlling their blood sugar levels or have become dehydrated or have stress, injury, stroke, or medications like steroids.

My doctor says I have pre-diabetes? What is that?
Pre-diabetes is a common condition related to diabetes. In people with pre-diabetes, the blood sugar level is higher than normal but not high enough to be considered diabetes. Pre-diabetes increases your risk of getting type 2 diabetes and of having heart disease or a stroke. Pre-diabetes can be reversed without insulin or medication by losing a modest amount of weight and increasing your physical activity. This can prevent, or at least delay, onset of type 2 diabetes. When associated with certain other abnormalities, it is also called the metabolic syndrome.

What are normal blood glucose levels? The amount of glucose (sugar) in your blood changes throughout the day and night. Your levels will vary depending upon when, what and how much you have eaten, and whether or not you have exercised. The American Diabetes Association categories for normal blood sugar levels are the following, based on how your glucose levels are tested:

A fasting blood glucose test: This test is performed after you have fasted (no food or liquids other than water) for eight hours. A normal fasting blood glucose level is less than 100 mg/dl. A diagnosis of diabetes is made if your blood glucose reading is 126 mg/dl or higher. (In 1997, the American Diabetes Association lowered the level at which diabetes is diagnosed to 126 mg/dl from 140 mg/dl.)

A "random" blood glucose test can be taken at any time. A normal blood glucose range is in the low to mid 100s. A diagnosis of diabetes is made if your blood glucose reading is 200 mg/dl or higher and you have symptoms of disease such as fatigue, excessive urination, excessive thirst or unplanned weight loss.

Another test called the oral glucose tolerance test may be performed instead. For this test, you will be asked, after fasting overnight, to drink a sugar-water solution. Your blood glucose levels will then be tested over several hours. In a person without diabetes, glucose levels rise and then fall quickly after drinking the solution. In a person with diabetes, blood glucose levels rise higher than normal and do not fall as quickly.

A normal blood glucose reading two hours after drinking the solution is less than 140 mg/dl, and all readings between the start of the test until two hours after the start are less than 200 mg/dl. Diabetes is diagnosed if your blood glucose levels are 200 mg/dl or higher.

What else do I need to do if I have diabetes?
People with diabetes should see a health care provider who will monitor their diabetes control and help them learn to manage their diabetes. In addition, people with diabetes may see endocrinologists, who may specialize in diabetes care; ophthalmologists for eye examinations; podiatrists for routine foot care; and dietitians and diabetes educators who teach the skills needed for daily diabetes management.

Diabetes, and its precursor, the metabolic syndrome, can lead to a multitude of problems if not adequately controlled. These include vascular diseases that result in heart attack and stroke, kidney damage leading to kidney failure, damage to nerves (neuropathy), retinal damage leading to blindness, high blood pressure, and various metabolic defects such as high triglycerides or high cholesterol. It is therefore crucial to control the diabetes as well as all the other risk factors for artery diseases that cause heart attack and stroke.

To do this, your doctor will insist on a good diet and regular exercise. Medications are added to lower the blood sugar, and if these are inadequate, insulin or other injectable medication will be required. The medications that treat diabetes may cause depletion of folic acid, which in turn can cause a high homocysteine, which is a risk factor for artery disease that underlies heart attack and stroke. You can shift the risks in your favor by taking NutraMD Diabetes Essential Nutrients along with your doctor prescribed medications.

[http://www.essential-nutrients.net]

Donald Ford, MD, Diplomate of the American Board Internal Medicine. Dr. Ford has practiced general internal medicine for the past 22 years. He is a native Texan and trained at Baylor University, the University of Texas Medical School at Houston, and Scott and White in Temple. He is a Clinical Assistant professor at Baylor College of Medicine. In addition to general Internal Medicine, his practice includes travel medicine, vascular disease prevention, and Integrative Medicine with nutrients. He has been interested in the body’s ability to heal itself since medical school, and has used nutrients throughout his career to help patients use less prescription medication, or avoid it altogether.While he sees the tremendous value prescription medications can provide, he is also aware of the value and place for nutrients.

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What Can Diabetics Eat

Are you a diabetic who hasn’t yet found the answer to the question “what can diabetics eat?” If so, then this article is for you. Many diabetics who’ve had the disease for several years are still unable to figure out the right diet plan to ensure that they get all the right nutrients, while also maintaining their blood sugar levels. This is not due to the fact that there aren’t proper guidelines as to diet plans, but the fact that the majority of diabetics do not make an attempt to try and work on their dietary requirements. This is a grave mistake as diabetes may not only be caused by other medical conditions such as obesity, but it may also lead to other medical complications if not controlled.

This article will cover all the basics of diabetes and recommended foods so that you can start controlling your blood sugar levels with good results.

Diabetes and blood sugar levels

Diabetes is primarily caused as a result of the pancreas producing little or no insulin. So why is this important? It is this insulin that helps the glucose in the blood to move into the cells that require them, in your body. When the amount of insulin is low, the glucose tends to be concentrated in the blood stream – the reason why blood tests reveal glucose levels. This glucose is the by-product of the process of metabolism in our bodies.

Blood sugar levels can either be normal, slightly below/above normal, or in the worst case, can go to one of the two extremes, resulting in either hyperglycemia (high blood sugar) or hypoglycemia (very low blood sugar levels). While the former condition could have an effect on the brain and other organs, hypoglycemia could result in blindness or could lead to limbs being amputated. This is exactly why you need to always check your blood glucose levels at regular intervals.

Type of diabetes vs. what can diabetics eat?

There are three main types of diabetes; two are chronic while the other is generally temporary. You need to understand what type of diabetes you have in order to determine which foods are right for you.

While Type 1 diabetes requires insulin to be administered, Type 2 diabetes generally doesn’t require insulin for treatment; normal medication should suffice. You need to consider your diet in line with the medication/insulin you take as you need to find a balance.

The third type, gestational diabetes, generally occurs during pregnancy and is temporary.

Different diabetes diet plans

It’s always best to have a guideline when it comes to choosing food for your daily meals. This is why there are a few different types of diet plans that are available for diabetics.

1. The calorie diet/ counting carbs – This diet helps you watch the intake of carbohydrates by specifying which foods are high in carbs and which foods don’t contain a high level of carbohydrates. Examples include the 1200-calorie diet, the 1600-calorie diet and the 1800-calorie diet.
2. The plate system – In this method you are encouraged to divide your plate into four quarters and then decide what portions of each type of food you wish to have to give you a balanced, nutritious meal.
3. The food pyramid – The food pyramid classifies food into six different groups based on the amount of nutrients and carbohydrates they contain, with four different levels to help you choose the right combination of food from each group.
4. The diabetes exchange list – This method recommends food items that could be substituted for another in the same group due to similar carbohydrate content.

Once you choose one of these methods to follow, you then need to understand what food you can eat, and what food you need to avoid.

What you CAN eat as diabetic

Fruits – There are many different types of fruit that are good for diabetics. These fruits include apricots, peaches, figs, apples, avocado and all kinds of berries, to name a few. It’s best that you limit consumption of fruits like bananas and mangoes however.

Fruits are generally rich in carbohydrates, but most of these are low-carb and are also packed with essential vitamins and minerals. You need to keep away from dried fruits and canned fruit in syrup.

Vegetables – When choosing vegetables, you always need to go for those that are non-starchy. Examples of such vegetables include broccoli, Brussels sprout, mushrooms, tomatoes, onions, beets and most greens. You would want to keep away from starchy vegetables like potatoes and yams.

Starchy food – What would generally fall into this category are items such as rice, pasta, bread and other similar foods. Anything made out of white flour is not good for you, but you can use whole-wheat products as a substitute.

Dairy products – Ensure that all dairy products you consume are fat-free or low-fat. You must have dairy products in your diet as it gives you the calcium that you require. Examples include milk, yoghurt and cheese.

Meat and others – Poultry products are best eaten skinless as they would contain less fat. All types of fish and seafood can also be incorporated into your diet. Additionally products like eggs are also important. Meat products must be consumed after cutting off any fat. Examples include beef, pork, turkey, organ meats and even hot dogs.

Always ensure that the food you consume is low in sodium content and fats.

Exercise, medication and rest

Always keep in mind that while it’s vital that you eat right, this alone will not help you keep your blood sugar levels under control. You also need to get a good amount of sleep each night, and get rid of anything that triggers stress. These are factors that greatly contribute to high blood sugar levels.

You also need to visit your doctor often to ensure that the medication prescribed is actually working.

If you follow the guidelines mentioned above, the question as to what can diabetics eat should no longer be a problem.

Reference: http://www.whatcandiabeticseat.net/

Diabetes Food List - Healthy Eating for Type 2 Diabetes

What is a diabetes food list?

Being diagnosed with type 2 diabetes is a life-changing event. One of the main challenges is making changes in your diet.

One of the first questions that almost every patient diagnosed with type 2 diabetes asks is "What am I supposed to eat now?"

What you eat is a very important part of maintaining blood sugars in the target range. 

If a type 2 diabetic has no idea what to eat, being able to control blood sugar levels will be near impossible.

The goal in treating type 2 diabetes successfully is to make lifestyle changes.

My strategy when explaining diet is to keep it simple.

Your mindset should be one of adapting changes that enhance your lifestyle. Find something that works well for you.

There are a lot of websites out there on the Internet touting one diet or another. Some even speak about being able to "reverse type 2 diabetes."

Recently, the American Diabetes Association made some changes that make it easier for a newly diagnosed diabetic to get into action.

Do diabetes food lists really work?

In the past there was a lot of talk about 'diabetes food lists'. Diabetes food lists were thought of as restrictive. It's not likely that a patient is going to follow such a diet for a long time.

The fact is that the foods on a diabetes food list will work for anyone who is committed to a healthy lifestyle.

A diabetes food list helps people living with diabetes understand foods that help maintain the blood sugars within the target range. They will also help to reduce hyperglycemia.

There is a ton of information out there about what makes up a diabetes food list. It's OK to follow these. But I recommend just using them as a guideline that will help you to adapt healthy food choices.

Here are some of the current recommendations on how to eat healthy while living with type 2 diabetes:

Create your plate

The American Diabetes Association recently did away with the diabetes food pyramid and adapted the "create your plate." This is a strategy that makes it less overwhelming for someone just diagnosed with type 2 diabetes to get straight into action planning healthy meals.

So here are the steps to create a plate:

• Take a standard sized dinner plate.
• Divide it into three sections. Start by dividing in half. Then divide one of the halves in two. There you have three sections. Since it is divided into three sections, one section will be larger.
• On the larger section of the plate, place you non-starchy vegetables such as broccoli, greens, lettuce, spinach, cucumbers, tomatoes etc.
• On one of the smaller sections, place your starchy foods like rice (preferably brown rice), grains, corn, pasta, beans etc.
• On the other small section place a serving of meat or a meat substitute such as turkey, chicken, fish etc.
• On the side you may add an 8 oz. serving of milk. Or if you are lactose intolerant like a number of adults are, you can have some almond, soy or coconut milk. Water also works just fine.
• Then a small serving of fruit. Preferably fresh fruit.

You have created your plate

Carbohydrate Counting

One of the important strategies for a person living with type 2 diabetes is to know the amount of sugars they are eating. This will help to reduce the complication of hyperglycemia.

Up till the mid 1990s, carbohydrates were touted as being bad for anyone with diabetes. Now we know that to not entirely be the case. Naturally everything, including carbohydrates, must be eaten in moderation.

A great tool is carbohydrate counting or "carb counting" as it is popularly called.

The strategy is to round up the total amount of carbohydrates that you are allowed in a day. And divide this equally among your meals - including snacks.

One of the advantages of carbohydrate counting is that it reduces the tendency for the blood sugar levels to fluctuate. This helps to prevent huge swings in insulin levels that could lead to fluctuations in blood sugar levels.

If you plan to use carbohydrate counting exclusively, then you may need the assistance of a nutritionist. They will help to customize a meal plan for you.

A good place to start is between 45-60 grams of carbohydrates per day.

Remember that carbohydrates are in starchy foods like breads, grains and pasta. They are also in fruits and vegetables, milk products.

Reading food labels makes it easier to measure how much carbohydrates you are getting in a meal.

What are Diabetes Super Foods?

The American Diabetes Association has a list of ten super foods that it recommends. I love the way that certain foods get tagged as "super foods."

Just as I like to point out, these "super foods" should be a part of the diet of anyone looking to live healthy.

The added benefit for a diabetic is that these foods help to give extra nutrients and minerals such as calcium, magnesium, and potassium. In addition they also contain powerful antioxidants.

These super foods help to not only control blood sugar levels. But also maintain the health of the cell membranes.

So here are the top ten super foods that everyone should be eating:

• Berries of all kinds (blueberries, strawberries, raspberries etc.)
• Dark leafy vegetables- such as spinach, kale and asparagus
• Beans- all varieties. Beans are high in fiber and low in glycemic index
• Fish particularly fish that is rich in omega 3 sources such as salmon, herring, sardines
• Fat free milk & yoghurt
• Nuts
• Tomatoes
• Sweet potatoes
• Whole grains that have not been processed
• Citrus fruits

This is by no means an exhaustive list of all the healthy ways to eat as a diabetic.

It is my hope that this article will answer the question, 'What am I supposed to eat?'

Dr Eno Nsima-Obot is a board certified Internal Medicine as well as a trained life coach by an ICF accredited program. She brings over 15 years of experience to the health and wellness industry. Her passion for helping people living with diabetes experience a healthy life and avoid complications from this disease, motivated her to write a book on this issue. Written in an easy to read patient centered format, this book is bound to create a more empowered life for anyone currently living with diabetes. Download a copy of her FREE e-book Dr. Eno's Guide to Living Powerfully With Type 2 Diabetes

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