Diabetes

Diabetes

Diabetes mellitus (MEL-ih-tus), often referred to as diabetes, is characterized by high blood glucose (sugar) levels that result from the body’s inability to produce enough insulin and/or effectively utilize the insulin. Diabetes is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism (the body's way of digesting food and converting it into energy). There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications.

Recently Answered

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    If you have diabetes and test your blood with a glucose meter and glucose testing strips, taking an excess of vitamin C may cause a false “low” blood sugar reading. That’s because the vitamin interferes with an enzyme in the test strip. If you have diabetes, you may want to steer clear of supplements. Instead, consider getting your daily dose of vitamin C directly from foods rich in this vitamin. That would include citrus fruits and berries (just remember to follow your doctor’s dietary recommendations when consuming foods naturally high in sugar) and a variety of vegetables. If you still want to take a supplement, use a time-release form of vitamin C and stick to about 250 mg daily.

    Always check with your doctor if you have a health condition before taking any supplements.

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    Yes! Grapes contain carbohydrate, as all fruits do, and carbs raise blood sugar, but the red skins on grapes have other great heart-healthy benefits, just like red wine does. Just be sure you watch portion size and test your blood sugar after eating. Also, combine them with a protein food like cheese to help moderate the impact on your blood glucose levels.
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    Fast food restaurants have more healthy options than ever. There are many side items that feature vegetables and fruits such as salads, apple slices, and carrots. These are some of the obvious healthy foods that you can choose. Order these options as often as possible instead of French fries or onion rings.

    Some establishments dedicate a section of their menu to healthier options. For example, Taco Bell offers their Drive-Thru Diet menu and Dunkin Donuts has their DDSMART menu. Remember, these menu items are usually better choices than what is on the rest of the menu, but you still need to consider portion size, calories, carbohydrates, fat, and sodium.
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    Too much dietary salt or sodium can increase blood pressure. People with diabetes, especially type 2 diabetes, may already have high blood pressure, so they may need to reduce their sodium intake.

    • Put the saltshaker away, and use less or no salt when cooking.
    • Read food labels to assess the sodium content (80% of your sodium intake comes from processed foods).
    • If you are using canned vegetables, rinse them to remove the salt or choose no-salt-added or reduced-sodium options.
    • Avoid fast foods.
    • Use flavorings such as herbs and spices to make your food tastier.
    • Cook using fresh foods whenever possible.
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    Diabetes is still the leading cause of blindness among Americans today. High blood sugar can lead to glaucoma, which in turn can cause damage to the eyes optic nerve, causing loss of vision. High blood sugar can also cause damage to the eye’s retina and increase the risk of developing cataracts.
     
    Eat more produce, namely a broad variety of colored fruits and vegetables. The antioxidants in fresh produce including vitamin C, lutein and zeaxanthin help to stabilize the retina of the eye and also reduce the risk of developing cataracts and other eye ailments.

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    The American Diabetes Association recommends that people with diabetes avoid drinking sugar-containing beverages such as soda because it will raise blood glucose quickly and add several hundreds of calories in one serving. If you feel the need to drink soda, they recommend diet soda because it contains zero carbohydrates and will not raise blood glucose levels. They also recommend drinking calorie-free or very low-calorie beverages. This includes water, unsweetened teas, coffee, and diet soda. There are other options too, such as low-calorie drinks and drink mixes which can be found in most grocery stores. You can also try flavoring your water with a squeeze of lemon or lime juice for a refreshing drink with some flavor.

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    dLife - barbecue beef brisket
    This low-carb recipe uses only a few ingredients to create a spicy marinade that infuses the beef brisket with barbecue flavor, perfect for people with diabetes. Beef is also a natural source for vitamin B12, which is important for a strong, healthy body.

    Click below to watch chef Michel Nischan bake up this rich, barbecue-flavored dish.





    Barbeque Beef Brisket

    Ingredients

    5 lb whole lean beef brisket, trimmed
    pinch salt and pepper, to taste
    3 tbsp roasted, chopped garlic cloves
    1/4 cup light honey
    1/4 cup cider vinegar
    1/4 cup light soy sauce
    2 cups drained canned tomatoes, chopped
    2 tbsp dried Chipotle peppers, seeded and finely diced
    1/4 cup fresh cilantro, chopped

    Directions

    1. Trim any excess fat from the brisket, and season the brisket with the salt and pepper.
    2. In a small bowl, combine the honey, vinegar, lite soy, tomatoes, and chipotle. Spread over the brisket. Cover, and refrigerate overnight.
    3. Preheat the oven to 300°F.
    4. Transfer brisket and marinade to Dutch oven or heavy baking dish.
    5. Bake, covered, 5 to 6 hours, or until brisket is tender. Sprinkle generously with freshly chopped cilantro and serve.

    Makes 12 servings

    Calories 367.8
    Total Carbs 7.9 g
    Dietary Fiber 0.4 g
    Sugars 7.1 g
    Total Fat 15.8 g
    Saturated Fat 5.6 g
    Unsaturated Fat 10.3 g
    Potassium 721.1 mg
    Protein 45.4 g
    Sodium 434.4 mg
     
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    dLife - turkey meatloaf
    This updated meatloaf recipe uses lean ground turkey instead of ground beef. Sautéed onions, leeks, garlic, and red wine boost this low-carb meatloaf's flavor -- and a secret ingredient keeps it moist.

    Click below to watch chef Michel Nischan mix up this low-carb meatloaf.





    Low Carb Meat Loaf

    Ingredients

    Sauce
    1 tbsp grapeseed oil (or olive oil)
    1 fresh leek, thinly sliced
    1 small onion, peeled and chopped
    3 medium garlic cloves, peeled and finely minced
    6 oz tomato sauce
    1/2 cup dry red wine
    1/2 cup low sodium chicken broth
    2 tsp fresh basil, chopped
    1 tsp oregano leaves, choppped
    1 pinch salt, or sea salt (to taste)
    1 tbsp light spelt flour (or any whole grain flour)

    Meatloaf
    1 lb ground turkey
    1 tbsp light spelt flour
    1 egg, lightly beaten
    2 egg whites, lightly beaten
    1/2 cup chopped zucchini, peeled and grated
    1 pinch kosher salt
    1 pinch ground black pepper

    Directions

    1. Preheat oven to 350°F.
    2. Coat large skillet with grapeseed oil. Heat over medium. Add leek, onion, and garlic. Sauté until just golden brown. Add flour, stir and cook for 2 minutes.
    3. Add wine, chicken broth, tomato sauce, basil, oregano, flour, and salt to skillet. Bring to boil, reduce heat to low and simmer uncovered for 15 minutes. Set sauce aside.
    4. In large bowl, combine ground turkey, eggs, zucchini, and flour. Mix well. Add 1/4 cup sauce, and stir in gently. Grease or line 4" x 8" loaf pan. Form meatloaf into pan. Cover with foil. Bake for 30 to 40 minutes. Discard any drippings.
    5. Heat remaining sauce and serve with meatloaf.

    Additional Information
    For a classic dinner combo, serve with Green Beans Amandine. 

    Makes 8 servings

    Amount Per Serving

    Calories 167.9
    Total Carbs 6.4 g
    Dietary Fiber 1 g
    Sugars 2.3 g
    Total Fat 8.7 g
    Saturated Fat 2.1 g
    Unsaturated Fat 6.6 g
    Potassium 293.9 mg
    Protein 13 g
    Sodium 292.5 mg
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    A Nutrition & Dietetics, answered on behalf of

    A balanced diet that emphasizes fruits, vegetables, whole grains, lean protein, and low fat dairy will keep your blood glucose in check and will prevent acute and chronic complications, such as nerve and kidney damage, as well as heart disease. Moreover, these nutrient dense foods (foods with more vitamins, minerals, and fiber and less calories) have additional health benefits including better weight management and prevention of certain types of cancer.

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    If you have type 2 diabetes, what you eat, how much you eat, and when you eat all affect your blood glucose, blood pressure, and cholesterol. Ask to see a dietitian who knows about diabetes. Together, you'll design a meal plan that can help you reach your goals and include your favorite foods. A few tips to get you started include:

    - Choose dairy products like low-fat or fat-free milk, yogurt and cheese.
    - Choose lean meats and chicken without the skin.
    - Eat fish 2-3 times per week.
    - Eat vegetables and fruit every day.
    - Choose whole grain breads, cereals and pasta.
    - Choose foods with less salt.
    - If you are trying to lose weight, cut back on your portion sizes.

    Below are examples of ways to change your meals:

    - For lunch, choose a grilled chicken breast sandwich and a side salad instead of chicken fingers with French fries.
    - For breakfast, choose whole wheat toast with light margarine or butter instead of a bagel with regular margarine or butter.
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