#diabetes Archives - Page 3 of 3

Diabetes and Gastroparesis

Posted on October 7, 2015 by Sage Robinson

People with both type 1 and type 2 diabetes can be affected by gastroparesis, a condition in which the muscles of the stomach and intestines do not work normally and the movement of food is slowed or stopped.

Diabetics with neuropathy, or nerve damage, to the vagus nerve, which supplies nerve fibers all over the body including the throat, lungs, heart and intestinal tract, can suffer from gastroparesis.

Symptoms of gastroparesis may be mild or severe and include:

. Heartburn

. Nausea

. Vomiting of undigested food

. Early feeling of fullness when eating

. Weight loss

. Abdominal bloating

. Erratic blood glucose (sugar) levels

. Lack of appetite

. Gastroesophageal reflux

. Spasms of the stomach wall

Gastroparesis makes it more difficult to manage blood glucose which in turn can worsen diabetes. When food that has been delayed in the stomach finally enters the small intestine and is absorbed, blood glucose levels rise.

Your doctor can diagnose gastroparesis through a variety of different tests including a barium x-ray or blood tests. The most important treatment goal for diabetes-related gastroparesis is to manage your blood glucose levels as well as possible. Treatments include insulin, oral medications, changes in what and when you eat, and, in severe cases, feeding tubes and intravenous feeding.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Best High Fiber Foods For Diabetics

Posted on September 9, 2015 by Sage Robinson

People with Type 2 diabetes need to control both their weight and sugar levels. Consuming a diet high in fiber is the best way to accomplish those goals.

According to the American Diabetes Association (ADA), many high-fiber foods are naturally low in sugar, fat and calories helping diabetics reduce the risk for diabetes complications. The FDA recommends an average daily intake of 25g of dietary fiber for adults. Some of the best sources of fiber include:

. High fiber fruit like berries, citrus fruits, as well as Asian and domestic pears.

. Orange vegetables such as sweet potato, pumpkin, squash and carrots.

. Green vegetables like cooked collards, turnip greens, broccoli, Brussels sprouts, spinach and artichokes.

. Whole grains such as whole wheat pasta, brown rice and barley.

. Beans including soybeans, navy, pinto black and kidney beans, split and black-eyed peas and lentils.

The Importance of Wound Care as a Diabetic

Posted on August 10, 2015 by Sage Robinson

Cuts and scrapes may not seem like a big deal for most people but for diabetics, healing can often become complicated due to their immune systems becoming compromised. For diabetics, careful monitoring of healing wounds is important to prevent bigger health issues down the line.

If you’re a diabetic, try these helpful tips to prevent a small problem from becoming more complicated:

Should you get a cut, treat it immediately. Cleanse the affected area with soap and water daily. Dry the area well after washing, and apply an antibiotic ointment to keep the site germ-free. Skin injuries generally heal within two weeks, but cuts may take up to three weeks to heal in people with diabetes. Anything beyond that is excessive, and you should have your physician look at it again.
Keep pressure off the wound. Pressure can increase the time it takes to heal.
Be aware of the signs of an infection. Symptoms can include pain, redness, or warmth at the site of the infection. Drainage is another sign of an infection. Don’t ignore any of these signs. Get treatment promptly.

Remember that even a small scrape can become serious if you don’t take proper care of it. Left untreated, wounds can lead to an amputation in the most serious of cases. Taking good care of yourself is an important step toward preventing wounds.

If you have a wound that isn’t healing properly, please contact the Wound Care Center at Flushing Hospital Medical Center for an appointment at 718-670- 4542.

Diabetes: Using a Blood Glucose Meter

Posted on May 21, 2015 by Sage Robinson

If you have been diagnosed with diabetes you know the importance of controlling your blood glucose levels or “sugar.”

Using a glucose meter to check your blood sugar levels after eating, exercising or taking your diabetes medication, can help determine how your lifestyle affects your diabetes. It may even help you to better plan and implement changes that will assist you in managing your diabetes, helping to reduce the risk of complications related to kidneys, eyes, skin, feet and the nervous system.

The blood glucose meter is an electronic device that uses a disposable test strip with a small drop of blood and reads your level of blood glucose on a digital display. A blood glucose test is performed by pricking the skin (typically, on the finger) to draw blood, then applying the blood to the test-strip. The test is usually referred to as capillary blood glucose.

Healthcare professionals advise patients on how often they should monitor their levels based on their diagnosis. Most people with Type 2 diabetes test at least once per day. Diabetics who use insulin (everyone with Type 1 diabetes and some with Type 2) usually test their blood sugar more often (3 to 10 times per day), both to assess the effectiveness of their prior insulin dose and to help determine their next insulin dose.

Glucose meters are available at a variety of price points. Though the cost of monitoring may be expensive or time consuming, the benefits are worth it if you can avoid the medical costs of diabetes complications.

Diabetes and Skin Complications

Posted on April 8, 2015 by Sage Robinson

Believe it or not, skin complications are sometimes the first sign that you may have diabetes. According to the American Diabetes Association (ADA), people with diabetes develop skin diseases more easily than those without the condition, making them more susceptible to general skin conditions such as bacterial infections, fungal infections, and localized itching. More specifically, styes, boils, jock itch, athlete’s foot, and ringworm.

There are several skin conditions that mostly affect or only affect people with diabetes, such as diabetic dermopathy and diabetic blisters. Some of these conditions are painful, while others are found to be embarrassing.

Fortunately, most of these conditions can be prevented or easily treated, if caught early. To reduce the risk of developing skin-related complications of diabetes, it is recommended that individuals keep their glucose levels in a safe range by eating healthy, exercising and taking their medication. It is also important that proper skin care is practiced. Individuals with diabetes should consider the following tips for good skin care:

Keep skin clean and moisturized.
Avoid very hot baths and showers, and use moisturizing soap and mild shampoos.
Treat cuts right away. Wash minor cuts with soap and water.
During cold, dry months, keep your home more humid. Bathe less during this weather, if possible.

If not cared for properly, these conditions, in a person with diabetes, can turn into a serious problem with potentially severe consequences. If you have diabetes and have noticed changes to your skin, please call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486 to schedule an appointment with an endocrinologist or dermatologist.

Diabetes-Friendly Dessert: Carrot Cake with Fluffy Cream Cheese Frosting

Posted on March 18, 2015 by Sage Robinson

Eating healthful meals is an essential part of managing diabetes. If you suffer from diabetes,or just crave a healthy dessert, this carrot cake recipe is sure to please. Recipe courtesy of Diabetic Living Online.

Carrot Cake with Fluffy Cream Cheese Frosting

Ingredients

1 1/2 cups all-purpose flour
2/3 cup flax seed meal
2 teaspoons baking powder
1 teaspoon pumpkin pie spice
1/2 teaspoon baking soda
1/4 teaspoon salt
3 cups finely* shredded carrot (about 6 medium)
1 cup refrigerated or frozen egg product, thawed, or 4 eggs, lightly beaten
1/2 cup granulated sugar or sugar substitute blend** equivalent to 1/2 cup granulated sugar
1/2 cup packed brown sugar or brown sugar substitute blend** equivalent to 1/2 cup brown sugar
1/2 cup canola oil
1 recipe Fluffy Cream Cheese Frosting
Coarsely shredded carrot (optional)

Directions

Preheat oven to 350 degrees F. Grease and lightly flour two 8×1-1/2- or 9×1-1/2-inch round cake pans; line bottom of pans with waxed paper. Grease and lightly flour the waxed paper and the sides of the pans. Set aside.
In a large bowl, stir together flour, flax seed meal, baking powder, pumpkin pie spice, baking soda, and salt; set aside. In another large bowl, combine finely shredded carrot, eggs, granulated sugar, brown sugar, and oil. Add egg mixture all at once to flour mixture. Stir until combined. Divide batter evenly among prepared pans, spreading evenly.
Bake for 25 to 30 minutes for 8-inch pans, 20 to 25 minutes for 9-inch pans, or until a toothpick inserted near centers of the cakes comes out clean. Cool cakes in pans on wire racks for 10 minutes. Invert cakes onto wire racks. Cool completely.
Place one cooled cake layer on a serving platter. Top with half of the Fluffy Cream Cheese Frosting. Place the second cake layer atop the frosting; spread with the remaining frosting. If desired, garnish with coarsely shredded carrot. Makes 14 to 16 servings.

Tip

* Be sure to finely shred the carrots to prevent them from sinking to the bottom of the pan during baking.
**Sugar Substitutes: Choose Splenda® Sugar Blend for Baking to substitute for the granulated sugar and Splenda® Brown Sugar Baking Blend to substitute for the brown sugar. Follow package directions to use product amount equivalent to 1/2 cup granulated and 1/2 cup brown sugar.
**Sugar Substitutes: PER SERVING WITH SUBSTITUTE: same as above, except 231 cal., 25 g carb., 186 mg sodium. Daily values: 3% calcium. Exchanges: 1.5 other carb. Carb choices: 1.5

Fluffy Cream Cheese Frosting ingredients:

2 ounces softened reduced-fat cream cheese (Neufchatel)
1/2 teaspoon vanilla
1/4 cup powdered sugar
1 1/2 cups frozen light whipped dessert topping

Directions

In a medium bowl, beat reduced-fat cream cheese (Neufchatel) with an electric mixer on medium to high speed until smooth. Beat in vanilla. Gradually add powdered sugar, beating until smooth. Thaw 1-1/2 cups frozen light whipped dessert topping. Fold about 1/2 cup of the topping into the cream cheese mixture to lighten. Fold in the remaining whipped topping. Makes about 1-3/4 cups.

Makes 14-16 servings

NUTRITION FACTS PER SERVING: 254 cal., 11 g total fat (2 g sat. fat), 3 mg chol., 188 mg sodium, 34 g carb. (3 g fiber, 19 g sugars), 5 g pro.

Diabetic Exchanges

Other Carb (d.e): 2; Fat (d.e): 2;

March 24 is Diabetes Alert Day. Can a Diabetic be Vegetarian/Vegan?

Posted on March 18, 2015 by Sage Robinson

Tuesday, March 24 is Diabetes Alert Day, a one-day wake-up call to inform the American public about the seriousness of diabetes, particularly when diabetes is left undiagnosed or untreated. Often times, diabetics wonder if they can be a vegetarian or vegan? The answer is yes, it is possible.

There are many different types of vegetarian diets. The most common types are:

Vegan- This group does not eat meat, eggs, or dairy products.
Lacto-vegetarian- This group does not eat meat or eggs. However, they will eat dairy products.
Lacto-ovo vegetarian- This group does not eat any meat. However, they will eat both dairy products and eggs.

If diabetics decide to become vegetarian or vegan, their diets should be rich in protein, iron, vitamin B12, calcium and vitamin D. Eating a good mix of vegetables, fruits, beans, whole grains, nuts, and low-fat dairy products guarantee the body receives the vitamins and proper fuel required to normally function. As a vegetarian or vegan, this kind of diet should not solely concentrate on simple carbohydrates rich in starches, such as potatoes, white rice and white bread or even fruits, which can have the opposite effect on blood sugar levels for diabetics. A focus on a well-rounded diet can help to improve blood sugar levels and make the body more responsive to insulin. It can also help with weight management which can be a concern to many diabetics.

The key to a healthy vegetarian/vegan diet as a diabetic is balance and planning. Every person who has diabetes has his, or her, own individual energy and nutrient needs. Anyone interested in changing their dietary lifestyle should consult with their health care professional.

Diabetic? Blurry Vision? Make Sure to Schedule an Exam

Posted on March 6, 2015 by Sage Robinson

Blurry vision may happen for a variety of reasons, but for some it can be a precursor to something more serious. According to the American Diabetes Association, an estimated 20 million Americans are diagnosed with diabetes, while an additional 41 million are considered pre-diabetic, a condition that significantly increases their risk for developing diabetes.

Eye issues are the first early warning signs of problems for people with diabetes. In pre-diabetics, blurred vision occurs because the blood sugar levels are elevated, causing the lens of the eye to swell. By maintaining a healthy blood sugar level, vision symptoms can resolve within a matter of months. It is important to make certain lifestyle changes in order to reduce the risk of developing diabetes. Managing your diet, exercising daily and maintaining a normal weight can help prevent the development of diabetes and avoid problems associated with being pre-diabetics.

Everyone should have regular eye exams, but if you are pre-diabetic or diabetic, it is important to have your eyes examined annually. For more information or to schedule an appointment, please call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486 or All City Eye Care Center at 718-380-5070.

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