Controlling Diabetes"I’m controlling my diabetes so I’ll be around for my grandchildren. I know I’m controlling my diabetes because I keep track of my blood sugar numbers. I watch what I eat, make time for regular physical activity, and take my medicine as prescribed. With my diabetes under control, I feel a lot better and have more energy. Best of all, I’m going to be around for my family… for my friends… for life."

The glycemic index has been around for more than 20 years. It is a good idea to understand it, because choosing foods with a low GI rating will help you:
1) Control your cholesterol levels
2) Control your appetite
3) Lower your risk of getting heart disease
4) Lower your risk of getting Type 2 diabetes
5) Control your blood glucose levels
Low glycemic foods (55 or less)
- Skim milk
- Plain yogurt
- Soy beverage
- Apple/plum/orange
- Sweet potato
- Oat bran bread
- Oatmeal (slow cook oats)
- All-Bran cereal
- Converted or parboiled rice
- Pumpernickel bread
- Pasta
- Lentils (beans)
- Chick peas
Medium glycemic foods (56-69)
- Banana
- Pineapple
- Raisins
- New potatoes
- Popcorn
- Split pea or green pea soup
- Brown rice
- Couscous
- Basmati rice
- Shredded wheat cereal
- Whole wheat bread
- Rye bread
High glycemic foods (over 70)
- Dried dates
- Instant mashed potatoes
- Baked white potato
- Parsnips
- Rutabaga
- Instant rice
- Corn Flakes
- Rice Krispies
- Cheerios
- Bagel, white
- Soda crackers
- Jellybeans
- French fries
- Ice cream
- Candies
- Cookies
- Table sugar
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 Buffet Table TipsBarbecues, picnics and family reunions are gatherings to enjoy and treasure. If you choose wisely and watch how much you eat, you can have a delicious meal and feel good too. So, grab
your plate and head for the buffet table.
Look for the high fiber, low-fat dishes. Great choices are beans, peas and lentils, and dark green vegetables such as broccoli, cabbage, spinach and kale. Go for the green bean, three-bean, black bean and black-eyed pea dishes or pasta salads mixed with summer vegetables. Choose whole grain foods such as brown rice, couscous, whole wheat bread
and pasta. Everyone benefits from eating these foods, not just people with diabetes.
Watch out for dishes loaded with mayonnaise, sour cream and butter. Choose veggies
that are light on salad dressing, cheese or cream sauce. If you can, make your own
dressing with a little olive oil and vinegar.
Vegetables and grains should fill up most of your plate, but leave room for some lean meat, poultry or fish. Be sure to choose grilled chicken and remove the skin — instead of the fried variety. If you’re going to make a sandwich, use whole wheat bread with
mustard or salsa, rather than mayonnaise.
What’s for dessert? Summer means terrific fruits. It’s hard to beat a fresh peach, fruit salad, cantaloupe or watermelon. Fruit is an excellent source of fiber, vitamins and minerals, and has zero fat. Everyone, including people with diabetes, should eat three to
four servings of fruit a day. Pies, cakes and cookies are high in fat and cholesterol.
It’s best to drink water, unsweetened tea or diet soda. Add a wedge of lemon for flavor.
It’s about small steps:
losing 10 to 15 pounds if you weigh 200 pounds, walking briskly for 30 minutes most days, and making healthy food choices.
It’s about big rewards:
living a longer and healthier life — and avoiding serious health problems such as heart attacks, strokes, blindness, kidney failure, or amputation.
Take the first step today:
If you’re over 45 and overweight, you may be at high risk for diabetes. Talk to your health care provider. Currently, the American Diabetes Association recommends that all adults aged 45 years and older be considered for diabetes screening by their health care provider every 3 years.
KNOW YOUR DIABETIC ABCs:
A1C
Blood pressure
Cholesterol
If you have diabetes, you are at high risk for heart attack and stroke. But you can fight back. You can control the ABCs of diabetes and live a long and healthy life.
Ask your health care provider what your A1C, Blood pressure, and Cholesterol numbers are and ask what they should be. Then talk about the steps you can take to reach your ABC goals.
You have the power to lower your risk of a heart attack or stroke by controlling the ABCs of diabetes. Talk to your health care provider today.
There are three main types of diabetes
Type 1 diabetes, formerly called juvenile diabetes or insulin-dependent diabetes, is usually first diagnosed in children, teenagers, or young adults. With this form of diabetes, the beta cells of the pancreas no longer make insulin because the body’s immune system has attacked and destroyed them. Treatment for type 1 diabetes includes taking insulin, making wise food choices, being physically active, taking aspirin daily (for some), and controlling blood pressure and cholesterol.
Type 2 diabetes, formerly called adult-onset diabetes or noninsulin-dependent diabetes, is the most common form of diabetes. People can develop type 2 diabetes at any age — even during childhood. This form of diabetes usually begins with insulin resistance, a condition in which fat, muscle, and liver cells do not use insulin properly. At first, the pancreas keeps up with the added demand by producing more insulin. In time, however, it loses the ability to secrete enough insulin in response to meals. Being overweight and inactive increases the chances of developing type 2 diabetes. Treatment includes using diabetes medicines, making wise food choices, being physically active, taking aspirin daily, and controlling blood pressure and cholesterol.
Some women develop gestational diabetes during the late stages of pregnancy. Although this form of diabetes usually goes away after the baby is born, a woman who has had it is more likely to develop type 2 diabetes later in life. Gestational diabetes is caused by the hormones of pregnancy or a shortage of insulin.
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What is diabetes?
Diabetes is a group of diseases marked by high levels of blood glucose resulting from defects in insulin
production, insulin action, or both. Diabetes can lead to serious complications and premature death, but
people with diabetes can take steps to control the disease and lower the risk of complications.
How many Americans have diabetes?
- 20.8 million Americans have diabetes — 7.0 percent of the U.S. population. Of these, 6.2 million do
not know they have the disease.
- Each year, about 1.5 million people ages 20 or older are diagnosed with diabetes.
- The number of people diagnosed with diabetes has risen from 1.5 million in 1958 to 14.6 million in
2005, an increase of epidemic proportions.
What is the prevalence of diabetes by type?
- Type 1 (previously called insulin-dependent or juvenile-onset) diabetes accounts for 5 to 10 percent
of all diagnosed cases of diabetes.
- Type 2 (previously called non-insulin-dependent or adult-onset) diabetes accounts for 90 to 95
percent of all diagnosed cases of diabetes. Type 2 diabetes is increasingly being diagnosed in
children and adolescents.
What is the prevalence of diabetes by gender?
- 10.9 million men have diabetes (10.5 percent of all men ages 20 years and older).
- 9.7 million women have diabetes (8.8 percent of all women ages 20 years and older).
What is the prevalence of diabetes by age?
- 20.6 million Americans ages 20 or older have diabetes — 9.6 percent of this age group.
- 10.3 million Americans ages 60 or older have diabetes — 20.9 percent of this age group.
- 176,500 people under age 20 have diabetes – 0.22 percent of this age group.
What is the prevalence of diabetes by race/ethnicity?
- 13.1 million; 8.7 percent of all non-Hispanic whites aged 20 and older have diabetes.
- 3.2 million; 13.3 percent of all non-Hispanic blacks aged twenty and older have diabetes.
- Non-Hispanic blacks are 1.8 times more likely to have diabetes as non-Hispanic whites of similar
age.
- On average, about 2.5 million; 9.5 percent of Hispanic and Latino Americans ages 20 or older have
diabetes
- On average, Mexican Americans are 1.7 times more likely to have diabetes as non-Hispanic whites of
similar age.
- Residents of Puerto Rico are 1.8 times more likely to have diagnosed diabetes than U.S. non-Hispanic
whites.
- Prevalence data for diabetes among Asian Americans and Pacific Islanders are limited. Some groups
within this population are at increased risk for diabetes.
- In Hawaii, Asians, Native Hawaiians, and other Pacific Islanders ages 20 years or older are more than
2 times as likely to have diagnosed diabetes as white residents of Hawaii of similar age.
- American Indians and Alaska Natives on average are 2.2 times more likely to have diabetes as non-
Hispanic whites.
- About 15.1 percent of American Indians and Alaska Natives aged 20 years and older and receiving care from the Indian Health Service (IHS) have diabetes.
- Diabetes is least common among Alaska Natives (8.1%) and most common among American Indians
in the southern U.S. and southern Arizona (26.7% and 27.6% respectively).
How many deaths are linked to diabetes?
- Diabetes was the 6th leading cause of death listed on U.S. death certificates in 2002.
- Cardiovascular disease is the leading cause of death among people with diabetes — about 65 percent die of heart disease or stroke.
- Overall risk for death among people with diabetes is about 2 times that of people without diabetes.
How much does diabetes cost the nation?
- Total health care and related costs for the treatment of diabetes run about $132 billion annually.
- Of this total, direct medical costs (e.g., hospitalizations, medical care, treatment supplies) account for about $92 billion.
- The other $40 billion covers indirect costs such as disability payments, time lost from work, and premature death.
What’s a desirable blood glucose test level?Everyone’s blood has some glucose in it. In people who don’t have diabetes, the normal range is about 70 to 120. Blood glucose goes up after eating but 1 or 2 hours later returns to the normal range. Ask your health care professional when you should do a blood glucose test with a meter.
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