Diabetes and High Blood Sugar
Carolyn Classick-Kohn,MS,RD
About 90% of
people who have diabetes have Type II diabetes. This usually occurs in
adulthood (not always), and is strongly associated with obesity and a family
history of diabetes. About 30% of people who have Type II diabetes
eventually require insulin, but often it can be controlled through diet,
exercise and medication. The incidence of diabetes is higher in some ethnic
groups: Blacks, Hispanics, and Native American Indians are especially prone
to developing diabetes. It tends to have a more gradual onset; you can have
diabetes for years and go untreated. This is why it is so important not to
ignore “mildly elevated” blood sugar and take action to prevent diabetes.
A Silent Disease Symptoms
may be mild or nonexistent in some people, it can be a “silent” disease. In
other cases, the symptoms are quite obvious: frequent urination, excessive
thirst, weight loss without other explanation, general fatigue, and frequent
vaginal infections in woman. The word “diabetes” comes from the Greek word
for siphon - describing the symptoms of drinking water and then urinating
constantly like a siphon, flowing water in and out.
The diagnosis
for diabetes depends upon the level of blood sugar or plasma glucose. Normal
blood sugar is about 60-115 mg/dl (milligrams per deciliter) in the fasting
state. It is normal to have some blood glucose in the blood, and abnormal to
have too much or too little. The brain requires blood glucose for normal
function. If blood sugar drops too low (hypoglycemia) the brain’s function
is impaired and coma can result. It is normal for blood sugar to rise after
eating, but in diabetes, the blood sugar rises higher and stays high longer
than in people without diabetes. New criteria for diagnosis is a fasting
blood sugar of 126 mg/dl or more,. or a non fasting or “random” blood sugar
over 200 with symptoms.
How to decrease
your risk of Diabetes  First of all, if you are overweight, and have a family history of diabetes,
you already have two risk factors for this disease. Please have your blood
sugar checked!
Often, there are
screenings for diabetes at drug stores throughout the year or tell you
doctor you want to be checked for diabetes. Have your blood checked
periodically if you are at risk, and discuss the signs and symptoms with
your doctor.
Secondly, if you
are overweight and do not have diabetes, losing weight (even 10 or 20
pounds) can reduce your risk of developing diabetes. If you already have
diabetes, diet and exercise are cornerstones to treatment and control of
blood sugar. There’s
no getting around it! Diet and exercise are the way to go for a long and
healthy life.
See A Sample Diabetic
Diet


Combine a
healthy diet
exercise, lifestyle
changes, healthy body weight and when needed,
cholesterol lowering medications for best results.
For more information on
lowering cholesterol go to the National Heart Lung
and Blood Institute website at: http://www.nhlbi.nih.gov/chd/
AND join
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and get registered dietitian support. A
dietitian will develop you a custom heart healthy
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nutrition tools and will provide you unlimited email
counseling support as needed.
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