Jan 13 2010

How to Manage the Diabetic Condition

Category: ContentJimR @ 4:44 pm


The “Plus” in this blog’s title of Diabetic Food List + Plus refers to those topics, other than food related, that are more general in subject content than would be found on the diabetes food list, but are important enough or may be of interest to my fellow diabetics. The following falls into the latter category.

For the Newly Diagnosed Diabetic -  Read this First
The cells of our body derive energy from sugars, in the form of glucose, obtained from our daily food intake, especially from the carbohydrate portion of those foods, Food also supplies the proteins and fats that, together with carbohydrate, are essential to the nourishment of the individual.

In a healthy person, the levels of glucose that circulate in the bloodstream, mainly as a result of the digestion of the food consumed, are maintained within a safe range by a series of chemical reactions that constantly take place in the body.

Diabetes, a serious disease, is the condition in which a person’s body is unable to properly regulate and control the levels of sugar in their bloodstream in the way that a healthy person does.

As yet, medical science has not been able to provide a cure for diabetes, To treat a patient suffering from diabetes, referred to as a diabetic, it is necessary to implement a regimen of dietary and exercise procedures that, together with prescription medications, can help control the blood sugar levels that otherwise will inevitably lead to major complications and increase the risk of several serious conditions, including cardiovascular disease, the leading cause of death in the diabetic population.

In addition to the large number of people who are known to be diabetic, there is also a large number of people who have the disease without knowing it, possibly because they have not had a recent, or perhaps any, medical checkup,

Important to note: Anyone who is known to be diabetic must be under the care of a physician.

Doctors monitor the diabetic condition of their patients, guided by the results of periodic blood tests, and will prescribe medication if deemed necessary. Aided by nutritionists or other health-care providers, the doctor will probably advise the steps that the patient should take to lower and control the blood sugar levels, also referred to as blood glucose levels, to within a close to normal range.

Five factors in the management of diabetes

The first factor: To be effective, the management of diabetes requires that an appropriate daily food plan be diligently followed, not special foods, but the right foods chosen from the vast amount and range of foods available. Available, that is, to the citizens in the developing world, and then again, diabetes is the growing disease of the developing Western World. There are few foods that are off-limits but quantity and quality must be taken into consideration.

The second factor is the requirement for regular exercise, not necessary at the athletic level but more than a casual stroll each day. Commonly suggested is to take a brisk walk for half an hour each day, or at least five times a week. Or it could be swimming or bicycle riding or whatever achieves at least that equivalent minimum amount of exercise.

The third factor involves weight-loss. If a diabetic person is overweight it increases the level of serious heart and other health risks. The first two factors, described above, can help reduce weight if properly applied, but before implementing any weight-loss program, a consultation with a doctor would be wise.

The fourth factor is that a once-a-day personal in-home blood test should be taken. The blood test is done with the aid of a simple and easy to use measuring device, just takes ten or twenty seconds to obtain a reading that indicates the amount of glucose in the blood stream. If done once each day then most likely it should be on rising, before breakfast or any food intake, in other words a fasting blood sugar level – as it is commonly referred to.

Monitoring the blood glucose levels at home each day enables the diabetic to know their condition and if necessary, make adjustments to their dietary plan and/or lifestyle in a best effort to correct blood sugar levels. This may require more daily blood tests than just the morning test. It is a fact of diabetes that much of its management is in the hands of the diabetic personally and requires frequent checks to try to gain control.

The fifth factor: Periodic attendance at the doctor’s office for checkups, and blood tests, known as the A1c or Hemoglobin A1C blood test. The blood for these tests, a simple painless procedure, is taken by a technician at a medical clinic, and are normally required every three or four months. These tests provide essential information of the estimated average glucose content existing in the blood over the prior period of about 3 months. This test result is possible because the life-span of blood cells, that are constantly manufactured by the body, is approximately 12 weeks, so some of the blood cells are just newly born while others will be of any age up to about 12 weeks. With the A1c blood test results available, the doctor can monitor and assess, and adjust if necessary, the treatment to best combat diabetes.

For a further explanation of blood tests, visit Blood Testing for Diabetics on my companion site where you will also find other items of interest to diabetics under the site name:  Normal Blood Sugar Levels and Diabetes.

Return to Introduction Page and Articles List


Tags: , , , , , , , , , , , , , , ,


Jan 06 2010

About Foods and Diabetic Food Lists

Category: Food ListJimR @ 11:02 pm

Food Lists – with essential supplementary information

This site provides a link to the Food Lists on our companion blog-site, Diabetic Menu Guide, where  the various categories of food items such as Vegetables, Meats, Fats, Fruits, Fish, Cereals, Dairy, Breads, Jams and spreads, and Drinks are shown together with nutrition details.
To access that information, click:  The Food Lists,

The importance of carbohydrates
Foods are comprised mainly of carbohydrates, proteins, fats, and fiber, and of course, water. One of the most important factors of our diabetic foods is the amount of carbohydrates in our meals. Carbohydrates are a primary source of the glucose that enters our bloodstream and every newly diagnose diabetic should become familiar with the effects of the carbohydrate portion of their meals.

The speed at which carbohydrates are broken down by the body into glucose varies with the individual food item, in some foods it is fast in others not so fast, and the slower it is the better it is for the diabetic.

The Glycemic Index
A widely accepted tool in diabetic food planning is the Glycemic Index, GI for short. The GI is a numerical ranking of how fast individual food items are reduced to glucose and enter the bloodstream compared to a reference standard such as sugar or white bread. The GI is another reference source for diabetics to learn about. In a companion post on this site we provide an explanation of the Glycemic Index and the Glycemic Load.

The Practical Value of the Food Lists Provided on this Site

Since there are few foods that are “off-limits” to the diabetic, it is the accompanying information regarding the nutritional content of the individual servings of the specific food items that is important.

From these values, the total nutritional content can be determined for selected food items that comprise a meal and it can then be seen whether they meet the objectives of the menu plan regarding calories, and the preferred ratios of carbohydrates to proteins to fats.

Although most food items are acceptable to the diabetic, some may require modest proportions and certainly some items are less desirable compared to others, for instance, whole wheat breads are a better choice that white breads.

The diabetic food list includes many food entries and a lot of supplementary information. Why it is necessary to know the nutrient and calorie content of foods is explained below.

If You Are Newly Diagnosed as Diabetic:
The following might be of interest: click on for details
About Diabetes, from my own experience
About Diabetes, a simple explanation

More is needed than just a list of foods
To feed yourself properly, you will need to include the right combination of Proteins, Carbohydrates, and Fats, the primary nutrients needed by the body to sustain life, the building blocks, so to speak, to maintain good health.

So as well as the basic food lists, we include the amounts of Proteins, Carbohydrates, and Fats in those foods, and will be adding the Glycemic Index values and the Glycemic Load values shortly.

And more is needed than just a list of foods and their nutrient content
Why? Because you need to know how much of those foods to include in your diabetic menu to provide the energy needed to carry out your daily activities in the workplace and to support your personal life style activities. Food energy is measured in Calories  so the calorie content of the individual foods is also listed in our lists of diabetic foods.

Calorie content based on individual needs and a target weight
As well as calorie content, even more information is needed to plan and prepare foods for your daily meals. The total daily calories required for individuals varies and should be known at the beginning when first establishing a diabetic meal plan and that can be based on the weight you wish to maintain, or the weight you may wish to gain or lose.

Do not follow a quick weight loss diet plan if you wish to lose weight,  we suggest that weight reduction can best take place in small increments over an extended time in that way the weight lost  is likely to stay “off” – whereas it has been shown that weight loss through quick weight-loss diets almost always is regained. Visit our post on the role of weight-loss in diabetes.

Now in Preparation:
More details on specific food items such as Seeds, Nuts, Fats and Oils, Grains, Vegetarian and Vegan dietary approaches, Regional dietary habits: Mediterranean, Okinawan, etc. High and Low carbohydrate approaches to diabetic menu planning. Etc etc.

Return to Introduction Page and Articles List



Tags: , , , , , , , , , , , , , , , ,


Jan 06 2010

Diabetes, the diagnosis and after

Category: ExplanationJimR @ 9:23 pm

About Diabetes, for those recently diagnosed as diabetic

First the diagnosis

From my own experience of being a diabetic for many years, and having faced the several situations and questions that confront you now, and those that will occur in the future, I offer here a few comments and observations that will, I hope, provide some general guidance for you in these early times. And there is abundant information available on the internet when you know where to look.

After first hearing the diagnosis “You are a diabetic” it comes as quite a shock, however gently conveyed. When you learn from your doctor that you have diabetes, most often type-2 diabetes, it is unlikely you will know much about the disease. The diagnosis will probably come after a blood test and a follow up visit to your doctor and being then told of the situation. You may be pre-diabetic, a condition in which the glucose levels in your blood are rather high but not yet into the diabetic range.  Or your condition may be confirmed as diabetes, which means that the levels of glucose in your bloodstream do exceed the level considered as acceptable. As is explained elsewhere, the glucose in the blood is a normal situation and the result of the food you have recently consumed.

Your physician will explain the facts of diabetes and give advice on the subject, and tell you what you have to do and the life style changes you may have to make to manage your newly identified disease condition. These might include such things as diet, exercise, and possibly medications that will be prescribed if eventually your actions are unable to control your blood sugar levels and your diabetes worsens over the course of time, as is often the case with diabetic patients, perhaps a short time later or in some cases after several years.

There may be referrals to dietitians to help establish an appropriate dietary routine that incorporates your own personal food and life-style tastes and is tailored to your current health and physical condition(s). There are other health care professional who will advise and help you navigate your path through the complications of diabetes if they occur, but that will probably be later if the condition deteriorates.

The early reaction to learning of your diabetic condition
But after that early meeting you will probably leave the doctor’s office with many thoughts, questions and uncertainties still whirling around in your head. In the ensuing days there may be the desire to learn more about the disease, the causes, the treatments, the cures. Actually there is no cure right now according to mainstream medical practitioners, although reference will be made here to that group of qualified, respected and quite well known physicians who disagree and provide their solution in reversing diabetes.

You soon learn that much of the day-to-day control and management of the diabetic condition is in your own hands. It is left to you to find out about many aspects of the disease, you may wonder about the role of insulin and glucose and blood testing and alternative dietary approaches, what foods and beverages, including alcohol are acceptable and when to consume them while always attempting to stay as low on the scale of being diabetic as possible.

For much more on diabetes, check out the List of  Topics on our companion website at Normal Blood Sugar Levels and Diabetes.

And additional diabetes related material can be found at Diabetic Menu Guide

Return to Introduction Page and Articles List for this website.


Tags: , , , , , , , , , , , , ,


« Previous PageNext Page »