Type 2 Diabetes and Cruising

[TechKnowBabble]

I was just diagnosed with Type 2 diabetes this morning. I am wondering if anyone else here has experience with being on a ship and trying to control the diabetes with diet. I am the most concerned with what I will be able to drink. I was planning previously to buy a soda card but now I don't think I will be since diet sodas give me a headache. I was thinking of perhaps taking Crystal Light with me. Thoughts?

 

I need any and all help I can get...this is all new and very scary to me.

 

Thanks!

[Shan1976]

Diabetes is a very scary diagnosis, and like everything else, it takes time to learn how to control it. My partner is a diabetic, she was diagnosed a few years ago. She is very lucky that her illness is controlled with diet and metformin. I think Crystal light is a great idea. They make it in little individual size sleeves, so you can just add it to your water. Water is also a good idea! Ice tea sweetened with splenda is an option also. One thing my partner does in terms of food is that she eats small portions of carbs, and she always eats protein with it. She eats sweets, but not often and just a tiny bit. When she drinks, which is maybe 2 times a month, she has about 1/4 of a glass of wine or a low carb beer.

 

It will probably take you a little while of monitoring your blood sugars for you to see what foods cause your blood sugar to spike and which don't. Alcohol seems to be the worst for Shelley ( my partner ). When her sugar spikes up it eventually plummets down and she has a very hard time raising her sugar levels once that has occured. So, it's important for you to monitor your blood sugar so you can learn what has more effect on you.

 

Has your Dr sent you to see a nutritionist? If it's possible I would ask for a referral. Even just one session can really be helpful in terms of meal planning and feeling more confident in your ability to manage your illness.

 

Good luck!

 

Shannon

[mom x4,grandma x4]

Hello,

My husband is type 2 diabetic for a little over a year now. The above poster is correct that until you learn which foods are best for you, you will need to monitor your blood more often. We have only cruised with Disney, but if you notify them ahead of time, send in a medical form, the wait staff will be so helpful with your meals. They will point out the low carb or sugar free items they offer and will inform you of foods that have a higher sugar content. I'm sure all cruise lines do this once they know your problem. Some fruits have high natural sugar and will spike your levels, such as grapes, strawberries, pineapples, oranges. Lots of fruit is available on cruises, so just watch your portion sizes and check afterwards to see how it affected your levels. Most cruise lines offer low carb or sugar free desserts too, so you wont be deprived. But remember just because it is sugar free doesnt mean it is low calorie, most of the time it will be just as high in calorie as the sugared desserts. So moderation is the key. Common sense is your best friend. There is great information on ADA web site and recipes. This will help you to start to understand what effect foods have on your body, betty crocker has a great diabetic cookbook too. but the best thing is to see a nutristionist.

Most hospitals offer classes in nutrition for diabetics and most insurance companies will pay for it.

As for cruising, start by notifying the cruise line with their medical form signed by your doctor, so your wait staff can help you with choices. Always eat small portions. ADA has a free food list. A list of foods that dont raise your blood level that are great for snacking when you get hungry between meals until you adjust to smaller portions. After your meal, take a brisk walk around the deck or ship for 20 minutes.

If you havnt already, get a medical ID bracelet or necklace. This can save your life when you cant speak for yourself in an emergency. It is hard to think about but if you were in an accident and couldnt speak for yourself the ID would let the medical staff know your diabetic. Most diabetic medicines can react with other drugs that they may give you and can cause terrible side effects or even death. That ID will prevent any accidential drug interactions and save your live. Wear it always, it is your best friend.

Have a great cruise.

Always have a healthy snack waiting in your cabin incase your blood sugar drops and he need food NOW! This has happened to us after physical activity, you will need to eat something right away.

mom x4,grandma x4

[marvholly]

Late hubby was a diabetic and we cruised a bunch between 1999 and his passing in Aug. 03. All cruise lines have ice tea and water available in all eating venues. You add your own lemon/sweetner to taste. every cruise line has had sugar free deserts at both the buffet and regular dining rooms.

 

Do write down what you eat and your monitor readings. You may think you ill remember but you will NOT!!!

 

Other things to watch until you know your responses:

White starchy things like breads, pasta, rice, potatoes, pizzia (crust)-limit to 1 serving per day preferably early (breakfast or lunchwhile you are still active.

Fruit juices-often have added sugars - skip

Fruits- same as white starchy-try to get a GI index chart and keep to the lower ones and/or higher fiber ones.

Salads and veggies-fill up on as much as you can stand. request doubles in the dine room, take lots at buffets.

Watch fat intake-salad dressing, sauces, cheese and spreads add up quick.

 

Be sure to eat small meals/snacks regularly; every 2-3 hours. Carry something like nuts with you for when you are in ports for a quick, reasonably healthy snack. It is not only important to keep your blood sugar at/below what your Dr says but to keep it stable w/o extreme highs and lows throughout the day/days.

[angeldust4300]

I am so sorry to hear your news. I have 2 kids that are type 1 diabetic.:( I would get to a specialist and get on a mean plan, KNOW your carbs and test your blood often. We cruise alot and my kids like it, with all the walking they do they can eat just about anything, but the key is to blanace out exercise and food. Please stay away from chocoate,there is alot of fat in it. My prayers are with you.

[cruzloverman]

Sorry to here of your illness.:( I have had T2 diabetes for the past 5 years and can offer you some tips that work for me.

 

Foods/drinks that spike sugar level: Alcohol, pasta, candy, white bread,potatos.

 

Instead use whole grain breads, veggies, raw fruits, meat, fish, chicken,green salads.

 

That being said, I can eat just about anything in moderation as long as I exercise hard everyday. I usually try to do 40-60 minutes cardio-workout, except 3 days a week I do a weight lifting routine and on those days I reduce the cardio workout to 30 minutes. I have found that this routine keeps my blood-sugar level under control, allowing me a lot of flexibility in my diet.

 

Good luck and enjoy the cruise!

[TechKnowBabble]

Thank you all so much for your support and information. I appreciate any and all suggestions, but in particular the people that have personal experience with diabetes (themselves, or family members) I am finding the most helpful.

 

I have already bought a cookbook and two other books about diabetes and am reading like crazy.

[bubbie617]

As a diabetic who NEVER eats sugar (although in some cases it is all right to do so - check with a nutritionist), I have often asked my dining room waiter to pack me a cheese platter "to go" instead of having dessert with dinner. I keep the cheese in my fridge and it makes a handy snack if I begin to feel my sugar dipping. I also recommend the Crystal Light single-serve packets or water with fresh lemons and your sweetener of choice.

 

Also check with your doctor or nutritionist about carrying around a reasonably low-carb protein bar. I find that eating about 1/2 of one helps when my blood sugar goes down.

 

I stay away from all alcohol and caffeine because they tend to make me hypoglycemic. Diet Sprite is usually available on the ships if you want a soda. If the caffeine doesn't bother you, there is always unsweetened iced tea.

 

I try to eat complex carbs instead of simple ones. In other words, I try to stay away from anything white - white flour (I eat whole grain bread and pasta), white rice (I eat brown rice), white sugar (duh!). I also eat a small amount of fruit, but I rarely drink juice of any kind. Its effect on my sugar is too unpredictable.

 

I order fairly plain things for meals and usually request that all sauces be served on the side. There is often hidden fats and sugars in them.

 

The sugar free desserts are usually decent, but as someone stated earlier, they are not calorie free.

 

Controlling diabetes on a ship is fairly easy. Food is available 24 hours a day, so I don't worry about low blood sugars. Eat on a schedule of every 3-4 hours if you can. Check your sugars. Relax and have a great time.

 

I'll be glad to try to answer any other questions you have, but it is very important for you to get in touch with a good Diabetes Educator at a local hospital. They can be an invaluable asset in your control of your diabetes.

[bubbie617]

Hi:

 

Found this information this morning on Wegman's website. Thought it might be really helpful to you.

 

Click here: Diabetes News

[bubbie617]

Hi:

 

Found this information this morning on Wegman's website. Thought it might be really helpful to you.

 

De-stress the Holidays

This time of year can leave you feeling exhausted. Last minute gift-runs to the mall, planning holiday parties, or hosting out-of-town company can also crank up blood sugar levels! Any kind of stress, whether emotional or physical, can create problems with blood sugar control. This season, take time to de-stress and de-crease your blood sugar numbers.

 

Be sure to get your daily dose of zzz’s.

Melt away stress with daily walks.

Take time for yourself, by listening to music, taking a bubble bath or doing other favorite activities.

Soothe yourself by sipping warm beverages (in front of a fire, if available!). Try herbal tea or sugar-free hot cocoa.

Good nutrition is always a plus to help you feel your best!

(Posted 12-08-05)

 

 

 

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Toast with Better Bubbly!

No festive meal is complete without raising a glass of holiday cheer! But people with diabetes may be raising their blood sugars as well. Cocktails and punches can be very high in sugar – carbohydrates you’d probably rather spend on your favorite holiday foods.

 

Fortunately, your cup doesn’t have to runneth over with carbs. For a sparkling, fruity drink, just mix seltzer water, Wegmans Sparkling Mineral Water, or any Food You Feel Good About Flavored Sparkling Water with any of the following:

 

Twister Light Raspberry Lime Flavor (10 calories, 3g carb per 8 oz)

Ocean Spray Light Cranberry Juice Blend (40 calories, 10g carb per 8 oz)

Welch’s Light Grape or White Grape Juice (70 calories, 18g carb per 8 oz)

All are sweetened with Splenda, and are available in the grocery aisle. L'chaim!

 

(Posted 12-02-05)

 

 

 

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Carrots and Parsnips and Beets, Oh My!

Somewhere along the way, folks got the idea that carrots, beets and other root vegetables were full of sugar and therefore “bad” for diabetes. In fact, in the old days (about 20 years ago), we used to corral these root veggies into their own little food group to be avoided. News didn’t improve for these humble roots with the release of glycemic index data – root vegetables do seem to score higher than green beans and broccoli.

 

Fair & Square Roots

But before you cross carrots off your list, consider all of the facts: Green beans may have a super-low glycemic index of 15, but carrots rate a respectable 39 (anything under 55 is considered “low”). And despite the higher score, a half cup of cooked carrots only has 5g of total carb – hardly enough to make any impact on your blood sugar. Today’s thinking suggests counting the total amount of carbohydrate at a meal, with emphasis on less processed foods – carrots and beets still have a place at the table!

 

Diabetes Meal of the Week: It’s great when a holiday meal can include celebration foods that are also good for you. Roasted Carrots and Squash make a terrific side dish for nearly any diet – with only 130 calories, 65mg sodium and 18g carb, this dish is Heart Healthy and Diabetes Friendly!

 

(Posted 11-23-05)

 

 

 

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Entertaining Diabetes-Friendly Ideas

No need to go “cold turkey” with your favorite foods this season – there are plenty of delicious celebration foods that fit just fine in your diabetes diet. A little advanced knowledge and planning can keep your blood sugars in control.

 

Spend your carbs wisely on foods you really enjoy.

Bring lots of lower carb treats to the party, like raw veggies and dip, salsa, nuts, flavored popcorn, and diet drinks.

Keep up your fitness routine to help burn off extra calories.

Forgive and forget – get back on track the day after the feast. One “blow out” day doesn’t usually cause long-term problems.

Check out our diabetes holiday guide for more great suggestions to keep you in the spirit and in control this year!

 

(Posted 11-10-05)

 

 

 

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The Ties that Bind Can Help

This one goes out to all those lovers whose loved ones have diabetes. Family and friends may wish they could manage the disease, but it’s ultimately not in their control. Still, studies say family support is a strong indicator of how well people control their diabetes, so staying involved is important.

Encourage and Engage

Well-meaning attempts to help, by constantly offering reminders about food choices, doctor appointments and blood sugar testing, can come across as nagging. So take a positive approach:

 

Help troubleshoot solutions when blood sugars are high

Offer praise and encouragement for good numbers

Offer to attend doctor visits together

Be an exercise buddy

Be prepared to help out in an emergency -- know how to recognize and treat low blood sugars.

Learn More

Information has changed over the years, and newer advice about diet, carbohydrates, exercise and medications offers hope and flexibility. Consider attending diabetes education classes or support groups together.

 

Diabetes Meal of the Week: Time to talk turkey – here’s a holiday meal that fits into most diabetes meal plans: Roasted Brined Turkey Breast, Roasted Brussels Sprouts with Applewood Bacon, and a medium baked sweet potato have about 590 calories and 50g carbohydrate.

 

(Posted 11-03-05)

 

 

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Shedding Light on Winter Exercise

Only 49 days till the winter solstice, but nearly four months of seemingly short days. Early morning exercisers can feel short-changed (and less motivated) waking up in the dark. Here are some tips to keep you going.

 

Rise and Shine

Set a light with a timer to go off at your usual “rise time” to get you up and out in the morning. Or move your winter routine to lighter hours – maybe lunchtime or right after work. Take advantage of the weekend and days off to do outdoor activities while the sun shines – crisp hikes, cross-country skiing or snow-shoeing.

 

Keep Moving

Home exercise equipment makes training much easier when weather has you locked-in. Listen to music or watch TV to help pass the time – build brain cells along with your muscles by listening to a book on cassette, CD, or MP3. No room for a big machine? Some fitness centers offer short-term three month sign-up to help you over the wintertime blues. Whatever you do, keep moving this winter for better blood sugar and diabetes control!

 

Diabetes Meal of the Week:Diabetes Meal of the Week: Poached Etruscan Salmon gives omega-3s a Mediterranean spin! With Green Beans Amandine, this diabetes-friendly meal only has 26g of carbohydrate.

 

(Posted 10-28-05)

 

 

 

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Learn the Magic Number to Treat Low Blood Sugar

Face it, low blood sugar feels lousy. Your knees shake, your forehead perspires and your concentration drifts, so getting relief is a number one concern. But don’t be tempted to over-treat that low – too much sugar can leave you with a pounding headache along with soaring readings.

 

The 15-15 Rule

It’s easy to learn and can help you better manage those lows. Blood sugar readings of 70 or less officially signal “low blood sugar” and the need to treat. Here’s the 15 part – take 15g of fast acting carbohydrate, then wait 15 minutes. Retest blood sugars, and if reading is still low, treat with another 15g carbohydrate. Fast-acting carbohydrate includes ½ cup fruit juice, ½ can soda, 1 cup fat free milk, or 3 glucose tablets. (Forget chocolate, it takes much too long to enter the blood stream.)

 

When to Double up

If blood sugar readings start out at 50 or less, you’re in seriously low territory and need to double up the dose (take 30g fast-acting carbohydrate, then wait 15 minutes to re-test). When numbers are back in the normal range, be sure to follow up with a meal or snack within the hour.

 

Diabetes Meal of the Week: Poached Shrimp with Fennel and Leeks is light, easy, and very-diabetes friendly! At 330 calories and 33g carbohydrate, there’s room for a green salad and ½ cup of low fat ice cream for dessert!

 

(Posted 10-20-05)

 

 

 

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Eat Well, Live Well with Diabetes

You don’t have to be on a boring, restrictive diet. We can help! Our upgraded diabetes section points the way to simple diabetes and mealtime solutions.

 

Get Started or Learn More

We can show you the very basics to better blood sugar control through a simple aisle-by-aisle shopping guide. Need to know about exchanges? We can demystify this meal-planning tool. For the advanced learner, carbohydrate counting takes center stage.

 

Options and Info

Easy links to Nutrition Facts and Eat Well, Live Well Daily Menus will give you plenty of options to the age-old question “what’s for dinner?” And don’t miss out on our other featured articles by Wegmans licensed pharmacists and certified diabetes educator.

 

Diabetes Meal of the Week: Pan-seared Polpettone with Broccoli and Roasted Sweet Potatoes is comfort food Italian-style. With only 490 calories and 45g carbohydrate, it’s diabetes-friendly, as well!

 

(Posted 10-14-05)

 

 

 

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Putting a Chill on Blood Sugar Control

Although it seems early to think about it, you’ll be glad to know that the “winter blues” aren’t just in your head. A team of researchers from the Veterans Health Administration have found that the cold weather actually affects your diabetes. In a large study over a two-year period, researchers found that A1c readings (a factor of average blood sugar control) were higher during winter months – regardless of the climate! Oddly, people with the greatest change in winter A1cs lived in moderate zones where temperatures average 5 to 32 degrees (where most Wegmans shoppers live). Those in colder climates actually fared slightly better!

 

Seasonal Strategy

Researchers don’t know why blood sugars are higher in colder weather (blood pressures and cholesterol tend to rise in the winter too). Fortunately, A1c changes only increased an average of .22 points from summer to winter. But this is no time to ignore healthy habits. Exercise, healthy eating, and regular blood sugar testing are especially important to counter seasonal changes.

 

Diabetes Meal of the Week: Fall flavors come together in Pot Roast Provencal with Cauliflower. Serve with a slice of crusty bread for a diabetes-friendly meal!

 

(Posted 10-06-05)

 

 

 

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Make Education Work for You

 

Diabetes education works! That’s the message from the American Diabetes Association. Nationally, patients who attended ADA-recognized diabetes education programs lowered their A1c’s (average blood sugar levels) by one and a half points! Since each point reduction translates to a 14% decrease in diabetes-related complications, education may add up to better health and longer life!

 

The American Diabetes Association can even point you to programs that are recognized for ongoing quality and proven effectiveness. There are likely one or more programs in your area (and they’re generally covered by insurance).

 

What to expect:

 

Certified diabetes educators – dietitians, nurses, exercise physiologists and/or behavioral experts who are specialized in diabetes

Caring professionals who provide valuable feedback to you and your physician

Group and/or one-on-one counseling

Individualized meal planning, exercise and self-care information

Realistic goal setting with you in mind

Diabetes Meal of the Week: This meal is fit for company -- but why clean the house? Your family can enjoy this diabetes-friendly meal anytime. Pan-seared Pork Tenderloin with Raisin Black Pepper Brandy Sauce and Roasted Baby Vegetables has only 450 calories and 26g carbohydrate (here’s a plus -- only 425mg of sodium for the meal!)

 

(Posted 09-29-05)

 

 

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ABC’s of Better Diabetes Control

Even physicians need to know their ABC’s – or your ABC’s, that is! Doctors around the country are being trained to look at ABC’s in their patients with diabetes – A1c’s (3 month blood sugar test), Blood pressure, and Cholesterol. According to the National Diabetes Education Program, these three measures are basic to good diabetes management – and all three can be treated through lifestyle change and medication.

 

Values Added up

Be sure your physician knows your ABC’s by discussing these values at your regular checkups. A1c’s should be tested every 3 to 6 months. Give yourself an “A” if your reading is less than 7 (A-plus if less than 6.5!). Blood pressures readings less than 130/80 earn high marks. And cholesterol levels under 200, with LDL less than 100, HDL greater than 40 for men (50 for women), and triglycerides less than 150, make the grade.

 

(Posted 09-22-05)

 

 

 

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Wrap up a Better Sandwich

Sometimes, less is more -- especially when it comes to spending your "carb budget" wisely. Take your typical white bread sandwich: pitch the bread and you save over 30g of carbohydrate. That opens up room in your menu for fresh fruit, whole grain crackers or granola bars, calcium-rich yogurts or other lunch-time favorites.

 

What's a Sandwich without Bread?

A lettuce wrap, of course! Open up a whole new world of lower-carb sandwich options with Lettuce Jammers Wraps (found in produce). These crisp wrap-sized lettuce leaves are perfect for sandwiches and snacks -- and they don't get soggy in a lunch bag! Fill with your favorite sandwich fillings or be creative:

 

Wrap lite hot dogs along with "the works"

Add your favorite taco fillings

Make lettuce-wrapped subs

Go Asian with stir-fried meat fillings

Make Chicken Caesar salad wraps

And check out the entire line of Summer Fresh Dips and Hummus (Deli Aisle). These diabetes-friendly dips and spreads go great on sandwiches or as lettuce-wrap filled snacks. The Roasted Red Pepper Hummus (chickpea spread) has only 50 calories and 5g carb per serving while Tzatziki (thick yogurt and cucumber dip) weighs in with only 30 calories and 2g carb.

 

Diabetes Meal of the Week: Pot Roast Provencal is a family favorite that fits in a diabetes menu. Just add a small slice of Vive La Baguette for a meal with about 600 calories and 45g carb.

 

(Posted 09-15-05)

 

 

 

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Gestational Diabetes – a Glimpse of Things to Come

If you had high blood sugars during your pregnancies (Gestational Diabetes), your risk of type 2 diabetes is higher. In fact, about half of moms with gestational diabetes will go on to develop type 2 at some point. Researchers think we may be missing an opportunity to prevent and diagnose this disease.

 

Ask for the Test

A 6-week postpartum follow-up glucose tolerance test will tell if diabetes or pre-diabetes is still present. Although most new moms will test negative, some will continue to show signs of diabetes – a fact that could be missed without this test, so be sure to remind your OB.

 

Take Action for Prevention

It warrants repeating: if you had gestational diabetes you are at high risk for type 2. However, education is the best medicine for prevention. Regular daily exercise and maintaining a normal weight can go far in preventing type 2 diabetes. Knowing the symptoms of high blood sugar, such as fatigue, excessive thirst and urination, and blurred vision, is also important for recognizing when you need to see the doctor.

 

Diabetes Meal of the Week: Cool fall nights call for a simple, warming dish like Poached Chicken with Escarole. Just pair with a slice of whole grain bread for a diabetes-friendly meal.

 

(Posted 09-08-05)

 

 

 

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Smart Pumps

Today’s insulin pumps can “talk” with blood glucose meters--dosing insulin based on transmitted blood sugar readings. Some pumps contain a database with carbohydrate values--just record your meal, the pump calculates the rest. And other pumps have built-in blood glucose meters; one less devise to lug around!

 

One pump that really spiked interest was the Omnipod® --a disposable self-contained pump that doesn’t use bulky tubing to deliver insulin. About the size of half a plum, the pump is programmed by an external PDA, then just “plugs-in” to the skin, merrily doing its job for the next three days. Cool!

 

Seeking FDA approval:

 

Pumps that infuse insulin without needles.

Pumps that simultaneously “read” blood glucose levels without pricking fingers.

Other devises that measure blood sugar without a drop of blood!

Diabetes Meal of the Week: Grilled Pork Chops with Mushroom Au Poivre Sauce and Grilled Asparagus is a winning combination for diabetes friendly diets. Just add a cup of fat free milk and a small roll for a meal with less than 600 calories and 39g carbohydrate.

 

(Posted 09-01-05)

 

 

 

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Make Room for Instant Gratification

Ever get that craving for something sweet, homey and comforting? How about cool, creamy pudding? If you have diabetes, you might think this is off the menu, but JELL-O® has come up with some pretty tasty products that are lower in calories and carbs.

 

JELL-O® Sugar Free Instant Pudding has pushed the envelope with new flavors like chocolate fudge, lemon and cheesecake! Just mix with fat free milk and in minutes you’re ready to sit down to a serving of cool, creamy delight. Think of the dessert possibilities – topped with berries, crushed vanilla wafers or swirled with Cool Whip.

 

And for the brownbag crowd, Jell-o makes single-serve refrigerated cups of sugar free pudding. Just toss in a bag and go. Both Sugar-free Instant and Single Serves are low in fat and have around 60 calories and 15g carbohydrate each – just right for a dessert or between meal snack!

 

(Posted 08-26-05)

 

 

 

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If the Shoe Fits…It might Be Covered

If you have diabetes, proper fitting footwear can be a literal lifesaver! Poor fitting shoes with pressure points can lead to infection, amputation or worse. The good news is that Medicare may “foot the bill” for the right fit!

 

Specially fitted shoes can be expensive, but this adaptive footwear can prevent complications down the road. That’s why the Medicare Therapeutic Shoe Program was created. It provides one pair of corrective shoes with innersoles or orthotics per calendar year for those who qualify.

 

Qualifying Conditions

Unfortunately, having diabetes alone is not reason enough to use this benefit. You must also have at least one of the following:

 

Previous foot ulceration

History of pre-ulcerative callous

Peripheral neuropathy

Foot deformity

Poor circulation

If you have Medicare and any of these problems, ask your doctor or podiatrist if corrective footwear could help – and whether you qualify for the Therapeutic Shoe Program.

 

Diabetes Meal of the Week: Here’s a tropical idea that’s down-right diabetes-friendly. Grilled Pork Tenderloin & Pineapple with Caribbean Glaze can be served with ¾ cup Grilled Yam Wedges and a tossed green salad for a complete meal.

 

(Posted 08-19-05)

 

 

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Zapping Diabetes with Extra ZZZs

Long summer days can short-change sleep. But missing out on solid rest at night can actually increase your risk of diabetes. Sleep deprivation directly affects insulin resistance and blood glucose levels. A recent study out of the University of Chicago showed that when healthy young men were limited to four hours of sleep for six straight nights (think “college finals week”), their insulin sensitivity was that of an 80-year-old – at nearly “pre-diabetic levels”!

 

Researchers conclude living life with limited sleep affects the whole body, possibly leading to:

 

Weight gain

Poor cholesterol control

Elevated triglycerides

Increased blood sugar

Increased blood pressure

Get yourself on schedule with a fairly consistent bedtime, limited caffeine intake, and a dose of aerobic exercise (like walking) earlier in the day to regulate sleep cycles.

 

If you snore, wake up frequently during the night, or had someone notice you “stopped breathing” occasionally during your sleep, be sure to tell your doctor. You may have sleep apnea – leading to poor quality sleep and worsened insulin sensitivity. Fortunately, this disorder can be treated for a better night’s rest!

 

Diabetes Meal of the Week: What a delicious way to eat omega-3 fats! Salmon Costa Brava with Grilled Peppers and Baby Vegetables is not only rich in these healthy oils, but part of our diabetes-friendly menu.

 

(Posted 8-12-05)

 

 

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A Major Issue for Safer Surgery

Everyone should be well informed before “going under the knife,” and that’s especially true for people with diabetes. Poor blood sugar control, even with routine procedures, can cause complications and prolonged recovery time. Being informed and planning ahead are ways you can contribute to a successful experience.

 

Pre-Surgery Strategy

Be sure your surgeon is fully informed of your diabetes history and treatment, including all medication and insulin you take. Work at bringing blood sugar into doctor-recommended target range in the weeks before surgery. In some cases, your doctors may switch you to insulin for a few weeks to tighten blood sugar control and have you avoid oral agents that are not recommended during surgery (such as sulfonylureas and metformin).

 

When and What to Eat

Finally, be sure you’re clear about whether you should eat the night before or day of surgery, whether you should take your medications or adjust your insulin, and what time you should test your blood sugars (get this plan in writing, if possible). Ask what your expected treatment plan will be after the surgery, including types of foods allowed and temporary medication changes (the stress of recovery often drives blood sugars up.) Being informed will give you peace of mind and makes you a valuable partner to your health care team.

 

Diabetes Meal of the Week: Grilling is a lean way to cook chicken, but skinless breast portions can become dry. Cedar planks keep lean cuts juicy and moist while adding a delicious woodsy flavor. This week’s Saffron Lemon Plank Chicken with Grilled Lollypop Onions, Grilled Eggplant and a small dinner roll make a very diabetes-friendly meal!

 

(Posted 08-05-05)

 

 

 

 

 

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The Low-Down on Morning Highs

Sometimes, diabetes seems to defy logic. Why can morning blood sugars be higher than the night before, especially if you haven’t had anything to eat in between? But this fairly common event has an explanation and a simple solution.

 

Since you’re not eating during the night, the body needs a way to keep blood sugars from going too low -- and the liver provides the answer. It stores up extra sugar during the day when food and fuel are plentiful, then doles it out while you sleep. In some people with diabetes, the liver doesn’t know when to quit, and releases more sugar than is needed – so you wake up with a higher reading the next morning.

 

Tasty Trick

To help bring down this type of high blood sugar, try a light, evening snack of carbohydrate and fat (healthy fats, like peanut butter or nuts). This combination should hold you over during the night, and keep the liver’s response in check. Certain diabetes medications also work on this very problem. See your doctor or diabetes educator for more information.

 

Diabetes Meal of the Week: Lean burgers with a fruity twist served with greens makes a produce-rich summer meal that’s diabetes-friendly. Try our Apricot Burgers with Fennel and a slice of melon for a complete meal.

 

(Posted 07-29-05)

 

 

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Don’t Let the Bloat Get Your Goat

When diabetes gets on your nerves, it’s can be bad news. Diabetes-related nerve damage (called “neuropathy”) can affect toes, feet, hands and even your stomach! The vagus nerve, responsible for moving food through the stomach and digestive tract, is also susceptible to neuropathy, resulting in gastroparesis.

 

Symptoms can include:

 

Heartburn

Nausea

An early feeling of fullness

Bloating

Erratic blood sugar readings, especially early after-meal lows and late after-meal spikes (3-5 hours after eating)

Since gastroparesis causes food to move more slowly and sluggishly through the digestion tract, correctly timing meals, medication and insulin for optimum blood sugar control can be tricky.

 

Treatments

There are ways to treat gastroparesis, including changing diet and timing of diabetes medications, and adding drugs which speed “transit time” of foods through the stomach. And bio-electrical devises will soon be available to mildly stimulate the normal rhythm of the gut. Talk to your doctor for proper diagnosis and treatment plan!

 

(Posted 07-22-05)

 

 

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Do You Have A Sick Day Kit?

Flu season may still five months away, but this is a perfect time to consider your personal sick-day plan. Diabetes educators agree that everyone with diabetes should create a sick-day plan and survival kit for when you’re under the weather--whatever the weather!

 

At your next regularly scheduled check-up, ask your doctor about your personal sick day plan -- how often to test blood sugars, what medicines to take and what conditions warrant a call to the office. Write these guidelines down, because you aren’t likely to recall the details when you aren’t feeling well.

 

Your sick-day kit should contain all the things you might need when you’re ill:

 

Doctor phone numbers

Extra test strips

Ketone test strips (if recommended by your doctor)

Thermometers

Over-the-counter medications especially for people with diabetes

Talk to your pharmacist about which over-the-counter medicines are right for you and stock up while you’re feeling well, since snow and fever could keep you locked at home later on.

 

Diabetes Meal of the Week: All foods fit in a diabetes diet – even bacon can be enjoyed in moderation. Grilled Pork Tenderloin with Demi Glace and Grilled Bacon-wrapped Figs make a delicious summertime meal that meets our definition of diabetes-friendly! Just add a salad to round out the plate.

 

(Posted 07-15-05)

 

 

 

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Search out Cool Treats with Less Fat

Single-serve frozen treats can be a perfect hot weather snack for people with diabetes. They’re pre-portioned with nutrition information readily available so you’ll know just what you’re getting. Most people target 15g of carb for snacks, and a cool stroll down the frozen treats aisle turns up plenty of choices that work.

 

Get the “Facts”

But carbs aren’t the only concern for people with diabetes. Saturated fat contributes to heart disease – a major risk to your health. So, be sure to check the Nutrition Facts on the package. Some of the so-called “low carb” treats also have as much as 50% of the recommended daily limit for saturated fat in just one bar.

 

Better-for-You Alternatives (around 15g carb):

 

Popsicle® Low Fat Fudge Bars

Healthy Choice® Sorbet and Cream Bars

Edy’s Whole Fruit frozen treats

For a “free” treat, consider Popsicle® Sugar Free Popsicles

Diabetes Meal of the Week: This week’s featured meal is Barbecue Spiced Grilled Chicken Breast and Spicy Balsamic Grilled Peaches. To save calories and meet our diabetes-friendly criteria, serve with spring mix greens with lite dressing, and a slice of whole grain bread on the side

[bubbie617]

I see that the links to the recipes didn't appear. If you want any of the recipes they mention, let me know and I'll copy and paste them for you.

[mom x4,grandma x4]

Bubbie617,

Thankyou for the informative post. My husband was diagnosed a little over a year ago and I have done a lot of research and learning since then because I am the one who buys and prepares all the food in the house.

I had read most of what you posted, but I still enjoyed reading it and I'm sure it will prove to be very helpful for a lot of people.

We have cruised many times on Disney and they have some great low carb, low fat meals and a few very tasty sugar free desserts too. Most cruise lines if you fill out the medical form and send it in to the cruise line prior to your cruise, the wait staff will work with you and make some great recommendations at meal time.

Stay healthy,

enjoy your cruises,

mom x4,grandma x4

[TechKnowBabble]

I see that the links to the recipes didn't appear. If you want any of the recipes they mention, let me know and I'll copy and paste them for you.

 

Thanks for the wealth of information. I really appreciate the time and effort you spent. Very thoughtful

[TechKnowBabble]

Bubbie617,

Thankyou for the informative post. My husband was diagnosed a little over a year ago and I have done a lot of research and learning since then because I am the one who buys and prepares all the food in the house.

I had read most of what you posted, but I still enjoyed reading it and I'm sure it will prove to be very helpful for a lot of people.

We have cruised many times on Disney and they have some great low carb, low fat meals and a few very tasty sugar free desserts too. Most cruise lines if you fill out the medical form and send it in to the cruise line prior to your cruise, the wait staff will work with you and make some great recommendations at meal time.

Stay healthy,

enjoy your cruises,

mom x4,grandma x4

 

Oddly enough...I called Celebrity cause I was told I would need to notify them about needing a diabetic diet. I was told that I would not need to notify anyone until I spoke with my waiter. They said they would only need to know in advance of wheat/gluten allergy and something else that I can't recall right now. Should I call back again? Perhaps I was misinformed.

[mom x4,grandma x4]

Sorry I dont know Celebrities policies. We did Disney and they prefer to know ahead of time because it is easier for their wait staff to be on top of the situation. But perhaps with Celebrity they dont need advanced notice. Cruise lines have a medical form for people who have medical problems. Disney you can print off on line yourself. Anyway if you have your Dr. fill it out, then either mail or fax it to them the Dr on board will know your diabetic, in case of an emergency and if you can't speak for yourself, it could save your life, just like the medical ID tag can do. When you submit this form, at least with Disney they automatically notify your wait staff of your condition. That will keep all your basis covered.

mom x4,grandma x4