Diet for Diabetics (and Pre-Diabetics)

Pre-Diabetes an even bigger concern…

About 57 million Americans have pre-diabetes—and most don't know they have it. While everybody's blood sugar goes up after eating, those with pre-diabetes have blood sugar levels that go up considerably higher than normal and often remain high after eating. That's a concern, because the physical damage of elevated blood sugar begins well before the condition reaches the level at which diabetes is diagnosed. This is why doctors are focusing more and more on discovering high blood sugar early—and on controlling blood sugar to keep it in the normal range.

The magnitude of the problem is challenging patients and health care providers alike and pushing the health care system in the US beyond its capacity to deal with the problem. It’s time to start taking matters into your own hands and make the dietary and lifestyle changes that have proven effective. So how does a patient make informed choices regarding the many options that are offered, and successfully regulate their blood sugar? How do you know if you are at risk for pre-diabetes?

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Know The Symptoms

If you're an average American over 45 years old, you probably are pre-diabetic, especially if you answer yes to any of the following questions:

ARE YOU OVERWEIGHT?
The more fatty tissue you have, the more resistant your cells become to insulin, a hormone that helps your body metabolize sugar and get it out of your bloodstream. And body shape is a significant factor: you're at higher risk if you're apple-shaped — storing fat around the middle — rather than pear-shaped.

ARE YOU INACTIVE?
It's not just that people who are sedentary are likely to be overweight. Exercise actually helps your body use insulin and process glucose. In fact, a lack of exercise impedes this process.

ARE YOU GENETICALLY INCLINED?
If you have a parent or a sibling who has type 2 diabetes, this increases your risk for developing pre-diabetes. In addition, the condition is more common among certain ethnic groups: African Americans, Latinos, American Indians, and Asian Americans.

ARE YOU NUMERICALLY INCLINED?
Your risk of pre-diabetes rises if you have high blood pressure, low "good" HDL (high-density lipoprotein) cholesterol (35 milligrams per deciliter or less),or high triglycerides—fats—in the blood (250 mg/dL or more).

Early Detection Will Preserve Your Quality Of Life

If you're at risk, it's important to be screened before you experience symptoms of pre-diabetes. If you've already developed symptoms—such as excessive thirst, frequent urination, and slow healing of sores—it's even more important to be tested. "If we just wait for people to come in with symptoms, the body's machinery is so messed up that it's hard to do a good job with treating the illness," explains John Buse, M.D., Ph.D., President, Medicine and Science, of the American Diabetes Association and professor at the University of North Carolina School of Medicine.

The standard screening test—a fasting plasma glucose test—measures blood sugar first thing in the morning, before breakfast. A more sensitive test, the oral glucose tolerance test, measures blood sugar both after fasting and two hours after consuming a glucose-rich drink.

If you've had a screening test and your blood sugar was normal, guidelines suggest that you should have it checked again in three years. If your blood sugar was elevated, your doctor will probably recommend lifestyle changes.

A typical recommendation would be to reduce your weight by 5 to 7 percent and to add physical activity: 150 minutes of moderate aerobic activity, such as walking, biking, or swimming, plus two or three weight-training workouts per week. What's more, your physician might prescribe an oral diabetes drug to help your body process glucose more efficiently.

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Want Proof That Being Proactive Will Pay Off?

The Diabetes Prevention Program, a large study carried out by the National Institutes of Health, showed that lifestyle changes and medication can dramatically reduce the progression of pre-diabetes to type 2 diabetes. And, interestingly, lifestyle changes worked even better at preventing the disease than medication did; people 60 and older who made lifestyle changes reduced their risk by 71 percent. In conjunction with lifestyle changes, managing blood glucose levels through diet can produce dramatic results. Generally, among diabetics, each 1-percentage-point reduction in blood sugar causes a 40-percent reduction in the risk of micro vascular complications including eye, kidney and nerve diseases. By consuming foods low on the glycemic index (GI), diabetics can modulate their (postprandial) blood sugar levels following a meal.

At SarayaHealth.com we offer a continually expanding selection of functional foods and supplements formulated with low-GI ingredients designed to modulate blood glucose concentrations. Our leading product for the North American market is Lakanto, a proprietary blend of erythritol and luo han guo fruit extract. Luo Han Guo may have benefits for diabetics beyond its role as a sweetener, as it may help diabetics control serum lipids. According to clinical research, fruits of luo han guo contain antioxidants that inhibit oxidation of LDL cholesterol.

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References

1. Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2005. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005.
2.- 3 Ibid.
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Lakanto Family Size

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