Medical Forum / Diseases and Disorders / Diabetes / October 2005
Hemoglobin is 6.3% Glucose 95
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Newbie to the group - 19 Oct 2005 22:22 GMT My doc ( who is excellent .. open .. smart ) says I am somewhat borderline .. and he suggests big changes in diet. I agree. My situation is such that I am not the best cook in the world .. and have another condition which makes me slightly disabled. Any suggestions appreciated. In the meantime I will be on a mission :) Doc also likes Zone diet.
Tiger Lily - 19 Oct 2005 22:30 GMT the Zone diet is close to what i follow for % of food by groups
read Jennifer's advice in the URL below........ i hope your Dr Rx'd a meter and strips for you
kate
 Signature Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher.
> My doc ( who is excellent .. open .. smart ) says I am somewhat > borderline .. [quoted text clipped - 5 lines] > be on > a mission :) Doc also likes Zone diet. Susan - 19 Oct 2005 22:36 GMT > My doc ( who is excellent .. open .. smart ) says I am somewhat > borderline .. Borderline WHAT with an A1c of 6.3?
> and he suggests big changes in diet. I agree. My situation is such > that I am [quoted text clipped - 3 lines] > be on > a mission :) Doc also likes Zone diet. The Zone is too carby for any but a most physically active diabetic; my doc and my own bg experience agree. It's 40% carbs! Lipids researchers feel any diet with only 30% calories from fat cannot supply optimal levels of essential fatty acids.
Your use of a glucose meter after meals will show you what your ideal meal composition should be.
As for cooking, the Zone requires more prep and chef skills than any plan I've ever attempted, and it's a PITA to calculate every snack in %.
Here's some advice from one of our posters:
http://www.diabetic-talk.org/jennifer.htm
Susan
Newbie to the group - 20 Oct 2005 00:04 GMT Perhaps I did not state the situation correctly :) Doc says that 6.3 is of concern to him. For more than a few years I have felt tired...sometimes a bit dizzy, strange walking gait, overall just dont feel well. Went to every doc, quack etc. You name it. Nobody could find anything. So I found yet another new Doc ... who was testing me for Thyroid problems. No probs there ..but he is concerned about the 6.3 and the 95 Glucose. I hope this clears up my posting. Thanks for reading my e mail :) Any thoughts appreciated. It looks like the group is excellent !!
Thomas Muffaletto - 20 Oct 2005 01:08 GMT it is not up to me to choose your diet the zone diet may work best for you. but I feel when it comes to food - it is not a 1 size fits all thing. I feel it is best to work with a dietitian.
 Signature Tom Exercise Today = Life Tomorrow ADA's Diabetes Learning Center http://www.diabetes.org/all-about-diabetes/chan_eng/channel.htm Information you can trust from the diabetes experts... Your American Diabetes Association http://www.diabetes.org/home.jsp the American Diabetes Association's Message Boards http://community.diabetes.org/n/pfx/forum.aspx?webtag=amdiabetesz&nav=index Pictures of My motorcycle and I think 2 of my doggies. http://www.adventurseofvtx1300c.com.50megs.com/photo.html
> Perhaps I did not state the situation correctly :) Doc says that 6.3 > is of concern to him. For more than a few years I have felt [quoted text clipped - 6 lines] > this clears up my posting. Thanks for reading my e mail :) Any > thoughts appreciated. It looks like the group is excellent !! Julie Bove - 20 Oct 2005 02:27 GMT > Perhaps I did not state the situation correctly :) Doc says that 6.3 > is of concern to him. For more than a few years I have felt [quoted text clipped - 6 lines] > this clears up my posting. Thanks for reading my e mail :) Any > thoughts appreciated. It looks like the group is excellent !! The problem is that you are NOT borderline. Your situation sounds like mine upon diagnosis. I got to the point where I could not walk at all. It's called neuropathy. Nerve damage caused by the high BG. You should consider seeing an Endocrinologist.
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Thomas Muffaletto - 20 Oct 2005 01:06 GMT From the American Diabetes Associations web site. 1. Why do I need to see a dietitian?
Registered dietitians (RDs) have training and expertise in how the body uses food. RDs who understand diabetes can teach you how the food you eat changes your blood glucose level and how to coordinate your diabetes medications and eating. Do you know how many calories you should eat each day? How to cut down on the fat in your meals? How to make eating time more interesting? An RD can help you learn the answers to these, and lots of other questions. Your dietitian will work with you to create a healthy eating plan that includes your favorite foods.
2. Can I eat foods with sugar in them?
For almost every person with diabetes, the answer is yes! Eating a piece of cake made with sugar will raise your blood glucose level. So will eating corn on the cob, a tomato sandwich, or lima beans. The truth is that sugar has gotten a bad reputation. People with diabetes can and do eat sugar. In your body, it becomes glucose, but so do the other foods mentioned above. With sugary foods, the rule is moderation. Eat too much, and 1) you'll send your blood glucose level up higher than you expected; 2) you'll fill up but without the nutrients that come with vegetables and grains; and 3) you'll gain weight. So, don't pass up a slice of birthday cake. Instead, eat a little less bread or potato, and replace it with the cake. Taking a brisk walk to burn some calories is also always helpful.
3. Why does losing weight help my diabetes?
Weight loss helps people with diabetes in two important ways. First, it lowers insulin resistance. This allows your natural insulin (in people with type 2 diabetes) to do a better job lowering blood glucose levels. If you take a diabetes medicine, losing weight lowers blood glucose and may allow you to reduce the amount you're taking, or quit taking it altogether. Second, it improves blood fat and blood pressure levels. People with diabetes are about twice as likely to get cardiovascular disease as most people. Lowering blood fats and blood pressure is a way to reduce that risk.
4. How can I cut the fat in my diet? :)
Here are some beginning hints. See a dietitian for more advice. Stir-fry foods in tiny amounts of oil and lots of seasonings. Choose nonfat or low-fat selections, such as nonfat or 1% milk or low-fat cheese. Keep portion sizes on target. Avoid fried foods -- bake, grill, broil, or roast vegetables and meat instead.
place comments here :)
5. Are some fats better than others?
Yes. Monounsaturated fats are the healthiest for your body. Nuts -- like almonds, cashews, hazelnuts, and peanuts -- and avocados contain this type of fat. Choose olive or canola oil for cooking. Polyunsaturated fat is the next healthiest fat. This is found in corn oil, safflower oil, soybean oil, and mayonnaise. Use small amounts of foods that contain saturated fats like butter, lard and meat fat, bacon, and shortening. There are lower-fat versions of foods that contain saturated fats, like sour cream and cream cheese. A healthy diet includes less than 30% of calories from fat, with less than 10% of these from saturated fat.
6. What foods can I eat a lot of?
Forget about eating with abandon. The key to healthy living is moderation. Air-popped popcorn may be low in fat, but it still has calories. And calories count. If you can control the portion sizes of the food you eat, you will be able to eat a wider variety of foods, including your favorites, and still keep your blood sugar in your target range.
7. What can I do if I overeat over the holidays?
Put on your walking shoes and head for the pavement. Being more active helps lower your blood sugar, blood pressure and cholesterol. Physical activity uses up extra sugar in your blood and helps your insulin work better.
8. Can I use low calorie sweeteners?
Low calorie sweeteners are safe for everyone except people with phenylketonuria, who should not use aspartame. Calorie-free sweeteners like aspartame, saccharin, sucralose and acesulfame-K won't increase your blood glucose level. The sugar alcohols -- xylitol, mannitol, and sorbitol -- have some calories and do slightly increase your blood glucose level. Eating too much of any of these can cause gas and diarrhea.
9. How much weight should I lose each week?
Limiting your weight loss to 1/2 to 1 pound a week will keep you healthy, and let you enjoy the foods you love in small amounts. A slow steady weight loss is the key to keeping lost weight off.
10. Can I drink alcohol?
Yes, in moderation. Moderation is defined as two drinks a day for men and one drink a day for women. A drink is a 5-ounce glass of wine, a 12-ounce light beer, or 1-1/2 ounces of 80-proof distilled spirits. Make sure that your medications don't require avoiding alcohol, and get your doctor's okay.
11. Isn't glucose control easier if I eat the same things every day?
Probably, but this method of blood glucose control isn't very nutritious, not to mention boring. One of the keys to nutrition is eating a variety of foods each day. By checking your blood glucose two hours after starting to eat a meal, you can learn how different foods affect you. Over time, you will be able to predict how foods, and combinations of foods, affect your blood glucose level.
12. What vitamins will help my diabetes?
If you have a vitamin or mineral deficiency, it could be causing problems with your glucose control. For instance, one study found that taking the trace element chromium improved glucose control in subjects who had a chromium deficiency. More studies need to be done. If you choose a variety of fruits, vegetables, grains, and meat each day, and keep your blood sugar close to your target range, you probably don't need to take vitamin supplements because of diabetes.
13. Are there herbs that will help my diabetes?
Many herbs supposedly have glucose-lowering effects, but there are not enough data on any herb to recommend it for use in people with diabetes. Herbs are not considered food by the Food and Drug Administration and are not tested for quality or content. Therefore, products can be promoted as helping health conditions without having to show evidence of this. Discuss the herbal dietary supplements with your doctor or dietitian before trying them. They may interact poorly with your diabetes medication.
 Signature Tom Exercise Today = Life Tomorrow
Information you can trust from the diabetes experts... Your American Diabetes Association http://www.diabetes.org/home.jsp the American Diabetes Association's Message Boards http://community.diabetes.org/n/pfx/forum.aspx?webtag=amdiabetesz&nav=index Pictures of My motorcycle and I think 2 of my doggies. http://www.adventurseofvtx1300c.com.50megs.com/photo.html
-- Tom Exercise Today = Life Tomorrow ADA's Diabetes Learning Center http://www.diabetes.org/all-about-diabetes/chan_eng/channel.htm Information you can trust from the diabetes experts... Your American Diabetes Association http://www.diabetes.org/home.jsp the American Diabetes Association's Message Boards http://community.diabetes.org/n/pfx/forum.aspx?webtag=amdiabetesz&nav=index Pictures of My motorcycle and I think 2 of my doggies. http://www.adventurseofvtx1300c.com.50megs.com/photo.html
> My doc ( who is excellent .. open .. smart ) says I am somewhat > borderline .. [quoted text clipped - 5 lines] > be on > a mission :) Doc also likes Zone diet. Julie Bove - 20 Oct 2005 02:20 GMT > My doc ( who is excellent .. open .. smart ) says I am somewhat > borderline .. [quoted text clipped - 5 lines] > be on > a mission :) Doc also likes Zone diet. First, there is no such thing as "somewhat borderline". And with an A1c of 6.3 you do have diabetes, unless your lab has some wildly different range than mine. What is the normal range for A1c?
I would suggest that you find another Dr. who will treat your diabetes seriously. As for the Zone diet, I am not that familiar with it.
I am disabled. And I am a good cook, but don't always have time to do it. I also have a daughter with food allergies so that further complicates things for me. Plus, I'm a picky eater. I often cook chicken breasts ahead of time so my daughter will have something to eat in a pinch, but I can't stomach chicken unless it is prepared in certain ways.
Many times I eat salad for lunch or dinner. I usually buy the washed bagged salads and add other things like peppers, onions, tomatoes, olives, etc. If there is no other protein with my meal, I'll also add cheese, boiled eggs, cooked dried beans, cooked meat or tuna. Sometimes I add some pecans or walnuts. Sometimes I add thin slices of pear or apple. I don't like dressing. But I might on occasion add a squeeze of lemon. If you like dressing, you'd need to read the labels to find one that is appropriate for your diet. Beware of the "diet" or "fat free" dressings. These are often little more than water, or they might have a lot of sweetener to make up for the lack of fat. Vinegar and oil dressing is usually okay for most diets.
If you have trouble chopping things, you can buy a lot of these things already prepared. Strips of cooked chicken are available in most stores. I've also seen cubes of ham, and occasionally cooked roast beef. Be sure to check for added ingredients that might not work for your diet. My husband was going to do Atkins but could never stick to it. I did read the book though and know that most lunch meat is not suitable because of the added sweeteners. Don't know if this would apply to the Zone or not.
Roasted chicken is another option for a quick meal, if you have a store or restaurant near you that makes it. If you live alone, one chicken could be enough for several meals.
I find it is easier if I can do some things up ahead of time. I mentioned the chicken breasts for my daughter. I simply cook them in a skillet with a bit of olive oil, salt, peppers and a bit of water or broth until they're cooked through. I then put them in sandwich bags and freeze them.
For myself, I cook up a couple of pounds of ground beef at one time. I add quite a lot of chili powder. I like spicy food! I then put up sandwich bags with individual portions to be used for taco salads or other things. I can make a quick dip by heating up a package of the meal with some cheese, onions and peppers and maybe some canned beans if I can manage the carbs at that meal. I then use chunks of peppers or tortilla chips to scoop up the dip.
Another easy dip is to take some cottage cheese, grated cheddar, chopped red onion and a bit of black pepper and whip it with an immersion blender. This is wonderful with raw veggies and makes a low carb meal or snack.
Stuffed tomatoes are another quick meal. Take a largish tomato and slice not all the way down through it, then spread the "petals" for stuffing. Then fill with a scoop of your favorite meat, fish, egg salad or cottage cheese and you've got a meal!
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Dave - 21 Oct 2005 12:05 GMT 95 without medication is not diabetic!!!
See a Doctor (endocrinologist) who can really tell you.
>> My doc ( who is excellent .. open .. smart ) says I am somewhat >> borderline .. [quoted text clipped - 77 lines] > Then fill with a scoop of your favorite meat, fish, egg salad or cottage > cheese and you've got a meal! Jenny - 21 Oct 2005 15:50 GMT > 95 without medication is not diabetic!!! > [quoted text clipped - 81 lines] >>Then fill with a scoop of your favorite meat, fish, egg salad or cottage >>cheese and you've got a meal! 95 without meds is diabetic if your blood tests over 200 mg/dl in two or more random tests.
It's right there in the ADA criteria for the Diagnosis of Diabetes Mellitus.
There are several different profiles of diabetic blood sugars. http://www.geocities.com/lottadata4u/progression.htm details the Baltimore Longitudinal Study of Aging data that illuminates this.
There are people with both high fasting and high post-prandial numbers.
There are people with normal fasting numbers and high post-prandial numbers. These tend to be women over 50 and people of color. They also tend to die of heart disease at a much higher rate than people of their age who do not have the high post-prandial numbers.
There is even a small subgroup (mainly males) who have diabetic fasting blood sugar levels but normal post-prandial values.
It all depends on what is broken. Type 2 Diabetes is not a single condition but many different breakdowns in the glucose processing pathway that have in common only that they result in high blood sugars.
--Jenny
http://www.geocities.com/lottadata4u/ Type 2 Diabetes info http://www.geocities.com/jenny_the_bean/ Low Carb info
Julie Bove - 21 Oct 2005 17:11 GMT > 95 without medication is not diabetic!!! An A1c of 6.3 is! Are you telling me that no diabetic ever has 95 when they test?
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Wes Groleau - 22 Oct 2005 04:48 GMT > 95 without medication is not diabetic!!! Depends on WHEN you're 95. I am never over a hundred except shortly after eating. And I am not on medications. By the AACE's definition, however, I AM diabetic.
 Signature Wes Groleau "To know what you prefer, instead of humbly saying Amen to what the world tells you you should prefer, is to have kept your soul alive." -- Robert Louis Stevenson
Dave - 21 Oct 2005 12:05 GMT What you have is "syndrome x" or what is known as Metabolic Syndrome. Have an endo check it out and monitor it.
>> My doc ( who is excellent .. open .. smart ) says I am somewhat >> borderline .. [quoted text clipped - 77 lines] > Then fill with a scoop of your favorite meat, fish, egg salad or cottage > cheese and you've got a meal! Julie Bove - 21 Oct 2005 17:11 GMT > What you have is "syndrome x" or what is known as Metabolic Syndrome. > Have an endo check it out and monitor it. Not with an A1c of 6.3!
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Quentin Grady - 20 Oct 2005 05:01 GMT This post not CC'd by email On 19 Oct 2005 14:22:00 -0700, "Newbie to the group" <fastpitstops@aol.com> wrote:
>My doc ( who is excellent .. open .. smart ) says I am somewhat >borderline .. and he suggests big changes in diet. I agree. >My situation is such that I am not the best cook in the world .. >and have another condition which makes me slightly disabled. >Any suggestions appreciated. In the meantime I will >be on a mission :) Doc also likes Zone diet. G'day G'day "Newbie to the group",
Welcome to asd. T2 diabetes is bit like that hotel in the song. Many come in but none can leave. Diabetes is for life. The good news is that most of the folks here have adjusted to that and many are paradoxically enjoying better health than they did before diagnosis.
A couple of points. To what does the 95 refer. Is this a FASTING blood glucose in mg/dL units as commonly used in the US? If it is then you must be having some high readings after meals.
What are your typical hour and two hour after meal readings?
Let's say, just for the sake of discussion, that you are having 96 mg/dL USA readings on your home blood glucose meter AND that you are having some whacky high readings after meals. What this would suggest is that your aren't a borderline diabetic ... you are however likely to be a diabetic who is early in the diabetic progression. This is not a diagnosis. A GP or anyone else for that matter, cannot diagnose diabetes from an A!c reading. It just isn't done that way. Mind you one can make a pretty good guess. It is just that using A1c to diagnose diabetes is flawed and it something no one wants to get wrong.
That is good news. It means if you act appropriately and promptly you have a better chance than many of us had in avoiding the seven or so ugly ways T2 diabetes can take away enjoyment of life and even life itself.
The Zone diet isn't the worst choice anyone could make especially if one looks at the Anti-inflammation Zone diet Barry Sears has recently published. Avoiding what is known as silent inflammation is one of the wiser paths for T2 diabetics to follow. Whatever. Many people find Zone cumbersome to follow and then there is the reality factor. You can choose a diet but it might not choose you. I realise you would like to have the diet thing nailed down but that approach is a bit like speed dating ... the results aren't always what you anticipate. Put simply, you are unique. Even on brief acquaintance it is apparent that you have aspects of your medical condition that make you different from others here. Being all diabetic doesn't make us the same ... only seemingly the same ... nah ... we're all different. The other folks here are weird, I'm unique. <grin>
What I'm about to suggest in my rambling way is that your diet will have to be tailored for you. No one else's diet will work optimally for you. A dietician may make a pretty good guess at a suitable diet but that will only be a starting point. Your diet will require modification for you, for the progression of the diabetes (if it progresses), for your weight which will vary, for the seasons and for what is available locally.
Many, many folks have benefited from reading and taking on board Jennifer's advice to newbies. Learning from regular feed back provided by regular testing is vastly sounder than prescriptive approaches which attempt to calculate what is right for you and ascribe any shortcomings to you rather than an indication that modifications need to be made.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
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