DIABETICS ON THE BEACH November, 2004

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Cetaganda      

Halloween is over and we are beginning a new thread at the beginning of November.

For anyone who would like to read the previous thread of posted messages: click on the following link:

http://www.southbeach-diet-plan.com/forum/viewtopic.php?t=20920&postdays=0&postorder=asc&start=0

Please take a minute to vote in the current poll. Voting is anonymous. The question is about how often we get at least 30 minutes of exercise.

The results of the previous thread's poll question are interesting:

45% (5 out of 11 votes) of those of us who voted have type 2 diabetes and are not taking diabetes medication but are instead managing their diabetes through diet and exercise.

Mon Nov 01, 2004 6:48 am 

Cetaganda      

From the Joslin's Diabetes Center:
http://www.joslin.harvard.edu/education/library/borderline_diabetes.shtml

What is Pre-diabetes? What Should I Do If I Have It?

Are you one of the estimated 20 million people in this country who have pre-diabetes?

If you have pre-diabetes, you are at high risk of developing type 2 diabetes and also are at increased risk of developing heart disease. Pre-diabetes is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as full-blown diabetes. Those with pre-diabetes are at increased risk of developing type 2 diabetes within a decade unless they adopt a healthier lifestyle that includes weight loss and more physical activity.

First, let's define what "pre-diabetes" is and is not. Diabetes is defined as having a fasting plasma blood glucose level of 126 mg/dl or greater on two separate occasions. If diabetes symptoms exist and you have a casual blood glucose taken at any time that is equal to or greater than 200 mg/dl, and a second test shows the same high blood sugar level, then you have diabetes.

Attention visitors from outside the US: You can easily convert US to non-US blood glucose levels by clicking here: http://www.joslin.harvard.edu/education/library/ConversionTable.shtml

In general, people who have a fasting plasma blood glucose in the 100-125 mg/dl range are defined as having impaired fasting glucose. If your doctor gives you an oral glucose tolerance test, and at two-hours your blood glucose is 140-199 mg/dl, you have "impaired glucose tolerance." Either of these is medical terminology for what your doctor is probably referring to when he says you have "pre-diabetes." Be sure to ask your doctor what your exact blood sugar test results are when he tells you that you have "pre-diabetes." Some physicians are not as familiar as they should be with the new national guidelines for diagnosing diabetes. They may be telling you that you have pre-diabetes, when in fact you have actual diabetes.

Among those who should be screened for pre-diabetes include overweight adults age 45 and older and those under age 45 who are overweight and who have one or more of the following risk factors:

* are habitually physically inactive
* have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
* have a family history of diabetes
* are members of certain ethnic groups (including Asian American, African-American,
Hispanic American, and Native American)
* have had gestational diabetes or have given birth to a child weighing more than 9 pounds
* have elevated blood pressure
* have an HDL cholesterol level (the “good” cholesterol) of 35 mg/dl or lower and/or a
triglyceride level of 250 mg/dl or higher
* have polycystic ovary syndrome
* have a history of vascular disease

That all said, if you have pre-diabetes diabetes, what should you do? Results of a large U.S. nationwide study released in August 2001 showed that even if you are at risk for developing type 2 diabetes, you can reduce your risk by 58% through sustained modest weight loss and increased moderate-intensity physical activity, such as walking 30 minutes a day.

What Should I Eat?

It's not so much "what" you should eat, but how much. If you are overweight, your first and foremost goal should be to lose weight. This means working with a Registered Dietitian to determine the quantity and type of food you should eat at each meal. One of the key issues in losing weight is controlling portion size. Your dietitian will also direct you how to make food choices that cut down on the amount of fat you eat because each gram of fat has significantly more calories in it than a gram of carbohydrate or protein. This means:

* eating more foods that are broiled and fewer foods that are fried.
* cutting back on the amount of butter you use in cooking.
* eating fish and chicken more, and only lean cuts of beef.
* eating more meatless meals, or re-orienting your meals so that your dinner plate has more vegetables, fruit and starches on it, and less meat.

Your dietitian will show you how you can continue to eat all the foods you love — just probably not in the same proportions as you have in the past. Having diabetes or having "pre-diabetes" does not mean that you can't eat certain foods. The solution isn't "avoid foods with sugar in them." Rather, you need to lose weight if you are overweight, cut back on portion sizes, and plan for those occasions when you eat a small piece of cake or pie.

Physical Activity

Along with weight loss, your goal will be to begin program of physical activity, if you aren't getting regular exercise now. Why? Because physical activity will help you use the insulin you produce to convert the food you eat into energy. This will help keep your blood glucose lower. If you have a small piece of cake with a meal, follow it up with a brisk walk.

Mon Nov 01, 2004 6:50 am 

Cetaganda      

Hello everyone,

As you may have noticed, I have not been around much lately. This is because I have been and continue to be unusually busy.

I will be going to NW Florida on Wednesday. I plan to take my laptop with me. I hope that my prepaid AOL 9.9 Optimized software works well for me.

So, I will do my best to keep in touch. I will have to negotiate time with my mother, who is very frequently on the telephone.

I hope that everyone is having a very good week.

See y'all later :D :D

Mon Nov 01, 2004 7:16 am 

bobbeleh      

Hi Linda:

It's going to be a quiet month without you! I do hope you have a wonderful time in Florida (and Georgia, right?) and we'll look for your posts when you can manage.

Your poll is lacking the "I'm not exercising" option. :oops:

I lost another 1/2 lb -- so that's a total of 17. Amazing. It makes me really glad that I didn't give up during that month-long plateau I hit. There was one point where I just felt so discouraged, but I knew I was being "good" and as you said, as long as you aren't gaining! So true.

I made "chili" this evening. Ground beef, onions, fresh tomatoes, Trader Joe's Organic tomato sauce (no sugar) and I threw in the leftover mix of chickpeas and kidney beans. Some chili powder and it's good to go. I have leftovers for tomorrow.

Well, I'm done with my work, I've dropped it off at the office, and now I can think about heading off to bed.

Bobbe
Female/50
Start date: 8/26/04
Beginning Wt: 242.5
Current Wt: 225.5 <---Wow!

Mon Nov 01, 2004 10:18 am 

bobbeleh      

Hey Linda:

Totally cool ticker! 8)

Bobbe

Mon Nov 01, 2004 10:39 am 

Cetaganda      

I bought a prepaid AOL card and installed AOL on my laptop computer. Therefore I may be able to keep in touch a little while I am in Florida & Georgia during November.

Tue Nov 02, 2004 10:45 pm 

tennie      

Bobbe
Thanks for the interesting explanation of Ramadan.

Marilyn

Wed Nov 03, 2004 2:04 am 

Cetaganda      

It''s 2:15 AM and my flight is at 6:15 AM. I am doing last minute things before going to the airport.

Take very good care of yourselves. I will try to keep in touch during my trip.

Wed Nov 03, 2004 10:19 am 

bobbeleh      

Have a wonderful and safe trip. We'll miss you. Hurry back.

Bobbe

Wed Nov 03, 2004 4:48 pm 

patcat1964      

Good Morning All,

I havent been on medicine for my sugar and took my fasting blood sugar today and it was 124 which is great for no medicine. And i havent been so strict with staying on the beach.

But today, I am getting stricter with the beach. so that i can start to lose the weight i gain back since i havent been watching.

I do need to reschedule my doctor appointment soon. Missed the last one due to my son being sick. But i have plans on getting back on track.

Tue Nov 09, 2004 1:02 pm 

maybebaby      

Hi everyone. I was sent this link because I had posted a thread about being sick to my stomach. This is my second day on the beach and I have been so queasy all day today and since yesterday evening. I was just dx'd with Type II and I think I may have an old SB book - I've been told dairy (milk, yogurt) is okay and also that diabetics should start on Phase 2, not Phase 1.... anybody have any info to help me? Thank you!

Tue Nov 09, 2004 8:31 pm 

LyndaB      

Hi everybody! I'm not a diabetic, but the question just arose in another thread. It's my understanding that you have had to begin SB on Phase 2 and not Phase 1. Is my understanding correct? And if so, why was that the case?

Hopefully the poster of that thread will be here soon to ask questions. :D

Thanks for your help. I wouldn't want to be passing along false info. Have a great day!

Edit: Speaking of the poster, welcome to maybebaby!!! :wink:

Tue Nov 09, 2004 8:32 pm 

bobbeleh      

Hi:

maybebaby wrote: Hi everyone. I was sent this link because I had posted a thread about being sick to my stomach. This is my second day on the beach and I have been so queasy all day today and since yesterday evening. I was just dx'd with Type II and I think I may have an old SB book - I've been told dairy (milk, yogurt) is okay and also that diabetics should start on Phase 2, not Phase 1.... anybody have any info to help me? Thank you!

Keep in mind that if you have "just" been dxd with Type II diabetes, you've probably been diabetic for 5-10 years. While nausea can be a symptom of too high blood sugar and too low blood sugar, don't fall into the trap of attributing everything to the diabetes.

I began on Phase I and did fine. I don't do much dairy as a general rule, but I did allow myself "real" cheese within reason.

Some MDs prefer their patients to begin on Phase II, but it has to be a judgment call.

Are you on any meds? I understand that queasiness can be a side effect of some of the orals.

I also think that a lot of MDs are "afraid" of the radical departure from the accepted ADA guidelines. Thankfully, more and more MDs are realizing that the ADA diet isn't terribly good for diabetics.

As for your tummy upset, stick to easily digestible foods for a day or so, but don't allow yourself to get really hungry.

Bobbe

Tue Nov 09, 2004 8:50 pm 

tennie      

Hello maybebaby

Milk and yogurt are fine, up to 2 cups a day total.

I was diagnosed type 2 diabetic in Aug., in the low range for diabetics. I did not consistantly have BGL's of 150 or more (usually in the 130-140 range). SBD is one that my doctor recommended, and I did do the 2 weeks of phase 1.

My main goal was to get my blood sugars stabilized and I was able to do that even in phase 1. (My biggest problem now is high readings after exercise.)

Others have said that their doctors recommended starting in phase 2 and apparently that is working for them. It may depend on how high your BGL's are, but I'd check with your doctor to see which way s/he'd recommend that you go.

Linda and Bobbe are more experienced in this area and I'm sure will come in with some good advice.

This is a great WOE for diabetics (and anyone).

Marilyn

Tue Nov 09, 2004 8:53 pm 

tennie      

Ahhh Bobbe

See we were posting at the same time. :D :D

Tue Nov 09, 2004 8:55 pm 

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