Thursday, 10 October 2019

16 Tasty Superfoods That Control Blood Sugar

avocado, From greatist.com/health

Living with type 2 diabetes (or trying to prevent it) can lead to obsession and confusion over food. What are you even supposed to eat?
Everyone responds to foods differently, so the key is to find the right balance with foods you enjoy.
Some “super” foods contain ultra-beneficial combos of micronutrients and compounds that help with glycaemic control. What if you could pack a whole stack of diabetes-friendly superfoods into one yummy and satisfying day? Check it out — you can!

Fun fact. Eating just 80–125 grams (about 3–5 ounces) of yogurt per day can reduce your risk of developing type 2 diabetes by 14 percent.
Fermented foods like yogurt are famous for supporting healthy digestion with good bacteria. Researchers think probiotics in yogurt may help with glucose metabolism (the process of breaking down sugar into energy) by altering your gut bacteria for the better.
Think of plain Greek yogurt as the Levi’s 501 to mix and match with some of the other superfoods listed here. Yogurt with strawberries and walnuts? Yes please. Who doesn’t love a protein with a side of antioxidants.

Synergy! Sounds like an X-Men name, but really it’s like if all the X-men teamed and their superpowers intensified because of #TeamWork.
Nutritional scientists think it’s the synergy of fibre, healthy fats, minerals, and other bioactive compounds in nuts that can help prevent and manage type 2 diabetes by decreasing insulin resistance, increasing insulin secretion, and regulating blood sugar spikes after eating.
Which nut should you crack? Walnuts, almonds, pecans, sunflower seeds, sesame seeds… sprinkle a few here and there until you find the ones you love.

Who needs an excuse to add half an avocado to their lunch? One study indicates people who include half of a nutrient-dense Hass avocado with lunch are more satisfied and had less desire to eat hours later. Participants also released more insulin and had lower blood sugar levels after eating avocado.

Scientists measured glucose response after participants ate comparable amounts of different breads and found sprouted-grain bread (like Ezekiel bread) had a bigger effect than whole grain, sourdough, or white bread.
Sprouted-grain bread is high in fibre, which slows the absorption of carbohydrates during digestion. The sprouting process may also increase vitamins, minerals, and antioxidant content.
Avocado toast with sprouted-grain bread, anyone? You’ll find these hearty loaves in the refrigerated section of your grocery store.

The high magnesium content of pumpkin seeds can also lower the risk of developing type 2 diabetes. A daily increase of 100 milligrams of magnesium reduces diabetes risk by 15 percent! Just one ounce of pumpkin seeds contains 168 milligrams of magnesium.
Magnesium is not the only thing pumpkin seeds have going for them. They contain trigonelline, nicotinic acid, and d-chiro-inositol, which also help control glycaemic levels.

Maybe “vitamin C” conjures stacks of juicy, gleaming oranges gathering for an assault on the common cold, but strawberries are also a good source of vitamin C. And a vitamin C-rich army of strawberries can also help improve symptoms of type 2 diabetes. In one study, people who took two daily 500-mg doses of vitamin C experienced a 36 percent drop in blood sugar elevation after eating.
One cup of strawberries contains 85 milligrams of Vitamin C. Though you can find them year-round, strawberries are at peak deliciousness from April through July.

It’s spicy, soothes an upset stomach, and describes everyone’s BFF — Ron Weasley. Ginger is easy to add to tea, soup, chicken, and just about anything else. But can it also lower blood sugar? Yes — studies show that ginger consumption reduces blood glucose by blocking enzymes that raise blood sugar during carbohydrate absorption.
People with type 2 diabetes who took 1–3 grams of ground ginger daily saw a significant decrease in fasting blood sugar, compared to those who took placebo.

Three cups of raw spinach (that’s a substantial salad) contains 558 milligrams of potassium. Studies have shown that low potassium is associated with an increased risk of diabetes, while eating more potassium-rich foods is associated with reduced risk.
The US Panel on Dietary Reference recommends a daily intake of 4700 milligrams of potassium. To hit that target, eat your spinach and try some of these other superfoods that are high in potassium: avocado, sweet potatoes, and beans. Sounds like a super salad.

A study found that people who took two 500-mg capsules of cinnamon powder per day for 3 months saw improvement in glucose and insulin levels. Cinnamon capsules are commercially available, but you could boost your daily intake just by sprinkling some powdered cinnamon on fruit, yogurt, and cereal.

Tomatoes really are super and full of good stuff that can help prevent diabetes, like lycopene, beta carotene, potassium, vitamin C, flavonoids, folate, and vitamin E.
One big bummer about living with diabetes is the comorbid conditions that must also be managed, like high blood pressure. Researchers found that when people with diabetes consumed 7 ounces of raw tomato daily for 8 weeks, their blood pressure was lower.
Embark on a tomato tour, trying as many different varieties as you can find.

If you think okra is slimy and weird, you’re right — it can be. It can also be roasted into a crunchy snack food. Or it can lay the foundation for a spicy gumbo to rival the healing properties of chicken soup.
Roasted okra seeds are a traditional treatment for diabetes in Turkey, so could eating the often-misunderstood veggie lower glucose? Scientists answer with a resounding “maybe,” based on animal studies.

Flaxseed is high in fibre, low in carbs, and contains lots of omega-3 fatty acids and antioxidants. A 2011 study found that people who took 10 grams (about 1.5 tablespoons) of ground flaxseed powder daily for 1 month experienced a 19.7 percent reduction in fasting blood glucose.
Whole or ground flaxseed can be added to smoothies, oatmeal, salads, or baked goods for a nutritional boost.

Salmon is a good way to add protein to your diet, along with a healthy dose of polyunsaturated and monounsaturated fats. Unsaturated fatty acids are associated with better cholesterol levels and heart health, and they can improve glycaemic control.
According to the American Diabetes Association, benefits are greater with whole food sources like salmon than with omega-3 supplements.

Beans, chickpeas, and lentils really are magical when it comes to glycaemic control. In a 2012 study, people with diabetes who increased their consumption of beans by at least 1 cup per day for 3 months experienced a 0.5 percent reduction in HbA1c (a blood indicator for diabetes risk).
You don’t have to sit down to a giant bowl of black beans to see benefits (though that sounds kind of good); beans can be incorporated in so many ways throughout the day. Add some to soup, have hummus for a snack, top your salad at dinner, and you’re sure to reach that 1-cup goal.

Eggs suffered some bad PR in recent decades because of their cholesterol content, but researchers are uncovering evidence that they’re not only not harmful, but could be beneficial in blood sugar control.
In a 2018 study, people with prediabetes or type 2 diabetes were given one large egg per day for 12 weeks. Their fasting glucose levels and insulin resistance were significantly lower by the end of the study. Why not boil a week’s worth of eggs and stash them in the fridge for snacking?

Turmeric has been used as a diabetes remedy in Ayurvedic and traditional Chinese medicine for centuries, and many studies have examined its efficacy in rodents. A review of the research shows evidence that curcumin (the key component in the spice) improves insulin resistance and hyperglycaemia and prevents complications associated with diabetes. Turmeric is especially tasty in warm drinks like Golden Milk.

The American Diabetes Association recommends these tips for meal planning:
  • Go for fruits, vegetables, lean meats, and plant-based sources of protein.
  • Eat less added sugar and processed food.
  • Try superfoods to supercharge your diet with vitamins, minerals, and fibre.
  • Fill half your plate with non-starchy vegetables.
  • Choose healthy fats to reduce the risk of heart disease.

Here’s what a day of superfoods looks like:

Breakfast: Unsweetened Greek yogurt topped with walnuts, strawberries, and flaxseed. A spicy cup of kickstarter tea with ginger, turmeric, and cinnamon.
Snack: Boiled egg.
Lunch: Toasted Ezekiel bread with avocado, fresh tomatoes, and baked sweet potato wedges.
Snack: Dried or roasted okra dipped in hummus.
Dinner: Spinach salad topped with pumpkin seeds, black beans, and salmon.

Many factors impact the management of type 2 diabetes, some of which are tough to control. Loading up on potent foods is an easy way to take control. These superfoods have proven benefits for blood sugar management and diabetes prevention. Find your favourites and add a few to your diet each day. Living well with diabetes can be delicious!

https://greatist.com/health/diabetes-super-foods#bottom-line

Monday, 7 October 2019

Recipe: Low Carb Italian Sausage Stuffed Mini Peppers

From asweetlife.org


These stuffed mini peppers make a great appetizer, snack, or even dinner. We used mini peppers of various sizes right out of our garden. You could even do full size peppers, and make each half the main course. They are rich and flavourful, and the whole family loves them. 

Low Carb Italian Sausage Stuffed Mini Peppers

Ingredients
  • 1 lb sweet mini peppers
  • 1 lb bulk Italian sausage
  • 4 ounces cream cheese, softened
  • 2 cloves garlic, minced
  • 1 tsp Italian seasoning
  • 1/4 tsp red pepper flakes
  • Salt and pepper
  • 4 ounces thinly sliced mozzarella
Instructions
  1. Preheat the oven to 350F and line a baking sheet with parchment paper.
  2. Cut each pepper in half lengthwise, though the stem (keeping the stem intact). Remove the ribs and seeds and lay the mini peppers on the prepared baking sheet.
  3. In a medium skillet over medium heat, cook the sausage until no longer pink. Transfer to a bowl and add the cream cheese, garlic, Italian seasoning, and red pepper flakes. Mix well to combine. Add salt and pepper to taste.
  4. Spoon the mixture into the mini pepper halves, pressing in to help it adhere. Top each mini pepper with a little mozzarella, breaking the slices to fit the pepper.
  5. Bake 15 minutes or so, until the cheese is melted and the peppers are softened.
  6. Note: you can also do this in an air fryer, but they will cook a lot more quickly so keep an eye on them!
Yield: 8 (as an appetizer)
Cholesterol: 58mg
Food energy: 298 kcal
Total fat: 21.83g
Carbohydrate: 6.29g
Protein per serving: 15.37g
Total dietary fibre: 1.10g

Notes

Type 2 diabetes: Three supplements proven to lower blood sugar

From express.co.uk

TYPE 2 diabetes is a chronic condition that requires a person to completely overhaul their diet to stave off the risks. Certain supplements have been proven to help lower blood sugar levels. What are they?

Type 2 diabetes means a person’s pancreas doesn’t produce enough insulin to regulate their blood sugar levels. Unchecked blood sugar levels can heighten the risk of developing potentially deadly complications, such as heart disease. Long-term health problems could also arise from high blood sugar and the eyes, feet, nerves, and kidneys could all be affected. Some experts believe certain supplements can compensate for a person’s poor insulin production and help to manage blood sugar levels. What are the best supplements to take to help lower blood sugar levels?

Cinnamon

Research has suggested that cinnamon can help improve one’s blood glucose levels and increase insulin sensitivity.
Results from a clinical study published in the Diabetes Care journal in 2003 suggest that cinnamon improves blood glucose and cholesterol levels in people with type 2 diabetes, and may reduce risk factors associated with diabetes.
Another study reported that just 1 g of cinnamon per day can increase insulin sensitive and help manage or reverse type 2 diabetes.

Chromium

Chromium picolinate is a form of the mineral chromium that can be found in supplements.
Several studies have indicated that taking chromium supplements can improve blood sugar and insulin while improving the body’s response to insulin. 

    Type 2 diabetes: Three supplements that could lower blood sugar levels (Image: Getty Images)

Other research has shown that those with higher blood sugar and lower insulin sensitivity may respond better to chromium supplements.
Additionally, in a large study of over 62,000 adults, the likelihood of having diabetes was 27 per cent lower in those who took dietary supplements containing chromium.

Quercetin
A 2019 review of studies, published in Phytopherapy Research, found taking 500mg or more of quercetin daily for at least eight weeks reduced blood glucose levels in people with metabolic syndrome, who have an increased risk of developing diabetes.
Holland & Barrett explains what quercetin is: “Quercetin is a flavonoid, a natural chemical found in plants that has been shown to have a wide number of health benefits, including reducing inflammation, relieving allergy symptoms, and preventing infection.”

Quercetin is available as a supplement but can also be found in a number of foods, including:
  • Onions
  • Citrus fruits
  • Green leafy vegetables
  • Seeds
  • Olive oil
  • Red grapes
  • Berries
Scientists are testing many different supplements to determine if they help lower blood sugar.
Such supplements could benefit people with pre diabetes or diabetes - particularly type 2. Over time, taking a supplement alongside diabetes medication may enable your GP to decrease your medication dose, though supplements likely can’t replace medication entirely.
It’s important to speak with your GP before embarking on new supplements to lower blood sugar.

https://www.express.co.uk/life-style/health/1187357/type-2-diabetes-diet-supplements-cinnamon-chromium-quercetin-lower-blood-sugar



Sunday, 6 October 2019

Lack of Public Safe Disposal Options Causes Unease Among Diabetics

From managedhealthcareexecutive.com

A quarter (25%) of Americans with diabetes admit one of their biggest concerns with regard to diabetic care is how to properly dispose of needles. Furthermore, nearly one in 10 (7%) Americans with diabetes dispose of needles/lancets in a public trash can when they are not at home, causing potential risk to others in their community, and the environment, according to findings from a new consumer study, “Access to Care & Sharps Disposal in the Diabetic Community.”
The study was conducted by Stericycle, Inc., a provider of compliance-based solutions headquartered in Bannockburn, Illinois.

“The basic findings of this survey uncovered that there is unease when it comes to administering diabetes care, particularly in public. This is a significant problem, as the majority (69%) of Americans with diabetes have had to administer their care in a public place. Additionally, nearly half (42%) of Americans with diabetes say that a lack of public safety disposal containers is the biggest challenge they face when disposing of needles/lancets,” says Cindy Miller, president and CEO, Stericycle, Inc.

“Because of this, some Americans with diabetes have also turned to disposing of needles in an unsafe manner, for example, in a public trash can where the sharp could potentially prick another person or end up in our environment. This data gives us the insights needed to help address difficulties such as safe disposal, and work to make care easier for the nearly 10% of Americans who live with diabetes.”

The survey of 1,200 Americans with type 1 or type 2 diabetes revealed that nearly one in six (14%) typically dispose of used needles/lancets in a trash can in their home, despite the fact that the majority (61%) are concerned that their disposed needles/lancets could harm someone in their household or where they work. A lack of disposal options may be to blame for improper disposal of sharps, both in the home and in public.

                                                                   By MHE Staff

“It’s critical that healthcare executives are aware of the areas in which Americans are finding their own care challenging. This disease is by no means rare, and understanding the specific areas of care that cause concern for Americans with diabetes will help healthcare executives develop a plan of action to better implement solutions where possible,” Miller says. “This may mean creating an educational program to raise awareness for staff and patients about public safety, putting additional safe disposal containers in public restrooms within a hospital, or working with patients and physicians to raise awareness for the area’s accessible public safe disposal containers.” A lack of proper disposal options in public spaces is not the only challenge Americans with diabetes face. The majority (69%) of Americans with diabetes have administered an insulin injection in a public place, and the lack of disposal options is likely one of many reasons why it can trigger negative feelings. Less than one in four (21%) Americans with diabetes feel comfortable administering their insulin or medication in public, saying they feel embarrassed (25%), anxious (24%), and nervous (20%).

In terms of compliance, Miller suggests that healthcare executives can do the following:

1. Work with staff to help educate patients on safe disposal methods for their needles/lancets at home or when in public. Education is crucial to action for public safety initiatives.

2. If not already implemented, healthcare executives can ensure that bathrooms within the healthcare organization, whether for public or employee use, are equipped with safe disposal containers in order to help guide employees, patients, and visitors to dispose of their sharps properly.

3. Raise awareness of safety procedures in the workplace among employees in all positions. Healthcare executives may have already implemented compliant safe disposal containers, but ensuring that their entire staff is fully educated on how to use those containers is an entirely separate step. To ensure the safety of employees and patients, all staff members should be aware of the processes needed to stay compliant.

4. Allow employees and patients at the organization to bring needles into the facility for safe destruction in compliant sharps disposal containers. This kind of safe needle drop-off program can support sharps safety in the home and for the whole community.

“Our research shows that greater access to safe, discreet disposal methods would alleviate a lot of the extra work, emotional anxiety, and safety concerns people face every time they need to administer treatment. This is one problem we can help solve,” Miller adds. “In addition to educating the public on the needs of the diabetic community through this research, we’ve also partnered with the American Diabetes Association to provide greater awareness of care and disposal solutions for people living with diabetes.”


New Study Finds How A High-Fibre Diet Can Prevent Heart Disease & Diabetes

From mindbodygreen.com

We're living in the age of information. Just think about it: Almost any question you have can be answered on the spot with a simple Google search. In many ways, this is a great thing, but when it comes to our health, it can sometimes backfire. Being confronted with too much advice—many of it contradictory—can leave us confused, overwhelmed, and unmotivated, which is why a new study showing that one simple dietary change can improve health is worth paying attention to.

Presented at the American College of Cardiology (ACC) Middle East Conference 2019 with the 10th Emirates Cardiac Society Congress, the study showed that patients who went on a high-fibre diet had significant improvements in their health, including their fasting glucose, blood pressure, and cholesterol.

How a high-fibre diet improves health.

The team of researchers, from the Care Well Heart and Super Specialty Hospital in Amritsar, India, tracked the fibre intake of 200 diabetic adults for six months. The participants received regular nutrition counselling sessions and received diet "prescriptions" that outlined specific nutrition guidelines—including food groups and portion sizes—that they were expected to follow over the study period. They were given check-ups at the beginning of the study and then follow-ups at the three-month and six-month mark.

The "high-fibre" group consumed 20 to 25% more than the recommended allowances of fibre (which is about 24 to 20 grams per day). The researchers tracked the participants' fibre intake diligently over the study period through telephone calls with the participants—which were scheduled three times a week—and having the patients send photos of their meals via WhatsApp.

After six months, the participants on the high-fibre diet showed attention-grabbing improvements in their health, including a 9% reduction in serum cholesterol, a 23% reduction in triglycerides, and a 15 and 28% reduction in systolic blood pressure and fasting glucose, respectively. The results clearly showed that a high-fibre diet has a protective effect against cardiovascular disease and improved blood sugar, which play an important role in diabetes but are also major risk factors for heart disease.


How to get more fibre in your diet 

As the lead author on the study, Rohit Kapoor, M.D., said, this study provides some very helpful information. "Firstly, a high fibre diet is important in cases of diabetes and hypertension to prevent future cardiovascular disease," he said. It also showed that a high-fibre diet in combination with medical treatment can improve metabolic markers like blood lipid levels and waist-to-hip ratio, but even more importantly, it showed that "medical nutrition therapy and regular counselling sessions also hold great importance in treating and prevention of diabetes and hypertension." The personalized attention and support patients were given in this study went above and beyond and was likely a big part of their success. Plus, it provides good evidence of how motivated people can be to change their lifestyle if they are just given proper guidance and support.

Increasing your fibre intake is one of the simplest things you can do to improve your health. Luckily, it's also easy to do, as common (and tasty!) foods like chia seeds, oats, chickpeas, artichokes, and bananas are high in fibre.

https://www.mindbodygreen.com/articles/study-shows-a-high-fiber-diet-can-prevent-heart-disease-and-diabetes

Friday, 4 October 2019

Diabetes & Stress: How Stress Affects Your Blood Sugar

From diabetesstrong.com

Everyone experiences stress at some point in their lives. And stress can have a drastic effect on your blood sugar — both immediately and in the long run.
Even the fun stress of a roller coaster ride triggers an increased production of hormones like cortisol, adrenaline, and glucagon. Without these hormones, your body couldn’t complete the task of grocery shopping, let alone endure a heated argument with your mother. 

In this article, we’ll look at the role of cortisol, adrenaline, and glucagon, and how each of these stress-related hormones can affect your blood sugar.
At the end of the post, we will summarize how all of this comes together to impact the day-to-day lives of people living with diabetes, and what you can do to reduce stress in your daily life.


What is stress?

Quite simply, stress is your body’s response to any situation, event, or change in your life that requires a reaction or adjustment. Stress can develop physically, mentally, and emotionally.
And it’s an unavoidable part of life. Both positive and negative experiences can create a stress reaction in your body and mind.
In some cases, you might experience an event that causes stress with no end in sight. An abusive relationship or an unbearable environment at your work are examples of an ongoing source of stress that a person may struggle to break free from. These types of stress can lead to a state of “distress,” which is putting it lightly if you’ve ever experienced it.
Let’s take a closer look at what stress looks like before we add diabetes to the mix.

The symptoms of stress

Stress can manifest differently in one person from the next. For some, positive or negative stress may produce immediate tears, for example. In others, it may cause them to be silent and speechless. And others may become easily angry and irritable.
Depending on the severity of the stress level, your symptoms can vary. Here are some examples of stress symptoms:

Mild to moderate stress
  • crying
  • anger
  • irritability
  • excitement
  • high blood pressure
  • headache
  • lack of appetite
  • binge-eating
  • acid reflux
  • difficulty sleeping
  • loose bowels
  • muscle tension in your neck
  • sweaty palms
  • tiredness
  • shaking
  • trembling
  • changes in weight
  • lack of sex drive
Severe stress
  • chronic headaches
  • nausea
  • diarrhoea
  • severe high blood pressure
  • chest pain
  • sexual dysfunction
  • insomnia
  • depression
  • panic attacks
  • anxiety
Research suggests that stress also can bring on or worsen certain symptoms or diseases. Stress is linked to 6 of the leading causes of death: heart disease, cancer, lung ailments, accidents, cirrhosis of the liver, and suicide.
Before we move on to how stress can affect your blood sugar and what you can do to reduce stress, let’s take a closer look at the hormones involved in a stress reaction.

What is cortisol?

This hormone is often discussed in a negative light because too much of it can be a sign that your body is under severe mental or physical stress, and is associated with inflammation and weight gain. 
While its primary role is to help your body manage stress, it also affects nearly every organ in your body and is something your body needs 24 hours a day to stay alive, just like insulin.
Without cortisol, you wouldn’t be able to climb a flight of stairs let alone endure the intense stress from losing a loved one, going through a divorce, or having surgery. 
Cortisol also helps your body:
  • Manage your blood pressure 
  • Manage the function of your heart 
  • Reduce your immune system’s inflammatory
  • Reduce overall inflammation
  • Breakdown sugar (with the help of insulin) to be used for energy
  • Manage how your body metabolizes protein, carbohydrates, and fat
Just like your insulin needs change based on what you’re doing and eating, your body’s cortisol production must precisely match your needs during any given moment, too.


How does cortisol affect your blood sugar?

Not only can cortisol contribute to unwanted high blood sugars, but it’s also essential for treating low blood sugars, too. Let’s take a look.

When cortisol levels are high

When cortisol production increases beyond a healthy baseline, it blunts your body’s sensitivity to insulin. This means you need more insulin during those hours in order to keep your blood sugar in your goal range.
While your body does produce cortisol 24 hours a day, there are certain times of day anyone can expect to be producing more, like first the thing in the morning. And that explains why many of us notice we need more insulin in the earliest hours of the day, and with breakfast.
As soon as you wake up in the morning, your body produces a surge of cortisol, explains the Society for Endocrinology. This surge is critical for simply starting your day and functioning fully now that you are awake!
And if your overall baseline cortisol needs increase due to constant, ongoing stress, you’ll notice that your baseline insulin needs increase, too.


When cortisol levels are low

On the flip side, without enough or any cortisol you would struggle with constant hypoglycaemia (low blood sugar). 
When a person with diabetes experiences a low blood sugar, cortisol is actually critical to enabling your body to make use of the glucose you consume to bring your blood sugar back up to a safe level.
A severe low blood sugar can nearly deplete your body’s cortisol reserves, which contributes to symptoms of exhaustion even after your blood sugar has returned to a safe level.
If you think cortisol is wreaking havoc on your blood sugar levels, talk to your healthcare team about adjusting your insulin doses to help compensate. And of course, take a look at what areas of your life you could adjust to reduce your emotional and physical stress.

What is adrenaline?

Adrenaline — also known as “epinephrine” — is commonly associated with athletic events, but your body produces adrenaline in response to other events, too. 
An intense argument, a near-miss car accident or a roller coaster ride can all lead to increased adrenaline production.
Adrenaline is your body’s hormonal “flight or fight” response to intense good or bad stress.
This hormone essentially signals to your liver to release glycogen — the stored glucose in your liver. When your body suddenly encounters intense stress, you need extra glucose for energy to endure that stressful event. Without that extra glucose, your blood sugar would drop and you’d simply be lacking the energy necessary to perform during that stressful event.


How does adrenaline affect your blood sugar?

In a non-diabetic body, that surge of adrenaline triggering a surge of glycogen would be accompanied by a surge of insulin, too.
As people with diabetes, we’re missing the “surge of insulin” part, which can easily spike your blood sugar from 120 mg/dL to 300 mg/dL in less than an hour.
Adjusting your insulin for this can be tricky. A quick bolus of insulin using your normal “correction factor ratio” could easily produce little or no effect on the high blood sugar while adrenaline is present.  
Personally, I’ve found that I needed a significant increase in my background insulin doses on the day of a powerlifting competition in order to keep my blood sugar from spiking due to adrenaline. A quick bolus would have no impact and the only thing that would otherwise bring my blood sugar down was when the competition ended and my body relaxed. 
If you’re dealing with predictable adrenaline around a sporting event, for example, talk to your healthcare team about making an adjustment in your background insulin.
If you’re dealing with sudden, unexpected surges of adrenaline because you just got into a car accident, for example, you’ll likely have to try lowering it with a bolus of insulin but may not see it come down for a few hours.


When it’s actually not adrenaline…

One thing adrenaline is often incorrectly associated with is during your workout at the gym. There are other reasons your blood sugar can spike during a typical workout — but unless you’re truly in a competitive environment (rather than just an intense solo workout), it’s unlikely to be adrenaline. 
More likely, you’re breaking down muscle which involves breaking down stored glycogen. Your body then breaks that glycogen down into glucose and cycles it back to your muscles for energy. Without extra insulin on-board, this can easily lead to high blood sugars.


What is glucagon?

Glucagon is another hormone that helps your body endure certain types of stress — including skipping breakfast! 
Glucagon’s role is simple: it tells your liver to release glycogen (mentioned above) which is then converted into glucose and can be used for energy or to purposefully raise your blood sugar.


How does glucagon affect your blood sugar?

Glucagon is actually less associated with emotional stress but does play a role during physical stress when you’ve gone too long without a meal or when you experience a severe low blood sugar.
“The release of glucagon is stimulated by low blood glucose, protein-rich meals, and adrenaline (another important hormone for combating low glucose). The release of glucagon is prevented by raised blood glucose and carbohydrate in meals, detected by cells in the pancreas,” explains Your Hormones.

During a severe low blood sugar…

When you experience a severe low blood sugar, likely below 40 mg/dL, you may seem your blood sugar skyrocket within the hours after, even if you only treated that low with a careful amount of carbohydrates. 
This is your body’s way of saving your life! That surge of glucagon triggers a surge of glycogen which is broken down into glucose and raises your blood sugar. In those of us with diabetes, it simply raises it too high!


When you eat a strict low-carb diet…

During a ketogenic diet, your body is actually going to produce more glucagon throughout the day in order to get more glucose because your body cannot function on ketones alone. 
Your brain requires a second-by-second delivery of glucose in order to function! 
Does this mean you can’t follow a ketogenic diet? No. But it does mean you may notice your background insulin needs actually increase when you cut your carbs that low. This doesn’t happen to everybody but it’s important to keep in mind if you try a ketogenic diet just to see your insulin need skyrocket. 

When you skip breakfast…

Intermittent fasting is all the rage right now, but there are a few things you need to know if you’re experimenting with this trendy nutrition approach as a person with diabetes.
When you skip breakfast, your body is going to produce more glucagon during those fasting hours because — again — your brain needs glucose in order to function! 
This doesn’t mean you can’t practice intermittent fasting, but it does mean you’ll need to take extra boluses of insulin during those fasting hours to compensate for that additional glucose.


Summary: How stress affects your blood sugar

In short, stress will generally cause your blood sugar to rise. It will also be difficult to bring it down because of the insulin resistance created by stress hormones and the production of glucose from your liver’s response to adrenaline.
The larger majority of stressful situations aren’t something we can easily predict, but once you’re experiencing stress, you can predict that your blood sugar might spike.
Remembering to check your blood sugar during and after stressful situations is an important part of diabetes management, but don’t add to your stress by expecting to be able to easily correct any high blood sugars during a stressful state.

How to deal with stress as a person with diabetes

In general, there’s only so much you can do to prevent the blood sugar spikes from different types of stress hormones because we can’t always predict stress. 
However, if you’re dealing with predictable stress or ongoing stress, definitely talk to your healthcare team about an adjustment in your insulin doses that can help tamper those stubborn high blood sugars.

For those unexpected bursts of stress and rapid spikes in your blood sugar:
You should use your established “correction factor” to determine an appropriate dose of insulin to bring the blood sugar down.
But keep in mind: it’s very likely your blood sugar will sit at that higher level (especially in those with type 1 diabetes) until your body has recovered from the stressful state. When those stress hormones are pumping and adrenaline is causing your liver to produce more glucose, it can be very difficult to “get ahead of it.”


For ongoing stress during a period of your life: 
If you know the next few months are going to be stressful because of a promotion at work, a divorce, the death of a loved one — for example — then a simple increase by a few units in your background insulin dose can have a big impact on staying in your goal blood sugar range.
Don’t underestimate how much ongoing stress can affect your daily insulin needs. Even on the “normal” days during a stressful period of your life, your body is still coping with that ongoing stressor.

How to reduce your stress levels

Learning what helps you manage, reduce, and relieve your overall stress level is a vital lesson. Sometimes the simplest thing can help you take a deep breath, lower your blood pressure, lower stress hormones, and release the physical and mental grip of stress.
Here are a few ideas for reducing your stress levels:

Reducing stress in the moment

  • Close your eyes and take deep inhales and exhales for 30 seconds
  • Go for a walk
  • Exercise to get your heart rate UP which causes your central nervous system to relax
  • Go for a drive
  • Watch your favourite stand-up comedy
  • Make a to-do list to get everything off your mind
  • Clean your house
  • Call a friend
  • Create a “voice memo” like your own private therapy session
  • Dance to your favourite music
Everything that makes you calm down, makes you smile, or helps your body relax will have a positive effect on your stress level.

Reducing ongoing stress

Reducing ongoing stress usually requires a significant change in your situation or lifestyle. The causes of ongoing stress are different from person to person, but here are a few ideas for how you can help reduce ongoing stress:
  • Identify your biggest stressor and ask yourself: what can I change about this?
  • Make time to see a therapist weekly/biweekly
  • Make time for regular exercise — a daily walk can do wonders!
  • Use a meditation app to at least stop and breathe deeply for 2 minutes every day
  • Get your house/office clean-up and organized (with help) so your “space” is clear
  • Create weekly to-do lists to manage responsibilities and acknowledge productivity
  • Look for a new job, sending out two applications per week
  • Leave an unhealthy relationship (get help from friends if needed!)
Managing ongoing stress is difficult because in many cases you cannot just walk away from it. Take a deep breath and step back to see the bigger picture around this stressor. There are always going to be things we can control and change, and things we cannot.

https://diabetesstrong.com/diabetes-stress/


Wednesday, 2 October 2019

7 Easy Ways To Prevent Diabetes

From ibtimes.com

Diabetes is the leading cause of various health conditions like kidney failure, blindness, lower-limb amputations, and even death in about 1 in 11 adults and more than 400 million individuals who are affected globally. It is, therefore, very important to prevent getting diabetes.

Here is a list of the easiest ways to prevent diabetes:

1. Reduce Sugar Intake- Consuming sugary foods can increase your risks of developing diabetes and thereby, it is important that you cut down sugars and refined carbs. Also, the increase in blood sugar levels can induce insulin production. When this phenomenon occurs rapidly, it can lead to progressively high blood sugar levels and insulin levels and eventually turn into type 2 diabetes. Simply cutting down sugars can help prevent diabetes.

2. Exercise Regularly- Regular physical activity can aid the insulin sensitivity of your cells. Studies have found that moderate-intensity exercise increased insulin sensitivity and higher-intensity workouts produced even better insulin sensitivity.

3. Shed Those ‘Few Extra Pounds’- You might be at risk of being prediabetic if you are overweight or obese. Excess visceral fat can lead to inflammation and insulin resistance, which might increase your risk of diabetes. Losing even a very small amount of weight can help reduce diabetes risk and the more you lose, the better will be its benefits.

4. Consume A Very-Low-Carb Diet- When you follow a diet which is extremely low in carbohydrates, such as the keto diet, it can help prevent diabetes. Such a diet can not only help lower your blood sugar and insulin levels but also reduce your risk for diabetes.

Diabetics patients with NAFLD or NASH are at higher risk of developing liver cancer or cirrhosis. Photo: Pixabay


5. Stop Being A Couch Potato- Sedentary behaviours should be avoided if you’re trying to prevent diabetes. Studies have consistently proved a positive link between a sedentary lifestyle and diabetes risk. Follow simple ways such as standing up from your workspace and walking around for some time every hour, or climbing the stairs instead of using the elevator.

6. Limit Your Alcohol Intake And Quit Smoking- Cutting down alcohol and cigarettes can help reduce your risk of diabetes. Excess alcohol intake can cause weight gain and raise your blood pressure and cholesterol levels. Studies show that smokers are at a higher risk of acquiring diabetes when compared to non-smokers.

7. Go For Regular Check-Ups- As you get older, it is recommended that you see your doctor regularly and get your blood sugar levels tested regularly. Keeping track of your blood sugar levels can encourage you to make lifestyle modifications and thereby prevent diabetes effectively.