Archive for August, 2010

Here is a question I recently received from FOODPICKER.org

I attend a monthly book club with friends that includes a dinner potluck in which everyone contributes a dish.  I have type 2 diabetes and I struggle with what to eat at the potluck.  Could you offer me some tips?

Answer:  Potlucks and other get together’s may mean a variety of food present and uncertainty about what to eat. Planning ahead for these events may be ideal, and contributing a ‘safer’ item such as a vegetable tray or low carbohydrate dish may be the best route.  Below are some additional tips to help control you intake and blood sugars at a social gathering:

  • Socialize away from the food in order to prevent constant grazing.
  • Ask your friends how a particular dish is made and the eat accordingly.
  • Limit yourself to one trip through the buffet/food setup to control the amount consumed.
  • Focus on eating the items you are most familiar with in terms of ingredients, preparation methods, and carbohydrate content.

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Here is a question I recently received from FOODPICKER.org

I have pre-diabetes and my doctor has told me if I don’t lose weight I will end up with type 2 diabetes.  I have about 75 pounds to lose.  Could you tell me the best way to do this?

Answer:  Rather than setting your sights solely on loosing weight, make the goal of living a healthier lifestyle.  Make dietary changes to incorporate more fresh fruits and vegetables, whole grains, lean meats, low fat dairy products and limit fat.  Also, engage in physical activity which is part of a healthy lifestyle for everyone, especially for those with any variation of diabetes. Physical activity doesn’t necessarily need to be ‘planned’  – the goal is to get active and stay active by doing things you enjoy such as walking, dancing, running, gardening, team sports, etc.  Speak with your doctor about what may be best for you.

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Here is question I recently received from FOODPICKER.org

I was just told I am type 2 diabetic.  My doctor told me to try to control by numbers by diet.  I have noticed my blood sugar is high in the morning before I have eaten.  Could you explain why?

Answer: It may sound crazy to have high blood sugar in the morning before you have eaten, but surprisingly it is not all that uncommon.  Health professionals refer to this as the “dawn phenomenon” or “dawn effect”. These terms are used to describe an abnormal early-morning increase in blood glucose (sugar).  Research has shown that there may be a variety of causes including:

  • Release of hormones overnight that increase insulin resistance including growth hormone, cortisol, glucagon and epinephrine
  • Incorrect medication dosage the night before
  • High carbohydrate meal/snack prior to sleeping

I would recommend keeping a journal that includes what you eat, how much, when and your blood sugar values.  Bring this information with you next time you speak with your MD.

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