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November 2009

Steps to Help Curb Complications of Diabetes

Three of every five people with type 2 diabetes have at least one complication.  Not everyone with diabetes is able to control blood sugar levels.  Experts believe this lack of blood sugar control is what contributes to developing most complications.  Here are three key complications with steps to help curb them.

What are the Complications & Why do they Occur?

Cardiovascular Disease  Heart attacks and strokes are common complications.  High blood sugar contributes to blockages in blood vessels impairing blood flow to the heart and brain.

Kidney Disease  Diabetes is the leading cause of kidney failure.  With high blood sugar the kidneys work overtime filtering the blood.  Kidney disease accelerates if blood pressure is also high.

Vision Loss  If eye tissue is exposed to elevated blood sugar for extended periods, the small blood vessels swell and leak.  With time these vessels are damaged, a leading cause of blindness. 

Try these Steps to Curb Complications

  • Know Your Numbers- Blood glucose, cholesterol and blood pressure are key.
  • The CARB Connection- Sugar and refined carbs (white rice and bread) have a high-GI, raising blood sugar.  Complex carbs including oats & legumes have a lower-GI, a gradual impact on blood sugar. Choose low-GI foods, whole grains with at least 3 grams of fiber per serving, fresh fruit and vegetables.  Pair fresh fruit with protein, like a small apple with lowfat cheese.
  • Attain a Healthy Weight- This will lower insulin resistance, blood pressure, cholesterol & triglycerides. Be mindful of portion sizes and don’t forget to exercise.
  • Consider Cinnamon-  Research differs, but it can’t hurt to add this spice to food, as it may decrease insulin resistance.
  • Thiamin, Magnesium and Chromium- Thiamin has been linked to improved blood sugar.  Thiamin-rich foods are; legumes, pork and whole grains.  Magnesium may decrease insulin resistance.  Magnesium rich foods include;  dark green leafy vegetables, legumes, non-fat dairy, nuts and whole grains.  Chromium is needed for insulin function.  Chromium is in most foods,  better sources are;  romaine lettuce, tomatoes, beef, onions, wheat germ and whole grains. Select high fiber grains with at least 3 grams of fiber.

Optimal Range

Glucose - AIC below 7%
Pressure - 130/80 or less
Cholesterol - LDL below 100, HDL above 40 [men] 50 [women]
Triglycerides - 150 or less

Cholesterol

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