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Diabetes Articles
There's no doubt about it – research shows that including more physical activity in daily life is a healthy choice. Even moderate in creases in activity can help. The 10,000 Steps program started in Japan as a way to improve physical fitness by walking. This lifestyle approach relies on a tool called a pedometer, an electronic device small enough to fit in the hand.
The A1C test - research shows it may help to predict your risk of diabetes
Diabetes is a very complex disease, and the number of people who have it is rising. The sooner that you are aware of being at risk for it, the more quickly you can act to protect your health. Until recently, glycated hemoglobin or A1C tests were only used to measure blood glucose control over the long term. Now, it is becoming a new way to predict your risk for diabetes and to diagnose it.
A Canadian-Made Miracle - the dramatic story of insulin's discovery
Exactly ninety years ago, an astonishing development in Canada changed the future of people with diabetes. Until then, it was a fatal disease. Suddenly in 1922, it became possible to give starved, dying patients injections of a substance that erased most of the disease symptoms. They were restored nearly to normal life. This miraculous hormone, the internal secretion of the pancreas, was called insulin. It had been discovered at the University of Toronto.
Accurate Blood Glucose Testing - 11 Steps to get the best out of your meter
Accurate blood testing is key to managing your diabetes well. By following these guidelines, you can be sure that your results are correct.
Advances in managing type 2 diabetes - Could new medications help you?
Diabetes is on the rise in Canada. Close to two million Canadians are thought to have type 2 diabetes. More than 60,000 new cases are diagnosed each year.
Alcohol and Diabetes - points to keep in mind
In many ways, having a drink or two is all part of enjoying holidays, barbecues and parties. Provided you show moderation, go right ahead – alcohol has little effect on blood glucose control. Drinking can, however, make other medical problems worse. It's best to discuss alcohol use with your doctor and to keep the following points in mind.
Understanding Diabetes - The basics of a complex condition
You've just been told that you have diabetes. People respond to this diagnosis in many ways. You may have been on the journey towards diabetes for a long time. Perhaps your blood glucose has been elevated for years and you were told to just be careful.
Alternate Site Testing - test more often with less pain
Mary knows she should check her blood glucose more often. She could see the effect her diet, exercise and medication have on her blood glucose levels and take action, probably gaining better control of her diabetes. How ever, Mary says frequent testing just makes her fingers hurt too much. She has heard there is something called alternate site testing that is pain-free. Mary wonders what is involved, since she has always been told to check her blood glucose by doing finger pricks.
An action Plan - preparing for activity with diabetes
Wonderful! You are planning to get more physically active this year. This is an exciting time for you, your overall health and especially the management of your diabetes.
First, what inspired you? Write down your reasons – they may motivate you in three weeks, when it’s harder to stick to your plan.
Artery Health - Keep Your Pipes Clean
Just like the plumbing in your home, your body has a pipe system that should be kept clean and in good working order. In your home, a blocked pipe could cause a clogged sink or toilet – irritating, but rarely an event that alters your life. However, a blocked pipe in your body can cause many conditions that can be life altering, disabling, or even cause death.
ASA Therapy in Diabetes - is it right for you?
If you have diabetes, your risk of blood vessel disease is increased. People with diabetes have platelets that are more sensitive to natural substances in the blood that start the clotting process. (Platelets are particles in blood that allow it to clot.) When clots form, they can stick to the sides of blood vessels. Over time, the build-up of clots can block blood from flowing smoothly through these vessels. Narrowing and clogging of the arteries can lead to heart attack and stroke.
Benefits of Breakfast - start smart!
In today’s fast paced world, eating well is often a low priority. We constantly try to balance work, family, school, friends and daily commitments. It can be hard to prepare nutritious meals on a tight schedule. Still, we need to eat regularly and choose a variety of nutritious foods. A healthy diet boosts energy and fights off infections, colds and other illnesses, and helps the body function well.
Benefits of Insulin
Often, people with type 2 diabetes postpone taking insulin as long as possible. Instead, they use oral medication, hoping to get their blood glucose levels under control. Starting on insulin is a step that many want to avoid at all costs. Why does insulin have such a bad reputation? Without argument, it is the most effective medication for controlling blood glucose. This hormone is made naturally by the body to regulate the level of glucose in the blood. People with type 1 diabetes must take insulin to live. Without it, their bodies cannot use the sugar that cells require to function.
Blood Glucose Testing - when, why and how
You have just returned home with your brand new blood glucose meter (BGM). You know how to use it, but what do you do with the numbers? You have been diagnosed with diabetes in one of three ways: your fasting blood glucose was greater than seven mmol/L, random blood glucose tests were greater than 11 mmol/L., or either a glucose or an oral glucose tolerance test was greater than 11 mmol/L. The numbers on the meter let you know how you are managing your diabetes. They warn you of developing danger when they drop too low or rise too high. These numbers can show how quickly a new medication begins to work. By testing after a meal, you can find out how your body is handling carbohydrates and other food in your diet.
Blood Glucose Medications - drugs can help manage blood glucose
Marie was diagnosed with Type 2 diabetes five years ago. Her doctor told her if she could change what she was eating and go for a walk each day, she might not have to take pills to keep her glucose levels under control. These changes worked for a while. Eventually, she needed to begin taking the medication metformin, and then glyburide six months later. These medications worked for her until about a year ago. Now, Marie wonders what the next step will be.
Blood Glucose Monitors - find the best one for your needs
Glucose is the sugar found in abnormally high levels in the blood of a person with diabetes. People often refer to their blood glucose as their “blood sugar”. Long term research has shown that keeping blood glucose levels in the near normal range can help to reduce the risk of the serious complications of diabetes such as blindness and kidney disease.
Blood Sugar Lows - Recognizing and treating the signs of hypoglycemia
If you have diabetes and take insulin or certain types of oral medications, you can be at risk of developing hypoglycemia (abnormally low blood sugar) from time to time. Being aware of the symptoms and planning ahead can help you deal with episodes of hypoglycemia.
Blood glucose monitoring - Making sense of the myth
In a perfect world, diabetes would not exist. Or if it did, you could live with it ‘perfectly.’ Since diabetes happens in the real world, the results are seldom perfect. In fact, most people who have diabetes struggle with it, at least at times. Until recently, we had little understanding and few tools to help cope with this condition
C-Peptide Testing and Diabetes
If you have diabetes, your body has problems with insulin. With type 1 diabetes, the pancreas no longer makes insulin. In type 2 diabetes, insulin does not work as it should. The pancreas may also create less insulin.
Canada's Food Guide: Revisited - The history of healthy eating
If you want to have better control of your diabetes and possibly require fewer medications, adopting a healthy lifestyle can make all the difference. Your chance of developing diabetes-related complications will also be reduced.
Carbohydrate Counting - is it for you?
The amount of glucose in your blood is called the blood glucose level and it is affected by what you eat. The nutrient that has the greatest impact on your blood glucose is carbohydrate, a word that describes all forms of sugar and starch that you eat. Your body uses the carbohydrate to make the glucose.
Catastrophic Drug Plan - why people with diabetes need one
It may come as a surprise to learn that our government is designing a national catastrophic drug plan planned for unveiling at the end of June. Currently, federal and provincial officials are deciding what drugs will be covered and who will be eligible.
Celiac Disease and Diabetes - understanding the connection
In celiac disease, the lining of the small intestine is damaged by gluten, a protein in grains such as wheat, rye, barley, oats and triticale. When these are eaten, the body’s immune (defence) system reacts, damaging cells in the intestine that help absorb food. Since food passing through the intestine is not well absorbed, a variety of symptoms usually appear (see sidebar). Some people with celiac disease may have no symptoms if their bodies still have enough undamaged cells to absorb food.
Your Child with Diabetes - what to expect after diagnosis
Most parents react with shock, disbelief and sadness when a child is first diagnosed with diabetes. Many thought that diabetes only affects older people. It is hard to accept the diagnosis. Once the first shock is over, parents are faced with managing a complicated daily routine to keep their child healthy. Creating an environment in which their child can thrive and grow seems difficult. Many parents do not feel equipped to cope with the needs of their child. They may become stressed and exhausted. Parents, as well as children, need care, support and education to get through this difficult transition.
Celebrating Health - Have fun while keeping diabetes in check
Celebrations and special occasions are full of family and friends… and food. Eating at restaurants and social events is so enjoyable. However, it is easy to overdo it when eating out. Indulging too often can lead to weight gain or make it harder to control your blood glucose. A little forethought allows you to celebrate while still keeping your diabetes under control.
Celiac Disease and Diabetes - understanding the connection
Celiac disease is an illness where the inside lining of the small intestine is damaged by eating wheat, rye, barley, oats and triticale. These grains contain a protein called gluten. When these grains are eaten, the body’s immune (defence) system overreacts and damages the cells in the intestine that help the body to absorb food.
Children and Teens with Type 2 Diabetes - a growing concern
Type 2 diabetes is a serious disease that affects more than 1.2 to 1.4 million adult Canadians. Once called 'adult-onset diabetes,' Type 2 is now affecting children and teens at an alarming rate. Twenty years ago, almost all children who had diabetes had Type 1. This was referred to then as 'juvenile onset diabetes.' Today, Type 2 diabetes is no longer an adult disease. Recent studies suggest that eight to 45 per cent of children with newly diagnosed diabetes have Type 2, although this statistic varies greatly among different ethnic groups.
Cholesterol Lowering Medications - facts on drug options
Diabetes brings with it a higher risk of heart attack and stroke. If your cholesterol levels are high as well, you are even more likely to have cardiovascular (heart and blood vessel) problems. Other factors may also put you at risk for heart attack and stroke. Fortunately, high cholesterol is one risk factor you can take steps to control.
Cold Comfort - shake off the sniffles
Does it seem like no matter where you go, someone is coughing or sneezing? Colds are indeed common – on average, adults experience between two to three each year. Young children catch between five and eight. However, you can reduce your risk of catching a cold. If you feel you might be coming down with one, take extra care of yourself to ward illness off. If you do become sick, you can manage the impact illness has on your blood glucose control.
Constipation - a manageable problem
As many as one in four Canadians and up to half of people with diabetes say they are troubled by constipation. Although it is common, many of us feel uncomfortable discussing it with a doctor. Symptoms include irregular bowel movements, straining, and passing hard bowel waste (stool). Fortunately, constipation is not a disease. With the right information and tools, you can learn to manage what is often a preventable problem.
Continuous blood glucose monitoring - Another tool to help manage diabetes
Do you have diabetes? Are you frustrated by hyperglycemia?
Is hypoglycemia a frequent problem for you? Are you unable to reduce your glycated hemoglobin (A1C)? If you answered yes to any of these questions, you might consider adding another tool to your diabetes management. Continuous glucose monitoring (CGM) could significantly improve your control.
Could my Pet have Diabetes? Protect the health of your furry friend
We see and hear so much about diabetes that pet owners often recognize the signs in a pet. Still, it can be hard to believe that a cat or dog has been diagnosed with diabetes. As in humans, diabetes in pets can be insulin dependent (similar to type 1 diabetes) or non-insulin dependent (similar to type 2 diabetes).
Diabetes Meter Technicians
When it comes to diabetes management, your family doctor and pharmacist are reliable sources of information. However, talking with a diabetes meter technician (DMT) can also make a difference in your diabetes care.
Diabetes Myths - Uncover the facts
Many myths are associated with diabetes and its treatment. Examining a few of these can reveal the truth.
Diabetes and Depression - Dealing with a double whammy
Diabetes is a complex condition. Dealing with it can be overwhelming, especially when first diagnosed. If you are struggling with feelings like sadness, loss or hopelessness, you may also be experiencing depression. People with diabetes are two or three times more likely to become depressed.
Driving and Diabetes - Is it safe to be behind the wheel?
It may seem to you that as long as you can keep your diabetes under control, it is your own business. However, once you get behind the wheel of a vehicle, your condition has the potential to affect others.
Diabetes and Foot Health - Take steps to protect your feet
If you have diabetes, keeping your feet healthy is a top priority. Diabetes is often accompanied by poor circulation and loss of feeling in the limbs. It can be easy to injure your foot without realizing it.
Diabetes and High Blood Pressure
Many people with continuous high blood pressure, or hypertension, do not know they have it. Since elevated blood pressure is almost always symptom-free, it is called a ‘silent killer.’ If you have diabetes, you likely also have high blood pressure. In Canada, only 44 per cent of people with diabetes have their blood pressure under control.
Diabetes and Menopause
Louise is 50 years old and is going through menopause. Although her Type 2 diabetes is under good control, she wonders how this change is going to affect her health. She is also trying to decide whether she should start taking hormones.
Diabetes and Oral Health
Are you aware that diabetes can play a role in the overall health of your mouth? Since diabetes can contribute to gum disease, people with diabetes have a higher than average risk of developing it. The good news is you can prevent gum problems by taking excellent care of your teeth at home and visiting the dentist regularly.
Diabetes and Over-the-Counter Medications
You have the sniffles, so you head to the store to pick up something to ease your symptoms. If you have a chronic disease or take prescription medication, it is wise to check with the pharmacist before you buy. Why the caution?
Diabetes and schizophrenia - Living with two challenging conditions
Diabetes and schizophrenia are serious, long-term illnesses. Both of these chronic conditions must be continually managed to experience the best life possible. Since having either condition calls for life changes, having both can be very challenging.
Diabetes and Thyroid Disease - a common illness that can affect blood glucose levels
Thyroid disease is a common illness affecting one to four of every 100 Canadians. Hormones made by the thyroid regulate metabolism - the rate at which the body uses food, and at which the body and its systems work. Everyone has an individual rate at which their body works best. An excess or lack of thyroid hormone speeds up or slows down the metabolism.
Diabetic Retinopathy - A guide to protecting your vision
We rely greatly on our vision. Taking care of your eyes is especially critical if you have diabetes. You are at higher risk of developing diabetic retinopathy, a complication of diabetes. Thirty per cent of people diagnosed with diabetes have some stage of this disease. Although diabetes is a leading cause of blindness, you can act to protect your sight.
Diabetes and Your Mouth - avoiding periodontal disease
Did you know having diabetes might increase your risk for developing periodontal (gum) disease? At the same time, having severe gum disease can make it harder to control your diabetes. Believe it or not, you can better control your diabetes by improving your oral hygiene habits. Brushing, flossing, and visiting the dentist for regular cleaning and check ups can all make a difference.
Diabetes Care Team - Susan's health care professionals advise and support
Susan may have diabetes, but she is not alone. A team of experts works with Susan to keep her diabetes under the best possible control. Susan’s team help her monitor and control her blood glucose, allowing her to live well and stay healthy with diabetes. The team consists of Susan, her family doctor, diabetes educator, dietitian, pharmacist, eye doctor, podiatrist, dentist and any other medical specialist she may require. She is glad to be part of her own diabetes team and knows she is the key player. Do you know who is on your diabetes team?
Diabetes Eating on a Shoestring - Eating for your health and your budget
Eating to control your blood glucose can seem difficult when you are on a tight budget. The good news is that healthy foods do not need to cost a fortune.
First, decide how much money you have to spend on food. Taking time to plan and shop wisely allows you to make the most of your food dollar. To avoid wasting food and money, eat, freeze or preserve the food before it is too old.
Diabetes Etiquette - Don't have diabetes yourself? Mind your manners!
Do you have a friend or family member who has been diagnosed with diabetes? By following these guidelines, you can help instead of hurt.
Diabetes and Mental Health - The link between two challenging conditions
Some days, managing diabetes can feel overwhelming. It involves so much more than just keeping blood glucose levels under control. You must test and measure out the right amount of medication to take at the right time. You keep tabs on how much and when to eat. You make time to exercise, and remember to check your feet at the end of each day. It may come as a surprise to realize that you should care for your mental health as well.
ABCs of Diabetes Management - A primer on diabetes care
If you have diabetes, you know this demanding disease is with you 24/7. Diabetes-related complications can make living with diabetes even more difficult.
Diabetic Retinopathy - A guide to protecting your vision
We rely on our vision. If you have diabetes, taking care of your eyes is especially important. You are at higher risk of developing diabetic retinopathy. Thirty per cent of people diagnosed with diabetes have some stage of this disease. Although diabetes is a leading cause of blindness, loss of vision can be prevented. You can protect your sight in a number of ways.
Dine Out, Dine Healthy - Choose healthy options when eating out Like most Canadians, people who have diabetes enjoy dining out as one of life's little pleasures. According to research, Canadians eat out one out of every 10 meals. We may stop for a coffee on the way to work, go for dinner to celebrate an anniversary, or grab lunch with co-workers.
Drinking & Diabetes - Do they mix?
Do you eat when you are stressed, bored, unhappy or as a reward? Do you feel shame or regret after eating? If so, you could be dealing with emotional eating. You are not alone. Binge eating affects both men and women. In this regard, people who have diabetes are no different from those without it.
Dogs and Diabetes - your best friend may share your condition
Your dog is your best friend. You share everything with him: your home, your yard, perhaps even your bed. You may even share the same condition - diabetes. Diabetes in dogs happens when the beta cells in the pancreas begin to release less insulin, or when the action of insulin becomes less effective. In dogs, the condition is grouped into Type 1, Type 2, and Type 3. Type 1 is the most common form in dogs and is similar to Type 1 diabetes in people.
Eating Disorders - a serious risk for young people with diabetes
Fourteen-year-old Devon has had trouble adjusting to her type 1 diabetes since diagnosis two years ago. In spite of her very supportive family, she feels having diabetes interferes with her freedom, independence and social life. During a routine check on her diabetes, I roll up her sleeve to check her blood pressure and am shocked by the thinness of her arm.
Eating Mindfully - Tips on making better food decisions
Each day, the average person makes over 200 food decisions about food. Before you shake your head, thinking you don’t make that many choices, stop to consider. Food decisions go far beyond just deciding what to eat. You are also charged with how much, when, where, and with whom you will eat. Coffee or tea? Fries or salad? Takeout or cook at home? All of these little decisions add up quickly.
Eating to Protect Your Kidneys - slowing chronic kidney disease
Most of us rarely give our kidneys a second thought. Kidneys work away behind the scenes, never receiving the recognition they deserve for their multi-tasking skills. Among other tasks, they control fluid balance, remove certain body wastes, control blood pressure, balance the body’s minerals, and produce hormones.
Eating Well During Shift Work - Managing diabetes at any time of day
Many people do not work traditional 9-to-5 jobs. In fact, three in 10 Canadians work shifts that are outside of the usual 7 a.m. to 6 p.m. working hours. Whether you work all nights, all evenings or a variety of different shifts, the timing makes it challenging to manage diabetes. Shift work disrupts your body’s internal clock. You may not eat or sleep at regular times. By planning ahead, you can control your blood glucose while you work shifts.
Eggs in a Diabetic Diet - a simple nutritious food
Canadians, especially those with diabetes, are rediscovering how well eggs fit into a healthy diet. If you ve been avoiding eggs, it may be time to take a fresh look and rediscover their goodness. According to Sharon Zeiler of the Canadian Diabetes Association, eggs are a good, high quality protein. They are low-cost and easily digested. Eggs are suitable for a variety of people.
Emotional Eating - Is food your best friend or worst enemy?
Do you eat when you are stressed, bored, unhappy or as a reward? Do you feel shame or regret after eating? If so, you could be dealing with emotional eating. You are not alone. Binge eating affects both men and women. In this regard, people who have diabetes are no different from those without it.
The Emotions of Diabetes Diagnosis - grieving and acceptance
Where there is loss, there is grief. When I was diagnosed with type 1 diabetes 16 years ago, no one told me that I was beginning a long process of grieving this condition. Looking back, I realize I had to go through a number of stages to adapt to my diagnosis.
The Dangers of Uncontrolled High Blood Pressure - Tips for people who have type 2 diabetes
If these measures are not successful in achieving a target blood pressure of less than 130/80 mm Hg, medication may be needed. Sometimes, drug therapy may begin right when you are diagnosed if your blood pressure is very high or if complications are already present. Many types of medications are available to reduce high blood pressure. Each works in a different area of the body to lower blood pressure. This helps to individualize your medication therapy. If your blood pressure does not respond to a certain medication, using more than one medication may be required to meet your blood pressure goals.
Diabetes & Erectile Dysfunction - help is available
A man with erectile dysfunction (ED) has trouble getting or keeping an erection. Up to 40 per cent of men over age 40 have some degree of ED, and the number increases as men age. Men with diabetes have an even greater risk. The good news is that effective treatments do exist. Ads about certain therapies have led to more openness about this concern. Although it may be difficult to discuss, knowing more may help in bringing this up with a partner or health care provider.
Diabetes Distress - Is dealing with diabetes wearing you down?
Living with diabetes can be challenging. It can feel like a lot – there’s much to think about, to change, and many ways to fail. For some people, it can seem overwhelming. Diabetes distress is an emotional state of feeling defeated by diabetes. It can affect the person living with diabetes, and those who care for them.
Diagnosed with Diabetes - what now?
Your doctor has just told you that you have type 2 diabetes. What do you do now? It may be a relief to learn that you can do many things to control this condition. In fact, it is quite manageable. Long gone are the days when those with diabetes were told to give up everything! For many people, living with diabetes just means making changes that involve healthy living and enjoying life.
Drinking & Diabetes - Do they mix?
Do you eat when you are stressed, bored, unhappy or as a reward? Do you feel shame or regret after eating? If so, you could be dealing with emotional eating. You are not alone. Binge eating affects both men and women. In this regard, people who have diabetes are no different from those without it.
Easing the strain - Learn to take control of stress
Traffic jams, ringing phones, holidays – stress is part of daily life. The way our bodies react to it has a huge effect on both physical and mental health. Understanding stress is the first step in dealing with it effectively.
Exercise Excuses - getting past the top ten reasons not to exercise
Statistics show that most of us do not get the recommended amount of physical activity. Over 25 per cent of adults are not active at all. Although it is easy to find reasons not to exercise, most excuses don’t hold up. Which of the top 10 reasons is yours?
Fad Diets - if you want to lose weight, do it safely
Though it may have taken years to gain those extra pounds, we are always looking for a surefire, hunger-free, easy as pie, pounds-just-melt-away diet to quickly shed weight. Fad and popular diets promise that pounds will be shed quickly and effortlessly. They initially work for the very same reasons they eventually fail: very restricted food choices, lack of flexibility, and no decision-making. Most of us get very tired of eating the same foods and having limited choices. Once we start to cheat, we eventually fall back to our poor eating habits.
Fats - how to tell the difference between good and bad
You’ve finally made it to your doctor’s office for a physical exam. Depending on your age and other circumstances, you’ve likely had some blood tests. In the follow-up discussion with your doctor, you’ve found out that your cholesterol is high. You’ve been advised to eat better and pay more attention to the type of fats you are using. But where do you start? Every day there seems to be new and conflicting information out there and it is hard to make sense of it.
Fibre - It's making a comeback
Remember the oat bran craze about ten years ago, when stores couldn’t keep up with the demand for this previously unknown cereal? Well, fibre is making a comeback, especially for people with diabetes.
Fill Your Day with Energy! Start right and stay SMART
In today’s fast-paced world, eating well is often a low priority. We constantly try to balance work, family, school, friends and daily commitments. It can be hard to prepare nutritious meals on a tight schedule. Still, we need to eat regularly and choose a variety of nutritious foods. A healthy diet boosts energy, and fights off infections, colds and other illnesses. It helps your body function effectively. Whether you have diabetes or not, eating well is necessary to remain healthy. Setting SMART goals for eating can help you develop a good diet – the foundation for diabetes control.
Fill Up On Fibre - Simple suggestions to improve blood glucose control
Fibre has health benefits for everyone. By getting enough, you reduce the risk of heart disease, lower cholesterol, control blood glucose, and keep the bowels regular. Yet most Canadians only get half the amount of fibre they need to be healthy.
Food Temptation - plan ahead to resist successfully
It’s Christmas and Aunt Mary and Uncle Harold arrive with their own special eggnog and famous home-made Yule log...On your birthday the people in the office bring in a cake from an expensive bakery...Valentine’s Day and you’re surrounded by boxes of chocolates and cinnamon hearts. These and other similar scenarios are replayed every time people get together to share happy times. However, for someone with diabetes, they can be stressful. .
Footwear and Foot Health - Choosing shoes to keep your feet happy and healthy
We take our feet for granted. We stand, walk, jump, and dance on them. We run, skate, and ski on them. We might tap them in impatience while waiting in line, or stomp them in frustration when the other team scores. With all of the shock, wear and tear they absorb, our feet deserve some regular TLC. This is especially true if you have diabetes. With careful daily monitoring, you can avoid some of the serious problems diabetes can cause to your feet.
Fruits and Veggies - a foundation for good health
You have been told to eat them since you were old enough to feed yourself. Still, are you convinced? Fruits and vegetables are the natural nutrition powerhouses in our diet. Think of them as the fuel (the energy your body needs), oil and antifreeze (vitamins, mineral and fibre) you need to make your vehicle run effectively.
At one time or another, everyone has stomach troubles. Eating something bad or catching a stomach bug leads to vomiting and abdominal pain. For most people, these symptoms are short-lived. However, others experience them all the time. People with diabetes are at risk of damage to the stomach that causes these symptoms. This disease is called gastroparesis. Gestional Diabetes - Questions and Answers
If you are pregnant, it may be surprising to learn that you are at risk of developing a form of diabetes. This type of diabetes, gestational diabetes mellitus (GDM for short), is a glucose intolerance that appears only during pregnancy. If you do have it, caring for your health is essential for both you and your unborn baby.
Life After Gestational Diabetes - caring for yourself and your new baby
Gestational diabetes is a type of diabetes that appears only during pregnancy. It affects two to four per cent of expectant mothers. If you have had it, you are much more likely to develop type 2 diabetes later. Your child will also be at risk later in life.
Get Active - improve fitness and better manage your diabetes
Regular physical activity is a powerful tool in controlling diabetes. Activity helps to manage blood glucose and increases your body’s response to insulin. Over time, it can improve insulin action and help maintain weight loss. Physical activity may help reduce or occasionally even remove the need for medication. Exercise requires your body, especially working muscles, to use more oxygen than when you are inactive. Your muscles use more glucose to meet the need for more energy.
Get Physical - the third element of diabetes care
Lorraine, 58, was diagnosed with Type 2 diabetes two years ago. She takes two different medications to control her diabetes. The first she started when she found out she had diabetes. The second one was added approximately three months ago.
Gift Ideas - choosing the right gift for someone with diabetes
Are you stuck for ideas of what to give a family member or friend with diabetes? I had a good look around my Safeway store the other day and came up with some ideas I would like to share.
Glucose Meters - Considering the Options
If you have diabetes, monitoring your own blood glucose is a large part of caring for your condition. Your health and well-being depend on managing your blood glucose levels.
The Glycemic Index - A unique tool for achieving a healthy weight
The obesity epidemic is the greatest health care crisis to hit the modern western world. Even more alarming, it is now predicted that over 30 per cent of the next generation will develop diabetes sometime in their lives. We have become an overfed, undernourished nation because of poor lifestyle habits. High glycemic index (GI) diets and lack of exercise are largely to blame.
Glycemic Index and Glycemic Loads - How carbohydrates in food affect your blood glucose
Although ‘glycemic index’ (GI) seems to be a relatively new term, is has actually been around for more than 20 years. It is becoming more widely talked about and understood through the internet and popular books. Understanding and using the glycemic index can help you manage your diabetes. By choosing foods with a low GI, you can better control your blood glucose levels. Even more, you can help control you cholesterol levels and lower you risk of heart disease.
Going Green in the Kitchen - Simple ways to save the environment
Although it took a few decades, the environment is finally a hot topic with Canadians. ‘Reduce, reuse, recycle’ has become a familiar refrain. Even the food we eat is of concern. Food is one of the world’s largest and most essential commodities. The way it is grown, harvested and transported has a huge effect on our environment. Daily choices we make around food can be part of the solution.
Going Home from the Hospital - Questions to ask before you leave
No one enjoys being in hospital, and most people try their best to avoid staying there. Yet having diabetes makes you more likely to be hospitalized, especially if you are older. Most often, your stay would be related to complications of diabetes. These include cardiovascular disease (leading to heart problems or stroke), problems with blood circulation, infected wounds, amputations, kidney disease, and eye disease.
Where's the diabetes section? - How to shop your grocery store
Have you ever hunted for the diabetes section in the grocery store? Although a diabetes section might seem like a good idea, many people would disagree. Imagine the controversy that could surround this. Should there also be a section for cancer, heart disease or arthritis?
Guidelines for the Prevention and Management of Diabetes in Canada - help for setting and achieving target goals
Every five years the Canadian Diabetes Association (CDA) updates the Clinical Practice Guidelines used by health care professionals to help you manage your diabetes. The guideline updates published in December 2003 reinforce that good diabetes control (striving for values as close to normal as safely possible) can prevent, delay and/or improve the complications of diabetes. These new guidelines recommend tighter blood glucose control and earlier intervention in order to reach target goals within six to twelve months. The new guidelines are available at the CDA website. A searchable format helps users find the information needed quickly and easily.
Heath Information on the 'Net - What you should know
Many of us use the Internet every day to connect with family and friends, as part of the job, or just for entertainment. It is also a great source of information. Valuable and accurate information on almost any topic can be found in minutes by anyone with Internet access. Unfortunately, the Internet also rapidly spreads false or misleading information. How can you know whether the health information you find is reliable?
Healthy happy holidays! - Enjoy the season while keeping diabetes in check
Day-to-day management of your diabetes gives you a great deal to think about. Then comes the holiday season with the added challenges for maintaining well-controlled blood glucose levels. Your diabetes does not have to take away from the joys of the festive season. With a little preparation and planning, you can fully enjoy the season with family, friends and loved ones.
Healthy eating for active people with diabetes
If you are physically active, you probably know that good nutrition is essential for peak athletic performance. Those with diabetes are particularly aware of how food affects health and ability.
The HbA1c Test - get the facts
As someone with diabetes, you can take control of your health by working closely with your health care team. Part of this take-charge approach is being aware of the various blood tests, when they need to be performed and how to interpret them. One test, the HbA1c, or glycated hemoglobin, is a blood test indicating overall blood glucose control. This test is generally done in medical labs although some medical offices, pharmacies and diabetes education clinics have portable machines.
Healthy Beverages - choosing healthier versions more often
There's nothing like sitting outside sipping a refreshing beverage, especially during warm summer weather. When it's cold out, fancy hot drinks are great for warming up. Coffee shops, restaurants and grocery stores offer tantalizing choices such as fruit smoothies, slushes and a variety of iced and hot coffees.
Health Benefits of Soy
Soy has long been considered a fashionable ‘wonder-food.’ While many health benefits appear to be linked to soy, not all claims are rooted in science. Doing your homework is necessary to make an informed decision.
Healthy Tips for Dining Out - Make the most of restaurant meals
Restaurant meals really are a treat, since they are almost always higher in fat, sugar, salt and calories than meals made at home. With so many super-sized entrees, dining out can quickly becomes a diabetes dilemma. However, it is possible to savour the enjoyment while avoiding excess.
High blood pressure - Are you at risk?
If you have diabetes, you are at risk for high blood pressure. Knowing how to control your blood pressure reduces your risk of complications. Fortunately, your actions can make a big difference.
High Blood Lipids - simple tips to improve your health
Lipids are specific fats that are found in your blood. It is not uncommon for people with diabetes to have blood lipids that are high. Two of the well-known ones are cholesterol and triglycerides.
Holiday Party Survivor Guide - Stay in control during the holiday season
Resisting the enticing array of goodies that arrive along with the holiday season can be very challenging. Still, if you have diabetes, you have added reason not to overindulge. Planning ahead helps keep both cravings and diabetes under control.
Home Alone and Sick - managing Type 1 Diabetes and illness on your own
Michelle slowly wakes to the sound of her alarm buzzing away. Her head is pounding in synch with the alarm, every bone in her body aches and she is burning with fever. She calls out for her roommate, then realizes that Jan has already left for class. Michelle’s family is 1,000 kilometres away and she is alone in her university residence… and sick.
Home from the Hospital - questions to ask before you leave
No one likes being in the hospital. Most people try their best to avoid a stay there. Still, those with diabetes may be hospitalized for a variety of reasons. Older adults with diabetes are 70 per cent more likely to be hospitalized than the general population. Most often, the time spent in hospital is related to complications of diabetes. These include cardiovascular disease (leading to heart problems or stroke), problems with blood circulation, infected wounds, amputations, kidney disease, or eye disease.
High Blood Pressure and Diabetes - small changes mean big results
High blood pressure, or hypertension, affects about one in four Canadian adults. Age, weight, lifestyle and smoking all play a role. For people with diabetes high blood pressure is even more common, affecting as many as 60 per cent of those with the disease. If you have diabetes, you are twice as likely to have high blood pressure.
Hypoglycemic Unawareness - a concern for people with diabetes
Imagine having a health condition that can suddenly become dangerous, but you can’t recognize the symptoms. This is the case for people with hypoglycemic unawareness. Their blood glucose can drop very low without warning. Normally, symptoms such as shaking, sweating, irritability and headache appear when blood glucose drops. However, those with hypoglycemic unawareness do not recognize that their blood glucose is low because warning symptoms are reduced or absent.
Impaired Glucose Tolerance - lower your chances of developing diabetes
Impaired glucose tolerance is a condition to be taken seriously, as it places you at higher risk of developing heart disease and diabetes. What exactly is impaired glucose tolerance? Who is at risk? How do you know if you have impaired glucose tolerance?
Diabetes & Immunization - Is vaccination more important when you have diabetes?
Over the past century, vaccines have significantly lowered the rates of disease in the world. A vaccine contains a small amount of weak or dead bacteria or virus. Your body notices the foreign substances and mounts an attack to kill these intruders. Once your body eliminates these germs, it remembers the bacteria or virus. If the illness ever returns, your immune (defence) system can recognize and destroy the intruders very quickly. This prevents you from getting sick from the same virus or bacteria.
Incredible Incretins - A hormone-based treatment for type 2 diabetes
Incretins are a small but important part of the complex way your body processes food. When you eat, your intestine releases these hormones. The word incretin comes from intestinal secretion of insulin. Incretins are an essential part of the body’s blood glucose control system. Although first discovered in the early 1900s, nobody knew then how to use incretins. In those with type 2 diabetes incretins do not work well. However, we have recently found ways to involve incretins in treating this condition.
Injecting Insulin: Syringes or pens... which are right for you?
If you need to inject insulin, you want to choose the delivery device that is right for you. Two types are available – insulin syringes and insulin pens.
Insulin - Essential for life
The first time you heard the word ‘diabetes,’ you probably also heard about insulin. Your body makes this hormone in an organ called the pancreas. Insulin is your body’s energy manager.
Insulin - The key to your body's energy management
The first time you heard about diabetes, you probably also heard about insulin. Your body makes this hormone in an organ called the pancreas. Insulin is your body’s energy manager.
"Insulin? No Thanks" The most common reasons for putting it off
The discovery of insulin in 1921 was, and still is, considered one of the greatest medical discoveries of our time. Insulin saves lives and is still the most powerful tool for controlling blood glucose. However, 90 years later, many people with type 2 diabetes are not taking advantage of this wonderful medication to help manage their condition. Why? Where does the reluctance come from?
Insulin Handling - tips and tricks
Insulin requires proper handling to ensure it is effective when used. Insulin that is not handled correctly may become less effective in lowering blood sugar.
Insulin Pen Needles - The long and the short of it
If you have diabetes, chances are that you have heard of insulin. If your pancreas no longer makes enough insulin to control blood glucose, injections of insulin are necessary. Those with type 1 (also known as insulin-dependent) diabetes will need insulin early. People with type 2 diabetes also require insulin if diet, exercise and oral medication do not bring blood glucose under control.
Insulin Pumps - different people, different needs... get the pump best for you
You many be looking for greater flexibility in managing your diabetes. Consider the following scenarios. In each switching to insulin pump therapy could have an advantage. Mary is a 25-year-old elementary school teacher. She runs and swims to keep in shape. She has had type 1 diabetes for 20 years and injects insulin six times a day. Adam is an active three-year-old with type 1 diabetes. His parents are frustrated with his unpredictable appetite and eating habits. John is a 56-year-old carpet installer, with type 2 diabetes. His workload and schedule vary from day to day. On weekends, he is less active. He takes insulin four times a day.
Insulin Pump Infusion Sets - Get the set that fits you best
Pregnant women, growing children, travellers, athletes – anyone with changing physical needs can find it difficult to properly control diabetes. If this is true for you, an insulin pump infusion set may be the solution. This device attaches directly to your body to regulate insulin supply.
Insulin Pump Therapy - is it an option for you?
A growing number of people with Type 1 diabetes are choosing to manage their disease with insulin pump therapy. Although insulin pumps have been around for over 20 years, early models were very large and not very efficient. In the last few years, with improved technology and new rapid-acting insulins, insulin pump therapy has become very effective. A pump can add freedom and lifestyle flexibility, as well as improve blood glucose control.
Health information on the net - don't believe everything you see
Many of us use the Internet everyday to connect with family and friends, as part of the job, or just for entertainment. It is also a great source of information. Valuable and accurate information on almost any topic can be found in minutes by anyone with Internet access. Unfortunately, the Internet also rapidly spreads false or misleading information. How can you decide if the health information you find on the Internet is reliable? Consider the following when you are looking on the Internet.
Immunization and Diabetes - Should you be vaccinated?
Over the past century, the development of vaccines has significantly lowered the rates of disease in the world. A vaccine contains a small amount of weak or dead bacteria or virus. Your body notices the foreign substances and mounts an attack to kill these intruders. Once your body eliminates these germs, it remembers the bacteria or virus. If the illness ever returns, your immune (defence) system can recognize and destroy the intruders very quickly. This prevents you from getting sick from the same virus or bacteria.
Islet Transplantation - another tool in the treatment of diabetes
For years, researchers worked to develop islet transplantation to treat severe type 1 diabetes. Those who successfully receive this treatment do not need insulin injections for a period of time. Canadian researchers led the way, establishing large islet transplant programs in Vancouver and Edmonton since 1999. Many people have heard of the procedure to transplant islets, called the Edmonton Protocol. It was a major step forward in bringing the treatment to patients.
Diabetic ketoacidosis (DKA) - What you need to know about this medical emergency
Diabetic ketoacidosis (DKA) is a serious, life-threatening complication of diabetes. It occurs when the body uses fat as a fuel source because it cannot use sugar (glucose). DKA happens when there is little or no insulin in the body. It is far more common in people who have type 1 diabetes, but may also happen to those with type 2 diabetes.
Keep Cholesterol in Check - using cholesterol-lowering medications
If you have diabetes, your risk of heart attack and stroke is higher. When cholesterol levels are also high, cardiovascular (heart and blood vessel) problems become even more likely. Fortunately, high cholesterol is one risk factor you can take steps to control. Improving your diet and increasing exercise are the two most important and cost-effective ways to fight it.
Ketones - Understanding ketones can save your life
If you have Type 1 or Type 2 diabetes, understanding ketones is important. Knowing about ketones may even save your life if you are ill. Ketones (key-tones) are made when the body breaks down fat to use for energy. This happens when carbohydrates (which turn into glucose) are not available and the body burns fat instead of glucose for energy.
Kidney Disease - Reducing the Risk for People with Diabetes
If you have diabetes, the odds are good that you have some form of kidney damage. In fact, diabetes is the most common cause of kidney disease today. An estimated 50 per cent of people with diabetes have some form of kidney damage. Many are not aware that their health is at risk. Kidney disease affects up to 40 per cent of those with type 1 diabetes, and between 10 and 40 per cent of those with type 2 diabetes.
Kidney Lab Tests - Understanding them is key to kidney health
Many people who have diabetes are not aware that it is the most common cause of kidney disease. Anyone at risk of kidney disease, and those diagnosed with it, will likely have many blood and urine tests. The results may seem so complex and confusing that people simply ask if everything is okay.
Is Your Mouth at Risk? The link between diabetes and oral health
It’s a common belief that cavities and gum disease come from too much sugar, and too little brushing and flossing. It is true that what someone eats and drinks affects the mouth. However, many other factors – including diabetes – have a surprising influence on your oral health.
Living Powerfully - Control your diabetes – don't let it control you
Many questions arise on first being diagnosed with diabetes. “What?! Me?? What did I do to deserve this? What does this mean? How will my life change? Should I be worried? What do I do now?”
Dealing With Low Blood Glucose - Quick recognition and treatment is essential
Good diabetes management involves controlling blood glucose. Studies have shown that keeping blood glucose levels close to normal helps prevent long-term complications. However, it can also increase the risk of having low blood glucose. It is essential to recognize and treat symptoms quickly. Quick treatment can prevent severe effects
Making the Connection - Using social media can help you deal with diabetes
Diabetes is a condition requiring daily, intensive self-management. If you have diabetes, you already receive support from health care providers throughout the year. However, the day-to-day management of your condition is in your hands. Preventing complications requires juggling medications, blood glucose testing, physical activity, and diet and lifestyle adjustments. Whether you were recently diagnosed or have lived with diabetes for years, the responsibility of managing alone can leave you feeling strained and isolated.
Managing Diabetes - understanding and controlling your disease
As someone with diabetes, you must take responsibility for managing your disease. This may sound blunt but the message is too important to cushion softly. If you understand your disease, you will know the important things you need to do to care for yourself. The more you know, the wiser your decisions will be.
Managing Blood Glucose Levels - how often should you test?
This question is frequently asked of diabetes educators by people with diabetes. Unfortunately, there is no one answer that suits everyone’s needs. Those with diabetes test their blood glucose anywhere from many times each day to once a month. A diabetes educator could respond to this question with another question. “How often do you or are you able to test?” On the other hand, if a person with diabetes is directed to test two to four times each day there is little room for discussion even if once a week testing is desired.
Meal Planning - healthy eating, diabetes management and prevention
How many times have you picked up reading material about healthy eating to find a totally different message from the last article you scanned? Are you confused by all the different nutrition messages the media is sending? What's the difference between a high and low carb diet or good and bad fats? What choices are healthiest for you and your family?
Medication Research Studies - what you should know, how you can help
Have you ever wondered how medications become available for use in Canada? Or how your doctor decides which treatment and dose is best for you? How does the pharmacist know about all those side effects? The answer is quite simple – research.
Menopause and Diabetes - what to expect with the change of life
At 50 years of age, Debbie is going through menopause. Although her type 2 diabetes is under good control, she wonders how the process might affect her health. She is also trying to decide whether she should start taking hormones.
Metabolic Syndrome - one in four adults has it. Do you?
Colin is barely 50 years old and has always felt fine. Recently though, Colin was diagnosed with type 2 diabetes. He was still coping with this news when he had a heart attack. It was his first indication of heart problems. These health issues have Colin feeling discouraged. He knows he is a little overweight, has a middle age pot belly, and his blood pressure has been up a bit. He also has relatives with diabetes, but they are in their late seventies. He thought he had years before he needed to worry.
Metformin - Answers to frequently asked questions
Metformin, an oral medication, is commonly used to treat diabetes. Some know it as a white, flattened, circular tablet. Metformin is often the first medication prescribed after type 2 diabetes is diagnosed. Many people use this medication, and ask the same questions about it. Is this drug safe? Does it work? How do you take it?
Microalbuminuria - A signal that you could develop health problems
The kidneys, which make urine, work by filtering blood through very small blood vessels. When someone has diabetes, these small vessels can become damaged. The vessels may begin to leak and not be able to filter blood properly. The pressure of the blood flowing through the kidneys may also increase. One of the first signs that the kidneys are not working properly is microalbuminuria.
Moving Targets - Setting meaningful goals for physical activity
The return of warm weather can bring with it new incentive to get out and moving. Whatever your activity level, it is always wise to reflect on why you want to become more physically active. While you likely know activity can help manage diabetes and its symptoms, think about other benefits it can bring to your life. Reflection is an essential part of setting meaningful goals. It helps you commit to achieving them.
Natural Health Products - are they a safe way to manage diabetes?
You’ve noticed them on pharmacy and grocery store shelves, and perhaps had them recommended by a friend. Wha
t are natural health products? Are they safer than the prescription your doctor suggests for controlling your diabetes? Should you try them?
Natural Health Products - are they a safe way to manage diabetes?
You’ve noticed them on pharmacy and grocery store shelves, and perhaps had them recommended by a friend. What are natural health products? Are they safer than the prescription your doctor suggests for controlling your diabetes? Should you try them?
New Medications and Technologies - making diabetes management easier
Wouldn't it be great to be able to better control your blood glucose, lose excess weight, take insulin without an injection, or know your glucose level without pricking your finger? Researchers are now evaluating new medications and devices that one day may make managing diabetes easier.
No need for Insulin - Do your excuses hold water?
The discovery of insulin in 1921 was, and still is, considered one of the greatest medical discoveries of our time. Insulin saves lives and is still the most powerful tool for controlling blood glucose. However, 90 years later, many people are not taking advantage of it to help manage their type 2 diabetes. Why not? Where does this reluctance come from? Avoiding or delaying the use of insulin can allow high blood glucose to damage your blood vessels and nerves. Many excuses are often given for rejecting insulin. Before you say no, consider whether emotion, fear or misinformation is behind your excuse.
Not Snoozing? You may be losing
There was a time, not so very long ago, when our ancestors rose and slept with the natural rhythm of the rising and setting sun. Modern technology has given us the luxury of challenging our sleeping patterns. We can try to finish work and get to that soccer game, fly to Paris overnight, or shop for groceries at 3 am. However, does this pace hurt our health?
The Nutrition Facts - How to use Canada's food label
Wise grocery shopping is an essential part of caring for your diabetes. The foods you buy become snacks and meals that affect your blood glucose levels. Buying healthy foods is an important step in making nutritious choices. Every time you enter a grocery store, you face hundreds of decisions. What foods should you buy? What makes one product different from another?
Osteoporosis - How diabetes affects your bone health
Adults are not meant to shrink as they get older. Although we may think of it as common, losing height is not a normal part of aging. Rather, it can signal osteoporosis – a disease where bones become fragile and break more easily. Having diabetes can increase the chance of suffering a broken bone due to osteoporosis. In learning how diabetes affects bone health, you can help keep your bones strong for a lifetime.
Over-the-counter Medications - are they safe for people with diabetes?
“…not recommended for use by people with high blood pressure, diabetes, or glaucoma without a doctor’s supervision….” “Consult your doctor before taking if you have diabetes….”
These warnings are often found on the packaging of non-prescription or over-the-counter (OTC) medications. Such cautions are often related to the potential for drug interaction. Medications can react with other drugs, food, beverages, or existing medical conditions.
Painful Walking - All about peripheral artery disease
If you have pain in your legs when you walk that goes away with rest, it could be peripheral artery disease (PAD). This condition is also called peripheral vascular disease (PVD). It can affect any arteries outside the heart and brain. Take PAD seriously, as it comes with a higher risk of heart attack and stroke. People with diabetes are two to four times more likely to develop PAD. The increased risk is mainly due to damage that high blood glucose can do to large and small blood vessels.
Pedicure Precautions - Foot care and diabetes
You may have heard that people with diabetes cannot get pedicures, or even trim their own nails, without putting their feet at great risk. It is easy to understand why some people with diabetes should not get pedicures. Diabetes is the most common cause of non-traumatic amputations in Canada. Common sense might suggest that it is risky to have anyone care for your feet apart from a healthcare provider.
Planning for Pregnancy When You Have Diabetes - Preconception planning makes a difference
Women who have type 1 or type 2 diabetes have a higher risk of problems in pregnancy than women who do not. These problems can be very serious for both mother and baby. Care of diabetes in pregnancy is much better now than it used to be, but there is still some risk. It has been known for years that a woman with type 1 diabetes can lower her risk by going to a diabetes clinic before she gets pregnant for preconception counselling. Studies now show that counselling before pregnancy is just as important for women with type 2 diabetes.
Prebiotics and Probiotics - The role of microbiota in your diet
You may have heard about pre and probiotics, and wonder what the terms mean. Ads suggest they are part of staying healthy. Should you include them in your diet? Indeed, recent research on the link between microbiotics and health is very promising. Knowing more about microbiota, prebiotics and probiotics can help you understand why researchers believe they keep you healthy.
Reducing the Stress of Surgery - Know what to expect and plan ahead
If you have an upcoming surgery, just thinking about it may create feelings of fear and uncertainty. However, this physical and emotional stress can affect your health, especially if you have diabetes.
Safe and Successful Travel - With careful planning, you can do it
Many people love to travel. Whether hiking in the mountains, or doing a backpack safari in Africa, there is nothing so fun as getting away from the usual grind. Travel offers a way to experience the world that you just do not get from a book or a picture. Sadly, some people who have chronic medical conditions, such as diabetes, are either afraid to travel. Even worse, they may think they should not travel. However, with a little extra planning and preparation, travelling with diabetes can be safe and successful.
School Rules - Success in school for children with diabetes
If you have a child with diabetes, each school year brings its own challenge. For your family, developing a relationship with the school community is particularly important. Teachers must be able to keep tabs on your child’s diabetes management during class hours. With safeguards in place, your child can safely learn and develop during the year. Simple steps help make school easier for parents, children and school staff.
Sensible Snacking - will eating more often work better for you?
When I was diagnosed with diabetes, my doctor told me to eat more often. I am not hungry between my three meals and do not like to snack. What is better for me: eating three meals or six smaller meals?
Sound familiar? Fortunately, there are no rules about how many times a day a person should eat. Frequency of meals can be different for everyone, depending on lifestyle, preferred eating schedule and blood glucose levels. Here are some general guidelines.
Setting and Achieving Health Goals - how to reach them
By setting goals, you can accomplish almost anything you want to do. Learning how to set and achieve goals is an important part of managing any chronic disease. If you have such a disease, you likely spend an average of 12 hours each year with health care professionals. During the other 364½ days, you must take care of yourself. Choices you make each day have a big impact on controlling conditions such as diabetes.
Sharps Disposal
The disposal of used sharps is a public safety issue that concerns all of us. A ‘sharp’ is any object that can pierce, puncture or cut the skin. Lancets, pen needles, syringes, knives, scalpels, razors, scissors or broken glass are all examples of sharps.
Shorter Insulin Needles - could they help you?
Shorter insulin needles are now available for both syringes and pen needles. Many people feel their injections are more comfortable when they use a shorter needle, but have questions about them. Here are some of the most common questions and their answers.
Sleep - A Missing Link in Diabetes Care
George is a 52-year-old moderately overweight businessman recently diagnosed with Type 2 diabetes. He has started on oral blood glucose lowering medications. Although George takes his medications, watches his diet and exercises as recommended, he is still having trouble bringing his blood glucose to target levels. He is also being treated for high blood pressure and high cholesterol.
Smart Snacking - It may help control your diabetes
No question, eating regular meals is important if you have diabetes. Balanced meals at certain intervals help reduce swings in your blood glucose level, and even out highs and lows. Still, like many people with diabetes, you may be confused about snacking. Do you need to snack between meals? What about a bedtime snack? Will snacking add unwanted weight gain or worsen your blood glucose control? The answer to these questions can be both yes and no.
Smart Summer Nutrition - Lazy days don't have to mean a lazy diet
When warm weather arrives, Canadians can be found firing up their barbeques, heading to the neighbourhood ice cream shop, or cooling off with an iced cappuccino. Summer can be a time to get active and make healthier food choices. This helps work off extra pounds of winter comfort foods. A juicy burger meal from your local take-out, topped off with a double-scoop ice cream cone, may seem like the ideal summer feast. However, foods like these are almost always higher in fat, sugar, salt and calories than meals and desserts made at home. With tempting summer treats in abundance, you may quickly find yourself in a diabetes dilemma of rising blood glucose and pounds. Do not despair. Some simple strategies can keep your nutritional health and blood glucose control on track while you enjoy a healthy, summer vacation full of good tastes.
Not Snoozing? You may be losing - a good night's sleep helps your health
There was a time, not so very long ago, when our ancestors rose and slept with the natural rhythm of the rising and setting sun. Modern technology has given us the luxury of challenging our sleeping patterns. We can try to finish work and get to that soccer game, fly to Paris overnight, or shop for groceries at 3 am. However, does this pace hurt our health?
Snack Bars: How snack, sport and meal replacement bars fit into your diet
You may have noticed more snack bars displayed on your local grocery store shelves. Not all are the same. What's the difference? Granola bars are usually small-size bars. They are often made with oats and may contain dried fruit and nuts. Cereal bars often use dry breakfast cereal as one ingredient in the bar. They may also contain dried fruit or nuts.
Snack Attack - Wise choices help control diabetes
Do you wake up feeling very hungry or find yourself ravenous at the end of the day? Perhaps your blood glucose is high in the morning, even though it was within target levels before bed. If so, you may need snacks throughout the day to help control hunger and blood glucose levels.
Sodium - kick the habit!
Many Canadians have made great strides to avoid adding salt to their diet. However, they may not be aware of the real culprit – hidden sodium in food. High sodium intake is a global problem, and Canadians consume about double the recommended amount.
Solving the Insurance Puzzle
You need a basic understanding of how disability insurance companies work. Remember, they are in business to make money. To do this, they must control claims costs. They pay claims that they ought to pay, and deny those that they should not pay.
Stress and Diabetes - understanding stress helps in dealing with it
Traffic jams, ringing phones, holidays – stress is part of daily life. The way our bodies react to stress has a profound effect on both physical and mental health. Understanding stress is the first step in dealing with it effectively.
Supplements - preventing complications naturally
Everyone with diabetes wants to avoid the complications of diabetes. Conditions such as heart disease, neuropathy (numbness or tingling in the legs and arms), nephropathy (kidney disease) and retinopathy (damage to blood vessels in the retina of the eye) can occur over time in a person with diabetes.
Supporting a spouse with diabetes
In many ways, a diabetes diagnosis can affect a spouse as much as the person with the disease. Although chronic illness can stress a partnership, with education and lifestyle changes, life can again become normal.
Sugar, Carbohydrates and Blood Glucose Control - the facts about diabetes and sugar
According to a popular myth, people with diabetes must avoid sugar and sweets. Thankfully, this isn't true! Those with diabetes can have sugar, and just like anyone else, they should watch the amount of sugar they consume. Dietary guidelines for people with diabetes are much more flexible than in the past. This is partly because we have learned more information about how food, and especially foods containing carbohydrates, are absorbed into the blood.
Sweeteners - how and when to use them
As someone with diabetes, you should know how and why using sweeteners can affect your health. There are two basic types of sweeteners. Nutritive sweeteners contain about four calories in each gram. These include fructose, sugar alcohols, sugar and honey. Non-nutritive sweeteners, which provide no calories, include saccharin, aspartame, acesulfame potassium (Ace K) and sucralose. Artificial sweeteners, if used properly, allow people with diabetes something sweet without a serious impact on their blood sugar. Ask the dietitian on your diabetes team how to include artificial sweeteners in your meal plan. When cooking or baking with artificial sweeteners, start with a recipe developed for the sweetener you are using. Substituting an artificial sweetener for sugar in a regular recipe may produce varying results.
Think Positive - dealing with the emotional aspect of diabetes
Each day, we experience a wide range of emotions, from highs to lows - joy, sadness, excitement, anger, pride and anxiety. If you are living with a chronic health condition like diabetes, it can be easy to dwell on negative feelings and harder to see the bright side of life.
Top 10 Reasons to Exercise - Physical activity is key to controlling your diabetes
Over two million Canadians have diabetes, and the number is growing rapidly. North American lifestyles play a huge role in this increase. If you have diabetes, exercise is one of the best tools for managing it.
Tobacco Use and Diabetes - A risky combination
Tobacco and diabetes are a dangerous combination. Diabetes affects the body in many ways, and using tobacco heightens these effects. Tobacco use puts you at higher risk of developing diabetes, and increases the risk and severity of complications. People who smoke or chew tobacco are more likely to develop cardiovascular disease, particularly heart attack and stroke. They are also at risk for eye damage, kidney damage, and nerve pain – all of which are complications of diabetes.
Toe the Line - Caring for Your Feet
If you have diabetes, your feet are already at risk. Diabetes can damage nerves in the feet, making it harder to feel. As a result, your feet become easier to injure. Diabetes can also reduce blood flow to your feet. A minor foot injury may not heal properly and can become infected. While the responsibility for protecting your feet is yours, your health care team must also be involved in foot care. Knowing how to protect and care for your feet helps prevent injury.
Tiny Bites Equal Big Calories
Spring is a time of new energy and renewal. The season offers a great chance to refocus on what is really important: your health. If you are not in good health, you will have a difficult time with day-to-day tasks and taking care of those you love. Try these tips to be at your best, both mentally and physically.
Tips for a Better You - Simple ways to be at your best
"I never eat between meals... I rarely have dessert... Almost everything I eat is low fat... so why am I still gaining weight?"
Treating Hypoglycemia - The role of Glucagon in an emergency situation
Keeping blood glucose at a normal level is essential for anyone with diabetes. If you use insulin or oral medication to control high blood glucose, hypoglycemia (abnormally low blood glucose) is a risk. When blood glucose is low, the brain and body do not receive enough fuel in the form of sugar to meet their constant energy needs. You, your family, close friends and co-workers must be able to recognize signs of low blood glucose. Knowing how to effectively treat it can resolve a medical emergency.
Treating Low Blood Glucose - Advice for adults with diabetes
Low blood glucose (also known as hypoglycemia) occurs when the amount of glucose in the blood (blood sugar) falls below 4.0 mmol/L.
Then & Now - a diabetes success story
Managing diabetes well takes considerable time and effort. Today, information on controlling your condition is available from a wide variety of sources – family doctors, diabetes specialists, nurse educators, dietitians, pharmacists, textbooks, and the Internet. Imagine what it was like to have diabetes 60 years ago, when very little was known about the disease and how to treat it.
Tips for Traveling with Diabetes
Planning a vacation is enjoyable, and even more exciting if you will be visiting a new country. Remember, caring for your health is just as important as arranging travel locations, hotels and activities. Planning is key to avoiding undue stress while travelling. Involve your diabetes educator, doctor, pharmacist and a travel health consultant as you prepare to leave. Although you must prepare in advance, you can manage diabetes while travelling abroad.
Tune up Your Diet - Begin with Canada's Food Guide
The Canadian Diabetes Association encourages those with diabetes to follow Eating Well with Canada's Food Guide to meet their nutritional needs. Having diabetes does not mean you have to eat very differently from someone without diabetes. Anyone, with or without diabetes, can benefit from the advice in this guide.
Type 1.5 Diabetes - Could you have LADA
(Latent Autoimmune Disease in Adults)?
Much to your surprise, you were recently diagnosed with diabetes. Once you researched the disease, you discovered that there are two basic kinds. Type 1 affects about 10 per cent of people who have diabetes. Since you are 40 years old, you do not meet the age or symptom criteria for that type. Most people with diabetes have type 2. However, you have always been very active and your weight is not an issue. You do not really match the criteria for type 2 either. Finally, you come across references to a type of diabetes called LADA (latent autoimmune diabetes in adults). Could this be the type of diabetes affecting you?
Type 2 Diabetes - what to do after the diagnosis
When you travel for work or fun, your diabetes does not stay behind. Although your daily routine may change, your diabetes still needs time and attention. You may need to take even more care than usual. Planning before you leave can make a big difference to the success of your trip. If you are managing diabetes well at home, planning for a trip usually requires just a few more steps. If your diabetes is not well managed before you leave, talk to your diabetes education team and your doctor about how to improve your control.
Understanding Diabetes Medications - Options for people with Type 2 diabetes
At your last appointment, your doctor prescribed medication for your type 2 diabetes. Understanding what medications exist and what they do can make it easier to manage this new aspect of diabetes care.
Understanding Diabetes - The basics of a complex condition
Having diabetes means that you must take responsibility for managing your disease. Although this may sound blunt, the message is too important to cushion softly. Once you understand your disease, you will know what you must do to properly care for yourself. The more you know, the wiser your decisions will be.
Urinary Incontinence
If you have urinary incontinence (UI), you are probably all too familiar with this unintentional loss of bladder control. Urinary incontinence often occurs when the nerves that control the bladder have been damaged.
Used Sharps - Proper handling keeps everybody safe
Sharps (objects that can pierce or cut the skin) are a necessary part of managing diabetes. Disposing of them safely is simply part of your daily routine. A little care and planning will go a long way in protecting your own health and that of others.
Vacationing with Diabetes - Mission Possible!
We all deserve a holiday once in a while, and what better than a trip away from home? Without advance preparation, travelling can be very stressful for those with diabetes. By following some simple guidelines, your trip is much more likely to be fun and relaxing.
The Joy of Veggies - a vegetarian diet can benefit those with diabetes
Does the word 'vegetarian' If make you crinkle your nose? Do you have visions of a boring diet made up of tofu, carrots and pea soup? Think again! Today's vegetarian menu includes a wide variety of tasty foods and can be adapted for a variety of eating patterns.
Vitamin D, the Sunshine Vitamin - are you getting enough?
Most of us remember our moms telling us to drink milk to keep our bones strong. Mom knows best! Vitamin D helps the body absorb calcium, increase bone strength and muscle strength. However, vitamin D benefits more than just bones and teeth. Several studies for vitamin D have shown it may reduce the risk of many chronic diseases, certain types of cancer, some autoimmune diseases and possibly diabetes.
Let Walking be Your Vehicle - Simple steps to better health
You probably already know about the health benefits of physical activity. Still, if you have diabetes, keeping fit is as important as healthy nutrition, and for some people as crucial as medications. Adding physical activity to your treatment plan can be as effective as adding or increasing your diabetes medication.
When Your Cat Has Diabetes
Pet owners are often surprised to find out that diabetes can affect their pets. Along with kidney disease, dental problems, hyperthyroidism and cancer, diabetes is one of the more common diseases that can affect cats over eight years of age. The most common form in cats is called Adult Onset or Type 2 diabetes. It is similar to Type 2 diabetes in humans.
Why Fad Diets Fail - better choices for long-term weight loss
You’ve just picked up a new bestseller that promises a new diet will melt away excess weight in days. Perhaps an Internet ad boasts the latest meal replacement, juice or tonic will shed unwanted pounds. The allure of quick weight loss may seem irresistible. However, if you want long term, healthy weight loss, there are no quick fixes. A healthy diet based on balance, variety, moderation and common sense will serve you better.
Wise Choices About Natural Medicines - Use them with caution
Natural, holistic or alternative products may seem like a better choice than conventional medications. However, natural does not always mean safe. If you have diabetes, you need to be particularly careful about the medications you use. How can you tell whether a natural product is right for you?
Wonderful Water - How much you need and how best to get it
Although the body can survive for long periods without food, we cannot live long without water. This simple element is essential to life. About 60 per cent of our body weight is made up of fluid, which plays many roles in the body. Water cools the body through sweat, transports nutrients to their destinations, and carries waste out through the kidneys. It provides a place for chemical reactions to occur, especially with medications. It lubricates the body and cushions it from injury.
Working Towards a Cure - Promising advances in diabetes care
Dr. James Shapiro is best known for his ground-breaking research that led to the internationally acclaimed Edmonton Protocol. His research team has successfully transplanted islet cells from donated human pancreases into the liver of patients with type 1 diabetes. These transplanted islet cells, which make insulin, allow patients to be free from insulin injections. For some patients, the results have lasted for years.
World Diabetes Day - Awareness helps solve problems caused by diabetes
Last year, the United Nations General Assembly recognized November 14th as World Diabetes Day. This landmark resolution confirmed that diabetes is a disabling and costly disease, affecting families, communities and countries worldwide. Although World Diabetes Day has been celebrated for some time, 2007 marks the first year it will be noted as a United Nations Day.
Your Medication Expert - What can your pharmacist do for you?
Pharmacists have long been trusted professionals in Canada, and for good reason. These health care professionals are easily accessible – often, the pharmacist is the first contact for Canadians needing health care assistance. Their work requires extensive education and training. Pharmacists take time to ask questions, getting to know their patients. This allows them to provide care specific to each person’s unique needs.
Your Medicine Cupboard - Planning ahead is critical to managing illness
Your medicine cupboard may be the first place you go when you are not feeling well. It may contain supplies for first aid, pain or cold relief. Although organizing a medicine cupboard may take a little time, it is convenient to have supplies in one place when you are sick or hurt.
The Zimbabwe Hand Jive - Portion control is in your hands
To manage diabetes, controlling the size of food portions is key. With this strategy from Zimbabwe, knowing how much of each food group you should eat is at your fingertips.