Philippine Daily Inquirer

MANAGING DIABETES

- By Charles E. Buban

Diabetes is a chronic disease that occurs either when the pancreas, that leafshaped organ located behind the liver, produce little or no insulin—reason for those afflicted with Type 1 diabetes—or when the body the body does not respond properly to insulin, a condition known as insulin resistance, which is the case for those with Type 2 diabetes.

Insulin is a hormone that regulates blood sugar and is a key regulator of the body’s metabolism. Hyperglyce­mia, or raised blood sugar, is a common effect of uncontroll­ed diabetes and over time leads to serious damage to many of the body’s systems, especially the nerves and blood vessels.

While Type 1 diabetes is an autoimmune disease that caus- es the insulin producing beta cells in the pancreas to be destroyed, preventing the body from being able to produce enough insulin, Type 2 diabetes, is thought to result from a combinatio­n of genetic factors along with lifestyle factors such as obesity, high alcohol intake, and being sedentary.

Diabetasol, a cost-effective and efficient nutritiona­l milk powder for diabetics, has for years been campaignin­g to help those afflicted with the disease to manage their condition.

Critical to this public reminder is taking of the prescribed dosage—and at the suggested time—of insulin as well as other diabetes medication­s, which are all designed to lower blood sugar levels when diet and exercise alone aren’t sufficient for managing diabetes.

It is important for individu- als with diabetes to remember to inform their doctors about other medication­s that they also take as these may have an impact on their blood sugar levels.

Health problems

This is because, over time, diabetes can damage the heart, blood vessels, eyes, kidneys, and nerves.

According to the World Health Organizati­on (WHO) adults with diabetes have a two- to three-fold increased risk of heart attacks and strokes. Combined with reduced blood flow, neuropathy (nerve damage) in the feet increases the chance of foot ulcers, infection and eventual need for limb amputation.

Diabetic retinopath­y is an important cause of blindness, and occurs as a result of longterm accumulate­d damage to the small blood vessels in the retina. It was believed that 2.6 percent of global blindness can be attributed to diabetes.

Diabetes is also among the leading causes of kidney failure, adds WHO.

Exercise

While exercise is important, one should remember to ask a doctor about what type of exercise is appropriat­e.

In general, most adults should exercise at least 30 minutes a day on most days of the week. However, if one has been inactive for a long time, the doctor may want to check overall health before advising what sort of aerobic or musclestre­ngthening exercise combi- nation is appropriat­e.

Eating right

Eating well is one of life’s greatest pleasures and having diabetes shouldn’t keep one from enjoying a wide variety of foods.

In fact, people with diabetes have the same nutritiona­l needs as anyone else. However, they need to plan their meals to help them manage diabetes.

One only needs to know how food affect blood sugar levels—it’s not only the type of food one eats but also how much and which combinatio­ns of food types to take.

For example, Diabetasol informs that its powdered drink contains all the essential vitamins that may help people with diabetes achieve balanced nutrition. The combinatio­n of chromium picolinate and biotin helps regulate carbohydra­te metabolism. Diabetasol also uses sucralose, a zero calorie sweetener considered safe by the United States Food and Drug Administra­tion.

Diabetasol is also formulated to be safe for those individual­s with diabetes and hypertensi­on because of low sodium level.

Diabetasol also reminds individual­s with diabetes about the importance of talking to a doctor, if not a dietitian, regarding the best food choices and what appropriat­e balance of food types to eat. This is especially important because the type of carbohydra­tes one chooses, other food types and medication­s may impact on one’s blood sugar levels.

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