Blog Post

World Diabetes Day 14th November 

  • By Christine Gaskill
  • 12 Nov, 2019

Type 2 Diabetes-New Ideas!

Type 2 diabetes is on the rise worldwide and the figures given by the World Health Organisation are alarming:

Key facts

  • The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014.
  • The global prevalence of diabetes* among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014 (1).
  • Diabetes prevalence has been rising more rapidly in middle- and low-income countries.
  • Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation.
  • In 2016, an estimated 1.6 million deaths were directly caused by diabetes. Another 2.2 million deaths were attributable to high blood glucose in 2012**.
  • Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. WHO estimates that diabetes was the seventh leading cause of death in 2016.
  • Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes.
  • Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.

 

What causes it, do we know?

What can we do to avoid becoming Type 2 diabetic or help ourselves to control or reverse it if we have already been diagnosed? It’s important to realise that type 2 diabetes is a lifestyle illness. This means something you are doing (or not doing) is causing the problem. Now, I know you may have been told that obesity is the cause of your illness. This is patently not true, as slim people can be Type 2 diabetic and medically obese people do not necessarily have diabetes. This personal account by Dr Attia highlights this erroneous thinking in a very moving way: https://www.youtube.com/watch?v=UMhLBPPtlrY

Science now points us in the direction of hyperinsulinemia and the resulting insulin resistance as being the main cause of type 2 diabetes. Insulin is a hormone released by the body in reaction to the consumption of foods and drinks, which then raise the amount of sugar in the blood stream. Insulin is the storage hormone; it directs your liver to store the sugar as glycogen in the muscles first and any excess as fat in your cells. Dr Jason Fung gives a full explanation here: https://www.dietdoctor.com/new-paradigm-insulin-resistance. The sugar comes from sugars and carbohydrates (long chain sugars) in our diet. If we have high blood sugar levels continually, insulin resistance will eventually follow.

What Can we do?

The recent JAMA Internal Medicine study showed that by banning sugary drinks provided in the work place (although workers could go out and buy or bring in their own sugary products) in 10 months, there was a marked improvement in central obesity and the markers of insulin resistance amongst the work force. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2753425

Happily, we each are able to choose our diets, we can decide to improve our own health. By ensuring we cut down or mostly cut out sugars and carbohydrates, we can prevent or even reverse type 2 diabetes. What does this mean? In reality, it means only eating real foods, foods with less than 5 ingredients on the label. Foods that are not produced in a factory. Don’t eat snacks or sugary drinks. Ensure each meal consists of healthy, natural fats, protein and some vegetables.

Sugar is addictive, so it can be a struggle to reduce it at first. Setting goals, like only deciding to do it for two weeks to begin with, can be a good way to start. Then set another two weeks and another until it becomes a habit. N.B. If you have type two diabetes and are on medication, please talk to your doctor about your dietary changes, as the medications may need to be reduced quite quickly. Further information here: https://www.dietdoctor.com/low-carb/with-diabetes-medications 

Resources:

Your doctor can refer this app for you, it is a supported course which has helped thousands of people in learning to control and in some cases reverse type 2 diabetes: https://www.nhs.uk/apps-library/low-carb-program/

Or you can use the infographics on this page to help you avoid products that contain large amounts of sugars: https://phcuk.org/sugar/

For advice, help with sugar addiction and recipe inspiration I find it’s hard to beat this website founded by Dr Andreas Eenfeldt https://www.dietdoctor.com/

 

This World Diabetes Day decide to change your life and health for the better!

 

For your diabetic footcare needs: https://www.betafeetpodiatry.co.uk/diabetic-feet-arthritis


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At this festive time of year, there are many people who feel stressed at the thought of over indulging in rich foods, drink and chocolates. Perhaps they are trying to control their weight or very importantly, control their blood sugars due to concerns with diabetes. What can you do to ensure your blood sugar levels remain as calm as possible, especially if you are going to eat at someone else's home? The key is to control your intake of sugars and carbohydrates, which are just molecular chains of sugars.

Firstly, ensure you have a good breakfast on the big day. Don't skip breakfast thinking that you will eat a lot later, this will only lead to snacking on inappropriate, high carbohydrate foods because you are hungry. A lovely, cheesy omelette or even a treat of bacon, mushrooms and eggs will set you up for your day.

Secondly, think carefully about what you are drinking. Drinks slip down very smoothly, so it's easy to raise your blood sugar levels on drinks alone. Fruit juices, fizzy sweet drinks, beer and wine all raise your blood sugars at an alarming rate, as well as adding to dehydration, which will cause you to reach for more. What drinks are relatively low carb? Well, you will be pleased to hear that spirits, champagne or dry red wine are the best of your choices. Of course water is your great friend, be it in still, fizzy, ice or soda form and can be added to you spirits instead of other high carb mixers. It's a good idea to have a glass of water to hand throughout the day to keep you hydrated. Tea and coffee (without sugar) are fine. 

Christmas dinner is a time for indulgence and of course you don't want to feel left out. That doesn't mean you can't make a few careful choices and do away with the worry. The items that raise your blood sugars are the carbohydrates, so they are the things to control. Potatoes, parsnips, carrots, bread sauce and stuffing are the things to avoid or cut down on. If your joy on Christmas day is a roast potato, then have two small pieces and forgo the other starchy vegetables. Load up on above ground vegetables such as sprouts and the meats or nut roast instead. Cauliflower mash with lashings of butter makes a great alternative to mashed potatoes.

Afterwards you could always skip the Christmas pudding and move on to the cheese board instead (no crackers though). If you feel cheated without pudding, have the thinnest slice possible, with a good cover of double cream to satisfy that craving. 

A great tip is to take dark chocolate, the richer the better, with you. That way if you are tempted by the sweets and candy surrounding you, you can treat yourself without worrying too much. It also stops people from nagging you into indulging because they want to feel you are having a good time.

Wishing you a very happy, healthy festive season. A wise person once said: It's what you eat between New Year and Christmas that makes the difference to your health, rather than Christmas to New Year. If you slip up in the next few weeks, bear that in mind and be kind to yourself.

Christine Gaskill, Hemel Hempstead Ambassador for the Public Health Collaboration
https://phcuk.org/wp-content/uploads/2017/10/PHC-Sugar-A5-Flyer-Front.pdf
 
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If you would like to investigate further into how much sugar you are consuming each day, then take a look at the infographics on the Public Health Collaboration site, you may be in for a surprise:  https://phcuk.org/sugar/. Christine Gaskill PHC Ambassador for Hemel Hempstead
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