You Are What You Eat!

Thoughts of turkey, candied yams, ambrosia and pumpkin pie immediately come to mind with Thanksgiving just around the corner. The holiday season traditionally presents us with opportunities for taking time off to spend with family and friends. We often shift into relaxation mode, making it more difficult to mind which foods we choose to eat. A good nutrition plan combined with regular exercise is essential for achieving and maintaining good health. For both type 1 and type 2 diabetics, it is especially important to not only be weary of how much you eat, but when you eat as well if taking insulin or blood glucose lowering medications. The following are some tips for surviving the holiday season:

~ Think about the timing of your meal. If Thanksgiving dinner does not fall in line with your routine meal schedule, have a snack at your regularly scheduled meal to prevent blood sugar levels from plummeting.
~ Be physically active! Take a walk with family members or sign up to walk the local Turkey Trot 5K in the area. Exercise is the best way to compensate for the additional calories consumed over the holidays.
~ Have raw vegetables to nibble on while cooking or waiting. This will prevent blood glucose levels from plummeting if dinner preparation is taking longer than anticipated.
~ Make selective food choices. Avoid the tendency to sample every dish served. Stick to eating your favorite foods, and everything in moderation.
~ Portion Control. Eat smaller portion sizes to ensure your carbohydrate intake does not exceed the daily-recommended amount of 45-65% of total calories (http://www.mypyramid.gov/guidelines/index.html).

Having trouble deciding how much to eat of something on the Thanksgiving dinner menu since you don’t know its nutritional value? Check out the U.S. Department of Agriculture’s interactive tool, My-Food-A-Pedia (http://www.myfoodapedia.gov/). It will list the total calories, portion size, and even allow you to compare two foods at once. Despite planning ahead, throughout this holiday season you may still find yourself on the brink of overindulgence in food. When faced with that temptation, just remember the old adage – "You are what you eat!"

Tips Provided by American Diabetes Association

What You Eat Affects Your Feet!

Has someone ever said to you – "watch your sugar intake, it may hurt your feet someday?" You may have some recollections from childhood of your mother or father limiting your candy intake, especially around Halloween, because the sugar is bad for your teeth. Most of us grew up associating high sugar intake with cavities. November is diabetes awareness month, and we are going to kick it off with a brief overview of what diabetes is and how it affects your feet.

There are two types of diabetes, and type 2 is the most prevalent form of the disease. Type 1 diabetes is caused by an inability of the body to produce insulin, and with type 2 diabetes the body either does not produce enough insulin, or the cell receptors start to ignore the insulin over time. So why is too much sugar such a bad thing? In people without diabetes, the cells in the pancreas secrete insulin that carries the sugar from foods to cells throughout the body. The sugar is then utilized to provide energy for the cells. In people with diabetes, the lack of sugar getting into the cells will weaken the immune system, and the excess sugar in the blood affects the skin, ligaments, joints, nerves, and arteries through a process know as glycation (non-enzymatic gylcosylation). Essentially, the sugar in the blood attaches to proteins and lipids passing by, forming a complex molecule that disrupts normal metabolic pathways eventually hardening nerves and vessels. The glycation process leads to problems in the heart, kidneys, nerves, eyes, and feet.

Some of the first signs of type 2 diabetes are seen in the feet. Loss of sensation in any part of your feet combined with tingling sensations can be one of the earliest signs. While many other things can cause those symptoms, if you don’t already go to your primary care provider for a physical annually, it’s a good idea to start. You primary care provider can order a fasting plasma glucose test with your blood work. Fasting plasma glucose levels of below 100 mg/dl are normal, 100-125 mg/dl indicates pre-diabetes, and 126 mg/dl indicates diabetes as per the American Diabetes Association guidelines (http://www.diabetesarchive.net/pre-diabetes/faq.jsp). Yellowing, thickened toenails with persistent toenail fungus and excessive calluses caused by low-impact activity are also warning signs that should be checked out by your podiatrist. Ulcerations of the tissue beneath the calluses may be present, and if treated improperly they can easily become infected. Therefore, once diagnosed with diabetes it is essential that you follow-up with your podiatrist every few months for foot care.