When it comes to diabetes, vigilance can sometimes eliminate the need of insulin as well as help you control your diabetes. Most people with type II diabetes, are not made aware of the severity of this diagnosis, are not given […]
This evening on the yahoo face page, (April 14, 2014) an interesting article on the new Affordable Care Act (ACA/ObamaCare) and diabetics. The focus is to prevent complications of Type 2 diabetes before it destroys a life OR costs the insurance company a fortune. Well, hallelujah , I have been saying this for years. If they could have made our simple basic supplies affordable, with or without insurance, many complications could have been avoided earlier.
However in this article, apparently it helps those who are already ravaged by the disease, or have been too stubborn to change bad habits. They focused on a 62 year old woman, who for years struggled with her Type 2 diabetes, which she blames on her “love to bake and eat her sweet creations”. They write of many of her episodes of uncontrolled blood sugars, loosing a foot in a car accident, (what was her blood sugar at the time of the accident?) and that thinking about her insulin was ”the last thing on her mind”!!! Excuse me, WHAT!! are you 62 or 2, diabetes is your life, and for many people, your choice, take responsibility for it. The article reads, “About 60 percent or so of the people with Type 2 diabetes can keep side effect at bay by simply managing sugar levels, exercising and watching their weight“. It goes on to read, “about 26 million Americans have diabetes, and two-thirds (approx 17 mill) of them are overweight or obese. The above mentioned woman went on to ACA, it costs her less than $2 a month, thanks to a tax credit of $574 a month, which WE are paying. Given the choice of eating smart, moving more, and taking ownership of what you did to your health vs being slowly ravaged by diabetes complications, I would vote for a little self-control and a lot of education.
I for one, am Type 1, I had no choice in my condition, however, I do choose to take control of it, manage it, and remain as relatively healthy as I can, even though I am learning it is not in my best interest monetarily. I cannot get on the group insurance plan for small business owners, (as my husband is a small business owner) because of my, (wait for it), pre-existing condition. I know, I too though this was a thing of the past, however the agent from this small business group plan informs me he is not allowed to sign me up on their plan. They can take my husband, but I must be directed to the “market place” crap. As I have shopped these ACA plans, and learned again, because I choose to work with my “disabilities”, I would get no assist with subsidies, tax breaks or hand outs, whichever they choose to call it. My premiums and deductibles would be doubled. My co-pays at the pharmacy have already tripled for my insulin and test strips, and this is helping me how Mr. Prez? The articles does go on to tout all the good programs and work-shops they are setting up, alas the same problems will exist, how to get people to attend now, if they wouldn’t in the past.
I am just planning ahead, testing the waters for my future, as I feel my group insurance at work may be drastically changing come August, and considering the fact that I am hardly able to continue wrestling obese patients and senior citizens around full time much longer. Quoting a line from the article above, “Diabetic Beware.” a “relatively healthy person with diabetes can cost insurers around $5,000 a year”, but if you let any of those long term complications develop, then you’re talking $100,000 dollars plus.” People, people…. given the choice of eating smart, moving more, and taking ownership of what you did to your health vs being slowly ravaged by diabetes complications, I would vote for a little self-control, more activity, and a lot of education.
I have, for as long as I can remember, had extremely dry skin, arms and legs, itchy upper back, etc. I greased-up religiously, if not more, and thought I had tried everything. I told myself, “It is what it is” so deal with it. Various MDs of course blamed it Diabetes, I didn’t argue, it gave me my excuse. Then, several times in one month, my acupuncturist commented on my dry legs. Enough was enough. I scoured the drug store for something, anything I could try different and there it was. I had seen TV commercials for this product, especially for diabetics, so I bought one. AWESOME to say the least. No more dead flakes in my socks, or inside of my pant legs, even my arms look and feel better, and it lasts. What is this miracle you ask? It’s simply “GOLD BOND” ULTIMATE, diabetics’ Dry Skin Relief, and it is!!!! I found it in Walgreens, I’m sure it is in other places. It was reasonable at $8 for one with second 1/2 price. I’m going to back to get that deal soon.
An overload of nutritional information out there in the cyber world has made finding the simplest answers extremely confusing, even for me, who has felt fairly secure in my knowledge of “good vs evil” food exchanges and choices. To add to the confusion, good carb/bad carb is now complicated by glycemic index numbers, and not just glycemic index, but glycemic load numbers to add to the confusion. The February 2014 issue of Diabetes Forecast, one of my favorite Go-To resources has an exceptional article, Carbs; Beyond the Basics, which is where much of my following references are taken.
The glycemic index (GI) measures the glucose response to a given number of grams of carbohydrates. They would measure your glucose levels during the first 2 hours after consuming 50 grams of carbs. These carbs are then compared to the response of blood glucose spikes after consuming 50 grams of pure glucose. They then, label these foods High GI or Low GI, obviously, Low GI are much better as glucose does not rise dangerously after your meal. Sounds simple right? Wrong, because it was then realized by the ADA that following a low GI diet alone, did not make any measureable difference in you A1C. So the Glycemic Load was invented. This factors in two important measures of diabetes control; carb counting and the glycemic index. While carb counting considers the total amount of carbohydrates, the glycemic index accounts for the quality of THAT carbohydrate, the glycemic load considers both. The best example; 1 cup of mashed potato vs 1 cup of watermelon, both high on the glycemic index, however, because 1 cup of mashed potato has a much higher carb count, its’ glycemic load is higher.
There can be up to a “threefold difference in the glucose response to the same quantity of carbohydrates.” to confuse matters more, a foods origin, how it was cooked/prepared, the degree of processing, ripeness, and even the brand all affect these numbers. Things to consider; choose unprocessed foods, bypass “puffed” grain products, as well as “instant” products like oatmeal, instant potatoes, rice. There is even a difference in over-cooked grains/starches, cold potatoes are preferred, and fruit which is not overly ripe.
I would advise that you get on the site for Diabetes Forecast and read this article. They cover a bit more and explain in better detail the “why nots” of the above food choices. I found this tid-bit of info amazing, the glycemic index measures were not done on PWD? Which qualifies my belief that our diabetes and our bodies respond differently than the next person, as a matter of fact, my body does not react the same way to the same foods eaten from day to day…..