Why Diabetes Is Not Like Any Other Disease . . . And What You Can Do About It!

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by Amelia M.L. Montes (ameliamontes.com)

Diabetes:  When the pancreas cannot produce healthy shaped cells  that can absorb glucose in the bloodstream, glucose remains in the blood vessels, damaging vessels and also damaging organs throughout the body. 

Diabetes isdifferent from other diseases. Once you have it, you have it for life.  There is no remission. Your pancreas will remain either completely non-working (type 1) or foreverdebilitated (type II).  WithDiabetes, if you want to live a long life with a balanced glucose level, it isup to you to completely change your eating and exercise habits (even withmedication). Unlike cancer which most often concerns medical doctors locatingand excising a tumor, followed by chemotherapy and/or other medications, theburden on controlling blood sugars rests upon the individual, not in excisingthe pancreas, getting a new one or anything like that.  An individual with Diabetes could betaking medication like metformin, a well-known drug that has been on the marketa long time and has had a good record in assisting the body to control sugar orglucose levels, but that is not enough.  Notice that I wrote “assisting” because, again, the burden falls upon the individual.  You can take all the drugs you want,but without a diet you create yourself which fits your chemical makeup, and withouta good exercise regimen—complications from Diabetes will appear (retinopathy, nephropathy, neuropathy). 

This is a helpful book (click here) that helps people who wish to curb a high sugar diet.  Great tips in here to create your own individualized diet that can work for you.  There is also good scientific explanations
about food and glucose.

And that is whydoctors become so very frustrated with patients.  “I tell them until I’m blue in the face,” a doctor once toldme.  “I tell them that it’s up tothem.  They have to control theirglucose levels.  A pill is not theanswer.  Most people are notwilling to make any changes until it’s too late—until they can’t walk, they goblind, they go on dialysis.”
I’ve thoughtabout what this doctor and others have similarly said.  And in reading so much about thisDisease, I’ve also understood another aspect to the patient’s inabilities tochange. 
First:  It’s very hard to come home after adiagnosis and be told to completely change your diet.  To what?  Howdoes one know?  Insurance companiesoften will not include “Diabetes Education” for patients until they areactually diagnosed with the disease. For those who are diagnosed as “PRE-Diabetic” (meaning that there isevidence of high glucose levels but not quite high enough for the Diabetesdiagnosis), there is no education. This should be the exact time when much of the education should takeplace.  Or, if it is apparent thatthe disease is a genetic factor in an individual’s family history, thatindividual should have the opportunity to enroll in Diabetes education even ifshe/he may never manifest the disease—at least they are more equipped to understandand help other family members or friends who have it. 


Second:  Michael Montoya’s book, Making the Mexican Diabetic is a must-read for all of us because he points out howChicano and Chicana/Latina and Latino communities can so easily become areaswith high rates of Diabetes.  Forfamilias with a tight income, it’s hard to think about buying expensive organicfood and taking the time to cook it when McDonalds offers a sausage burrito for$1.00 and when you’re tired from working two jobs—who wants to cook?  And if you’re tired from work, the lastthing you want to think about is exercise.  Or if the doctor tells you to at least walk yourneighborhood for a half hour every day, you may live in a neighborhood wherethat would not be a safe thing to do. I agree with Dr. Montoya that as long as we have the fast food companiessetting up shop everywhere, as long as towns and cities do not offer safepublic areas (parks!) with activities to join (swimming, running clubs, yoga,kick ball, sports for youngsters and adults), it’s going to be very difficultto lower the rate of Diabetes in our population. 

Dr. Bernstein's _Diabetes Solution_ is another book that can be helpful in
understanding what is meant by "normal blood sugars" 

Third:  A key component to understanding yourbody is to test your blood and if you are on a very tight budget, this can bedifficult.  The glucose test monitoris often available for “free” (once you’re diagnosed).  But the problem here concerns the test strips which areexpensive.  Just yesterday, Ibought (with my prescription) my supply of test strips.  There are 100 in two vials.  With insurance:  $62.  Without insurance: $124.
If you do nothave diabetes (but you know it runs in your family and you’d like to startmonitoring your blood so you will prevent the disease) or if you have been toldyou have “pre-diabetes”—you will have to shell out the $124. Something needsto happen so that the cost of test strips can be more affordable making it possible for people to purchase. I'm not sure what the answer is yet.  Why testing isso important:  Without testing, youhave no idea what your body is doing. You could feel just fine and your body may be riding on high levels ofglucose and the longer you have such high levels running throughout yourbloodstream, the quicker you will damage various organs in the body.  It will only take a few months beforethe damage manifests itself in a variety of ways (neuropathy, retinopathy,nephropathy).   

Mintz's Sweetness and Power is a very accessible, slim paperback that will give you vital information about the history of sugar and why our contemporary diet has such an overabundance of sugar
which is one of the main causes for this epidemic.  

Fourth:  Trying meditation or learningstrategies to cope in stressful situations is also key but difficult.  Studies show that testing one’s bloodregularly and keeping it balanced plus learning coping strategies is important in lowering glucose levels.  Why?  Keeping a normal blood pressure level prevents inflammationand inflammation will then also cause high glucose levels in your body which then also damages organs. And that is another aspect to this disease:  it's not only about the food you eat, it's also about how much stress there is in your life.  Something as small as a simple cold can cause glucose levels to rise.  Illness, trauma, stress, major disappointments in life:  all cause glucose levels to rise.
The U.S. canboast about all of us being hard-working people who produce more in a year thanneighboring countries around the world.  And we do.  However, a study showed that even though we produce more, we also makemore mistakes (because we are overworked) and therefore spend millions havingto correct those mistakes.  We alsospend millions on emergency hospital visits and doctor’s visits.  The first year of my diagnosis, I endedup in the emergency room three times and even with insurance, my out-of-pocketexpenditure to medical issues topped at $6,000. 
What to do?
Some tips:  1.    Thereare foods that do not have such a high residual pesticide load and are veryaffordable (non-organic).  These are:a.    broccolib.    cabbagec.    asparagusd.    cauliflowere.    avocadof.     brusselsproutsg.    garlich.    bananasi.     zucchini
A QUICKRECIPE:  I have found “mashedcauliflower” a most delicious substitute for mashed potatoes.  Potatoes are not good for all individuals with Diabetes.  The high starch contentwill affect most people (and that includes rice as well—brown or white).  a.  cut up the cauliflowerb.  steamc. mash it up(either in a food processor or with a potato masher)d. add spices ifyou wish
Mashedcauliflower is easily frozen so you can make a lot of it, freeze it, and thenyou don’t have to keep taking the time to cook it each time you want some. 

I never pay attention to calories or fat counts anymore.  The carbohydrate counts in this little book are what are most important to those of us with Diabetes.  Our food industry misguides us to think that calories are what we need to watch.  What food companies do is they take the fat (good fat!) out of foods and replace it with more and more carbohydrates.  What makes us gain weight is the carbohydrate, not the fat.  But we've all been
programmed to think it's all about fat.  

3. During that first year of diagnosis, what really helped me was figuring out how many carbohydrates are in foods.  There is a little book which I call the "carb helper."  It's title is:  The CalorieKing: Calorie, Fat, and Carbohydrate Counter 2012.  It is revised every year or so and it's vital for those of us with Diabetes.  You'll be surprised what foods are high in carbohydrates (glucose) and what foods are not.   Those who are unfamiliar with Diabetes may think that it's just about staying away from desserts or sugary drinks.  Onion and carrots have a lot of sugar but I did not know this until I began studying carbohydrate counts.  One carrot is like a spoonful of sugar.  Who knew?  And onions:  why do onions carmelize?  Because they have a high glucose level.  Since finding this out, I now cook with shallots instead of onions and it's just as delicious.  
4.  For exercise:  If you cannot afford a gym or cannot exercise outside, walkaround your house (inside), or climb stairs (if stairs are at your work, taketime to walk up and down during half your lunch hour) if there are stairs at ornear home or at work.  Purchase a new/usedbike if you can afford it. 
Discoveries: 
The mostimportant aspect I have discovered in researching this disease is understandinghow each individual (chemically) is so vastly different.  Two people with Diabetes may react verydifferently when they eat, say, a banana. I know someone with Type II Diabetes who enjoys eating a banana everyday and their glucose levels do not spike.  I cannot eat a banana—not even a bite because then myglucose levels spike.  The onething to understand about Diabetes is that the journey to balance glucoselevels demands a journey into keenly understanding your body.  Our bodies are like fingerprints.  Our chemical and genetic makeup is sofascinatingly individual.  And ittakes commitment to want to do this. But it can be done! 

If you are very interested in history-- History of the Pancreas is a fascinating account of the pancreas!  I suggest getting it from your local library because it's too expensive to buy.  

I am wishing allof you a healthy Octubre!  And I invite you to e-mail me if you have questions!  Abrazos a ti, Querida/Querido Bloga reader!