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New York, Long Island: Diabetes & Diet

Diet is an important weapon in your arsenal when dealing with adult onset (Type II) diabetes and juvenile onset (Type I) diabetes. A discussion of diabetes and diet including questions of carbohydrate intake and glycemic indexes. Includes links to articles on diet and diabetes and a link to a dictionary of diabetes terms.

Diet and Diabetes:

Both types of diabetes, the insulin dependent and the insulin resistant type, usually mean the patient will have to make major changes in lifestyle. Although this is very true with Juvenile or type I diabetes (insulin dependent) with careful monitoring of types and quantity of carbohydrates, sugars and sweets, it is even more important in type II or adult onset diabetes, caused not by a lack of insulin, but by insulin no longer working correctly in the body.

The main source of this insulin resistance is thought to come from fat tissue, so that being obese is a major risk factor for adult onset diabetes and losing weight, hard for all of us who try to, is one of the major goals in treating this form of diabetes. Not only must this type of diabetic monitor carbohydrate, sugar and sweet intake, but they must count calories and get off of the couch and exercise more. Of course, this is not an overnight change, but one that must be made for the rest of this type of diabetic’s life.

This is a controversial area, to say the least, with the personalized approach probably being the most useful.

One clinic of note (the Joslin Clinic in Boston) recommends basically a very healthy diet with complex carbohydrates (such as vegetables, fruits, whole grains and fiber) and fewer processed carbohydrates, such as sugary sweets, including cereal, spaghetti, white bread, and potatoes.

They recommend generous portions of protein, such as fish, skinless chicken, tofu and other nonfatty protein sources. Does this sound familiar – many diets being publicized now are similar in constituents and recommendations.

Finally, we all need fats – and the diabetic does also, but the fats are best of the monounsaturated type (such as canola or olive oil – good for any diet), nuts and seeds and fatty fish.

If you search the net, you will find variations on these themes. Remember that the type I diabetic without any insulin probably needs a tighter carbohydrate control, especially of the low glycemic index type (easily absorbed and formed into glucose by the body). All diabetics need exercise and other forms of healthy living.

Diet is only one constituent in a healthy life style for diabetics who with proper blood sugar control (home monitoring, medication and hemoglobin A1c measurements), dietitian and other life style advice, etc. can hopefully expect to escape the severe ravages of chronic diabetes seen before we realized how important blood sugar control was.

Some sites are given below: please remember that diabetes is a serious condition and is no substitute for medical advice and care. Also, is not responsible for the content of external websites.
Related Links
1. Medical Care, Long Island, NY
2. Endocrinology, Long Island, NY
3. American Diabetes Assoc.
4. Nat. Diabetes Education Program
5. Diabetes Dictionary by NIH
6. Beginner's Guide by Joslin Diabetes Center
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