Why is it that there is so much emotion and sentiment around diabetes. Even recently on some american programme there was “fat shaming” in conjunction with diabetes type 2 and yes there is a fair amount of “blaming” patients regarding their diabetes and a sentiment that diabetics just shovel food down their throats.
This is not the truth and couldn’t be further from it.
There is a really big difference between type 2 and type 1 and for some reason often the type 1’s who generally get labelled “the bad kind of diabetics” get accused of “causing ” their condition – which really is pure ignorance.
Then add to the confusion the diabesity/obesity epidemic that plagues us and you get even more confusion.
One would think though that journalists/tv folk would empower themselves with knowledge.
Anyway the long and the short boils down to what I often say – a relative (type 2) or absolute (type 1) lack of the hormone insulin – which takes a glucose molecule (much needed by the cells (all of them)) into the cell.
It is true that lifestyle is a risk factor for type 2 diabetes, however it is not the only risk factor. Age above 40, genetics, demographic as well as a whole host of other things like stress and medications are risk factors too.
It’s not simply you eat too much therefore you get diabetes type 2.
Also every one of us is actually at risk as we are all going to be over the age of 40 one day and that in itself is an independant risk factor and the analogy I like to use is that the pancreas is like a part in a car – and parts get worn and torn.
So next time you think of fat shaming, think again. Think about things just a bit more deeply. Subcutaneous may be deep but it isn’t always shallow…
So when the sugar goes above 10 mmol/l (different values and way of measuring in the US and UK), the blood vessels : arteries and veins in the : eyes, heart, kidneys and feet and also EVERYWHERE (yes that includes the reproductive organs) SHUT – the sticky mess shuts them and so the cells can not get oxygen and they “starve” and can die.
That is when you have episodes like : stroke, heart attack or a black foot requiring amputation.
Or when you go blind, need dialysis or need to have a heart bypass/stent.
So what is the answer ? More meds, better meds ?? Maybe BUT mostly, more exercise, better eating habits, more exercise etc, consulting the team you know about re your diabetes : dietician, podiatrist, biokineticist, doctor, etc at least once a year.
If you keep the sticky mess away, did you know you live longer and better quality of life than your non-diabetic counterpart?
Should we open up a college to teach folk about diabetes. The diabetes man. Yeah.
A touch of sugar, my doctor says I have a little bit of sugar.
So much of confusion out there. Yes diabetes is here in a big way. Yes it’s logarithmically growing. Yes is perfectly preventable (type2). Yes there are massively big differences between being insulin dependant (type 1) and insulin deficient (varying degrees) type 2.
So yes maybe we need diabetes night school or even day school to tutor folk.
Yes you can not stuff endless amounts of carbs in your mouth. Yes that includes beer. It’s a carb. Yes it is.
Whiskey and water is better but in the quantity of one drink.
Yes fruit is full of carbs – sugar. Yes it is. No it is not great for diabetics. Does that mean you can’t eat fruit at all? No but the quantity and the type count.
Can a dietician help you ? Yes very much so.
Will exercise help ? Indeed, at least one hour though and a few times a week.
Do you have to run ? No, walking is actually better exercise.
Bottom line when your sugar goes above 10 in the blood stream things stick together. A Sticky mess.
Yes folks we have a new insulin and the best best news is that it is priced affordable – R590 SEP for a long acting insulin that almost guarantees NO hypos!!!
What great great news !!!
I can barely contain my excitement as I scribble out scripts for gazillions of patients for whom this means a huge leap up in quality of life living with type 1 diabetes or diabetes that requires insulin injection.
What is it? Toujeo – or insulin glargine U300 – lots to figure out. In a nutshell it is the same as lantus/optisulin BUT squashed smaller. What does that mean?
Science is “fucking” wonderful – sorry I had to – I LOVE !!! science. When you make a molecule smaller you decrease the surface area and thus slow the absorption rate right down. So now you have a more concentrated molecule (U300 vs U100) that is “dissolving” or releasing much more slowly and predictably and yes you guessed it all you insulin boffins out there – no stacking of insulin, which means no HYPOS !!
Simple yet brilliant, don’t you think – or am I just a proper nerd.
Once daily dosing – truly once daily.
No hypos, predictable.
Need I say more
Toujeo or not to je o ??
Shock horror indeed!
The medical people have long been warning of this tsunami and everyone has just yawned and gone – not me. and carried on munching on that way too big carb full meal.
Not me. Not today.
Only to find out 10 years down the drag that actually yes me too.
Diabetes is a tsunami and it IS happening and best we sit up and take notice. There is so!! much that can be done and also there is much to be said about early diagnosis and best management.
Which brings me to medical aids. In their best interest for good management to happen and yet so slow on the uptake. Folk, medical aids need the ground swell pressure of the people to force them to do what is actually best for them – ironically.
And yes CGMS, continuous monitoring and good insulins and newer treatments and earlier interventions actually SAVE money in the long term BIG time and death and morbidity (that’s when you suffer but don’t actually die).
So, folk, women and men folk. Really so much to do, so little time. Go out and have a blood test, if is it negative don’t just accept that as up to 30% of people will have a “normal” fasting sugar but an abnormal post meal sugar – and you guessed it – you could STILL have diabetes.
Stop reading and get a proper test.
Hello. Today is the first of December. November (diabetes month) officially over. “Ca dover”.
Diabetes is a growing problem. Most people do NOT choose it. More so type 1 – spontaneous destruction of all beta cells of the pancreas making you insulin dependent (like alcohol dependant only a little different (this is a little joke so don’t get too upset about this statement if you are prone to getting upset).
Type 2 can be lifestyle induced but that does not mean you should judge the person. Or that anyone has given you the power to do that. Or the right.
Insulin only comes in the injectable form. Yes that means you have to inject anywhere from one to 6 x a day. Then you also have to test your sugar – another “prick” required.
So don’t be a prick to diabetics as having dealt with so many already they can’t tolerate you too. And for that matter the moms and dads of diabetic children also fall into the category of not needing any more pricks in their lives – they are hard enough. Grow some empathy. Please? Even if just for the festive season.
So, in december, the festive season. Not everyone in this life is as blessed as you : health and wealth and mental health wise. If you only do this this festive season let it be that you are kind. To all around you. Truly kind not the falsely kind of kind.
November is diabetes month – awareness around what it is and treatment etc. There is actually quite a lot of strange information that circulates, “fake-news” so to speak regarding diabetes at large.
So let’s dispel some myths.
1.) Diabetes is caused by poor diet : firstly type 1 has nothing to do with diet and is bad luck essentially. It seems to be an auto-immune disease and essentially destroys the b cells of the pancreas creating an absolute lack of insulin.
Type 2 diabetes is a lifestyle related as well as genetic disease and even more complex in nature.
Insulin resistance is a condition more and more prevalent due to lifestyle as well as stress – a big factor. More about this another time.
2.) IF you eat properly you will get better : well firstly type 1 diabetes, without insulin – you die, children in the era before 1921 died. Only since 1921 and Banting and Best’s discovery do type 1 ‘s survive with normal life expectancies.
Concerning type 2 diet is critical and important (as it is with type 1) carbs are key and obviously healthy eating and exercising are key but eating 100% correctly will unfortunately not bring back b cells that have died.
3.) Type 1 diabetics should never eat carbs : whilst one should be mindful of the type and quantity of carb and dose the insulin accordingly it is by no means advised that type 1’s exclude all carbs. This is a tricky one and best discussed in consultation with a dietician.