Part 1 of 2 parts
This is the topic for this blog. Where
will you learn about diabetes?
This is not an easy topic as there is
too much poor information on the internet. I will cover what I
consider good to excellent information and cover some areas that
people may not agree with me. Note: I am not a follower of the
American Diabetes Association (ADA), or now the American Association
of Clinical Endocrinologists (AACE) because of some of the activities
and levels of diabetes care they advocate. Too me they are allowing
too much margin for harm in the guidelines they promote. I do cover
them in some blogs, just because I feel it is necessary and to glean
the good information that happens to appear from time to time. Plus,
it is important to know some of what they do and what everyone is
following because they set the official guidelines that doctors are
supposed to follow, although I have found a few that do not adhere to
them 100 percent.
Granted, I have my own biases and have
my own agenda and you will know where so I will not try to deceive
you or hide this from you. I do attempt to present both sides
allowing you then to decide for yourself which direction or
information you want to follow.
I will start with this blog that I
wrote early on and it still has value for me. It is a list of books
in my library and should be good reading for everyone. There are
some other excellent books not on my list. When people like David
Mendosa review them, I quite often add them to my library. There are
some excellent books available, but there is also a multitude of
mediocre and poor books.
Some of the poorest books aimed at
people newly diagnosed with type 2 diabetes are books with the term
diabetic in the title. Many are diabetic cookbooks and these are a
very poor investment and I don't care who they are published by. The
recipes are often very poor and loaded with high levels of
carbohydrates. In addition many of the recipes are not common foods
you and I would eat and a few have very difficult to find
ingredients. I know because I purchased four of these and could not
use them. They ended up in the landfill.
Internet sources are often difficult to
distinguish as being great, good, fair, or poor. And then there are
too many that are trash and promoting snake oil. Presently there is
not a cure for diabetes. Even though there are many people that are
able to avoid medications or get off of medications and live a
healthy life, if they go back to prior bad habits and don't take care
of themselves, type 2 diabetes will return. It is amazing the
numbers of these people there are and they will attempt to convince
you they are cured. I am happy they are able to manage their
diabetes with a healthy meal plan and exercise, but they are not
cured.
Before I continue with internet sources
of information, there is another topic that needs to be covered. I really believe this and at almost 10 full
years with diabetes, they have helped me even more. They are five
things that apply immediately after diagnosis, but I have found they
apply later as well. I am adding a sixth item as it has helped me
with the other five and especially in the battle with depression and
diabetes burnout.
Develop and keep a positive
attitude. This is a key for me and helped me through several
minor depression periods and especially the burnout last year.
Forget about the past. This can
be invaluable when diagnosed. Hanging onto the past or trying to
base what you do now on the past, will normally cause problems for
you. A diagnosis of diabetes requires learning new skills and
starting new habits that will foster excellent diabetes management.
Plus, the past can't be changed.
Be careful to not over do things and
stay away from extreme changes. This is sage advice although
many people do need to lose weight. It is wiser to carefully plan
for this and then implement a weight loss program. Doing this will
help prevent the period of discouragement when you hit the weight
loss plateau and have to make adjustments to restart losing weight.
This also applies to other changes like exercise. It is better to
consult your doctor and make sure there are no medical reasons that
will stop an exercise regimen.
Realize that it is not your fault.
Yes, there many variables and as to which triggered the onset of
diabetes may be impossible to determine. Genetics could be the only
reason, yet there could always be other factors that you had no
control over. So stop kicking yourself and learn to deal with the
diabetes.
Above everything, relax and don't
panic. Please relax. I know that this is not what many people
do and by letting panic and stress take over, you are only making
your diabetes that much more difficult to manage. Learn that stress
is bad for diabetes and can make excellent management more difficult.
Take time to find ways to reduce stress and know what works for you
to keep it to a minimum.
Be prepared to accept different
treatment options. This is an area where your doctor may have
some excellent suggestions based on your recent history. Some doctors
do abdicate their responsibility for whatever reason, so be prepared.
Depending on your blood glucose at diagnosis, you may want to consider starting on insulin and after getting control of your diabetes then going to oral medications and then to no medications. Or if your diabetes is caught early, starting on oral medications and then moving to no medications if possible. A lot will depend on other medical conditions and your ability to control your weight with nutrition and exercise.
Just remember that others have been down this road before you and speak from experience. These are rules that most people want to ignore for some unknown reason. Granted the diagnosis is a shock to most individuals, and this will take over for some.
Overall, 15% of people with type 2 diabetes don't take any medication (managing blood glucose levels with nutrition and exercise alone), and 57% take oral medications alone, without injecting drugs like insulin. Sixteen percent of people with type 2 diabetes take insulin only, and 12% use a combination of insulin and oral medication.
Depending on your blood glucose at diagnosis, you may want to consider starting on insulin and after getting control of your diabetes then going to oral medications and then to no medications. Or if your diabetes is caught early, starting on oral medications and then moving to no medications if possible. A lot will depend on other medical conditions and your ability to control your weight with nutrition and exercise.
Just remember that others have been down this road before you and speak from experience. These are rules that most people want to ignore for some unknown reason. Granted the diagnosis is a shock to most individuals, and this will take over for some.
Overall, 15% of people with type 2 diabetes don't take any medication (managing blood glucose levels with nutrition and exercise alone), and 57% take oral medications alone, without injecting drugs like insulin. Sixteen percent of people with type 2 diabetes take insulin only, and 12% use a combination of insulin and oral medication.
I will take up internet sites for
education in the next part.
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