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Any diabetics out there?

 
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peter07



Joined: 28 Jan 2003
Location: Gwangmyeong

PostPosted: Wed Jul 02, 2008 6:57 am    Post subject: Any diabetics out there? Reply with quote

I recently went to my doctor, and he said I am at danger for diabetes. I've gained a bit of weight, so he said exercise should do the trick.

My mother's side of the family has a history of the disease, so I am now cutting out stuff in my diet.
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icicle



Joined: 09 Feb 2007
Location: Gyeonggi do Korea

PostPosted: Wed Jul 02, 2008 2:52 pm    Post subject: Reply with quote

What are you cutting out of your diet?

I have Type 2 diabetes (with family history on both sides of the family). Managing it for me has not really meant cutting things out of the diet ... and recommended diet these days does not usually include that as much as it used to years ago. Now the diet encourages increasing the low GI foods that you eat so swapping from high GI options to lower GI options. And for me doing that has both helped stabilise my BGL and also to help with weight loss.
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Crockpot2001



Joined: 01 Jul 2007

PostPosted: Wed Jul 02, 2008 4:46 pm    Post subject: Re: Any diabetics out there? Reply with quote

peter07 wrote:
I recently went to my doctor, and he said I am at danger for diabetes. I've gained a bit of weight, so he said exercise should do the trick.

My mother's side of the family has a history of the disease, so I am now cutting out stuff in my diet.


Is your Dr. from Korea? Are you Korean? I only ask as their idea of excessive weight may be slightly different from the West. I am making an assumption here as I do not practice healthcare here.

I agree that exercise is key but diet, quantity of foods eaten at a meal, meal timing, and genetics all have influence.
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icicle



Joined: 09 Feb 2007
Location: Gyeonggi do Korea

PostPosted: Wed Jul 02, 2008 7:46 pm    Post subject: Re: Any diabetics out there? Reply with quote

Crockpot2001 wrote:
peter07 wrote:
I recently went to my doctor, and he said I am at danger for diabetes. I've gained a bit of weight, so he said exercise should do the trick.

My mother's side of the family has a history of the disease, so I am now cutting out stuff in my diet.


Is your Dr. from Korea? Are you Korean? I only ask as their idea of excessive weight may be slightly different from the West. I am making an assumption here as I do not practice healthcare here.

I agree that exercise is key but diet, quantity of foods eaten at a meal, meal timing, and genetics all have influence.


The "at risk of diabetes" situation is usually not identified from having particular risk factors but from blood tests which have blood glucose levels just under those for actually having it. Then doctors will usually look at those things which can help prevent it from actually developing ... and losing weight can make a significant difference. This is talking about Type 2 diabetes rather than Type 1. Most adult onset diabetes is Type 2 and the actual mechanism causing it is different to type 1 and is part of the reason why "at risk of" can be identified from the blood test.
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Crockpot2001



Joined: 01 Jul 2007

PostPosted: Wed Jul 02, 2008 8:34 pm    Post subject: Re: Any diabetics out there? Reply with quote

icicle wrote:
Crockpot2001 wrote:
peter07 wrote:
I recently went to my doctor, and he said I am at danger for diabetes. I've gained a bit of weight, so he said exercise should do the trick.

My mother's side of the family has a history of the disease, so I am now cutting out stuff in my diet.


Is your Dr. from Korea? Are you Korean? I only ask as their idea of excessive weight may be slightly different from the West. I am making an assumption here as I do not practice healthcare here.

I agree that exercise is key but diet, quantity of foods eaten at a meal, meal timing, and genetics all have influence.


The "at risk of diabetes" situation is usually not identified from having particular risk factors but from blood tests which have blood glucose levels just under those for actually having it. Then doctors will usually look at those things which can help prevent it from actually developing ... and losing weight can make a significant difference. This is talking about Type 2 diabetes rather than Type 1. Most adult onset diabetes is Type 2 and the actual mechanism causing it is different to type 1 and is part of the reason why "at risk of" can be identified from the blood test.


The "at risk" determination does not soley depend on tests such as BGTT or A1C. Family hx, BMI, wt. changes, thirst, body shape, CVD, and polyuresis can be outward symptoms observed well before a GTT is administered and sometimes before one's DM status is confirmed. The GTT or FBGTT along with A1c are ideal for confirming insufficient glucose tolerence and ultimatly DM.
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icicle



Joined: 09 Feb 2007
Location: Gyeonggi do Korea

PostPosted: Wed Jul 02, 2008 9:57 pm    Post subject: Reply with quote

It is true that many people have experienced some of those things which you have listed before they have been diagnosed with Diabetes ...

But what I was talking about were the clinical guidelines which are used by doctors in diagnosing and talking about people with or at risk of developing Type 2 diabetes. I know there is a push to try and identify people who are more seriously at risk of developing diabetes before they have it and have started to develop complicaiton.

If you want to know what is actually used to diagnose the people who have or are at risk of developing diabetes. This is a link to the Australian guidelines.

http://www.diabetesnsw.com.au/PDFs/Health_Professionals_PDFs/NMRHC_Type2Guidelines.pdf

It gives the different levels which would put people into the Diabetes Unlikely, IGT (Impaired Glucose Tolerance) and IFG (Impaired Fasting Glucose categories) (which are people who are clinically diagnosed as being at risk of developing diabetes) and those who have type 2 diabetes.

There are risk factors which make you more likely to develop it like weight and family history but people who are diagnosed as "at risk" of Type 2 diabetes have blood levels which show that effectively their body is moving towards developing it ... and it is more important to try to do something about it.
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Crockpot2001



Joined: 01 Jul 2007

PostPosted: Wed Jul 02, 2008 10:29 pm    Post subject: Reply with quote

icicle wrote:
It is true that many people have experienced some of those things which you have listed before they have been diagnosed with Diabetes ...

But what I was talking about were the clinical guidelines which are used by doctors in diagnosing and talking about people with or at risk of developing Type 2 diabetes. I know there is a push to try and identify people who are more seriously at risk of developing diabetes before they have it and have started to develop complicaiton.

If you want to know what is actually used to diagnose the people who have or are at risk of developing diabetes. This is a link to the Australian guidelines.

http://www.diabetesnsw.com.au/PDFs/Health_Professionals_PDFs/NMRHC_Type2Guidelines.pdf

It gives the different levels which would put people into the Diabetes Unlikely, IGT (Impaired Glucose Tolerance) and IFG (Impaired Fasting Glucose categories) (which are people who are clinically diagnosed as being at risk of developing diabetes) and those who have type 2 diabetes.

There are risk factors which make you more likely to develop it like weight and family history but people who are diagnosed as "at risk" of Type 2 diabetes have blood levels which show that effectively their body is moving towards developing it ... and it is more important to try to do something about it.


Thanks.

I suppose what I was driving at was that "at risk" is not a diagnosis, at least not in the U.S. and that may have changed recently too as I have been away from anything DM related for over 18 months. To my eyes, the information you provided does not imply that there is a diagnosis called "at risk" but that some simply is. In the U.S we use "pre-diabetic" which has insurance and medical codes attached. Maybe your term does as well. I think this may be semantics at work.
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icicle



Joined: 09 Feb 2007
Location: Gyeonggi do Korea

PostPosted: Wed Jul 02, 2008 10:58 pm    Post subject: Reply with quote

It is just a semantic difference. I guess that in Australia because of the now relatively high and increasing levels of Type 2 there is a lot of publicity about knowing what your BGL is (so having the basic test) and continuing to have it regularly (every few years) if clear the first time (especially if you have a number of the specific risk factors) ... So that you can know (before you have complications which is still the main way many people find out they have type 2) before you have actually developed it and hopefully prevent it from fully developing. I have very often heard the IGT described as being a specific "at risk" marker. I have a couple of years of medicine in my background way back and so when I was first diagnosed a few years ago I started to read widely and have continued to ...
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Jandar



Joined: 11 Jun 2008

PostPosted: Wed Jul 02, 2008 11:29 pm    Post subject: Reply with quote

I've been type 2 for probably 15 years.

I weighed 240lbs (70in. tall) when I was first diagnosed.

I lost 40 pounds in about 3 months I think that helped.

I started on medication around 1997, I had regained some of my weight and wasn't paying much attention to my risk, I had stopped checking my levels, I understand this happens with diabetics.

I currently take metformin, my doctor also has me on simvastatin for cholesterol, I never had high cholesterol but he said it helps diabetics.
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peter07



Joined: 28 Jan 2003
Location: Gwangmyeong

PostPosted: Fri Jul 04, 2008 4:26 am    Post subject: Reply with quote

Thanks for all the responses. My uncle who has had diabetes for 20 years measured my blood sugar level. He said anything above 120 is dangerous, and mine was 129 after a meal. He said his shoots up to 300-500 after a meal but goes back down to 150 if he exercises after a meal.

My doctor basically told me to lose weight and exercise but I'm avoiding fried foods and red meat.
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