Three decades ago, the landmark Diabetes Control and Complications Study was just beginning. To mark the anniversary of the most important advancement in diabetes care in most of our lifetimes, I've been recalling how the study came about and what it revealed. In short, the DCCT proved the tight control of type 1 diabetes not only was an achievable goal, but that it prevented or delayed complications.
In my work as a prevention health technician in the Lakota community of South Dakota, I encourage people to ask questions and learn the facts about diabetes. Once they are aware of what diabetes is and how they can prevent or control it, they become empowered.
Trying to lose weight as an insulin-injecting person with type 1 diabetes couldn't be more frustrating. It gets on my last nerve that exercise can trigger mind-numbing lows, lows that cause me to inhale a portion of those recently burned calories. That said, I don't skip exercise to avoid lows. I just check my blood sugars more often, use caution with my insulin dosing, and follow the advice of my doctors.
Carbohydrates can increase blood sugar levels in people with diabetes, as well as contribute to weight gain. A recent study shows that eating two ounces of raw, dry, or roasted nuts daily as a replacement for two ounces of other carbohydrates may control blood sugar levels and cholesterol in type 2 diabetes without packing on the pounds.
Beta blockers, which many people with diabetes take to control high blood pressure, may be one of the reasons why type 2s often tend to gain and keep weight. That's the conclusion of a study from St. Vincent's Hospital in Sydney, Australia.
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