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.
Your dietitian is misleading you. That's the takeaway from an article published recently in the medical journal The Lancet. The rules of thumb that you've been given are wrong. And losing weight quickly and easily by cutting a few hundred calories a day just doesn't happen, scientists say.
What is it about salt that brings out so many powerful flavors and strong feelings? Simple sodium chloride, or salt, as it's known to everyone but chemistry teachers, has been applied to food as a seasoning since the beginning of civilization. Unfortunately, the sodium in salt has proven dangerous both to diabetics and to healthy people who have a propensity toward heart disease.
As we wrote back in 2008, the EndoBarrier is a very clever way to simulate the effect of a gastric bypass without the unpleasant scalpel part. It looks like a long clear plastic stocking, and it's simply threaded through the patient's mouth and stomach, down to the small intestine, where it lines the intestine's upper section (the same part that is bypassed in traditional surgery). Food slips right through it, but digestive enzymes are trapped on its other side. The two don't get to join forces until a couple of feet further downstream, so the effect on diabetes is a lot like that of a bypass: It resolves the symptoms of type 2 diabetes.
The Centers for Disease Control and Prevention (CDC) has identified a swath of the southern U.S. as the country's "diabetes belt." In this region, made up of parts of 15 states, some 12 percent of the population has type 2 diabetes, compared with 8.5 percent of people in the rest of the country.
Tony Flores is a 50-year-old native of El Salvador who works as a construction foreman. He was diagnosed with type 2 diabetes about 12 years ago, after an eye doctor told him it would be a good idea to get his blood sugar checked. He recalls, "I did the test, and they got all freaked out and told me, ‘Oh my god, your A1C is at 12%. You have diabetes type 2. You've got to cut the sugar, you've got to stop drinking orange juice and soda."
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