Care Of The Athlete With Type 1 Diabetes Mellitus: A Clinical Review

Care of the Athlete With Type 1 Diabetes Mellitus: A Clinical Review

Care of the Athlete With Type 1 Diabetes Mellitus: A Clinical Review
1Department of Medicine, University of Mississippi Medical Center, Mississippi, United States
2Division of Endocrinology, University of Mississippi Medical Center, Mississippi, United States
3Department of Medicine, G.V. Montgomery VA Medical Center, Mississippi, Jackson, United States
1Department of Medicine, University of Mississippi Medical Center, Mississippi, United States
2Division of Endocrinology, University of Mississippi Medical Center, Mississippi, United States
3Department of Medicine, G.V. Montgomery VA Medical Center, Mississippi, Jackson, United States
*Corresponding author: William B. Horton, Department of Medicine, University of Mississippi Medical Center, 2500 N State Street, Jackson, Mississippi 39216, United States. Tel: +1-6019845601, Fax: +1-6019846665, E-mail: [email protected]
Received 2016 Jan 6; Revised 2016 Feb 24; Accepted 2016 Mar 1.
Copyright 2016, Research Institute For Endocrine Sciences and Iran Endocrine Society
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( http://creativecommons.org/licenses/by-nc/4.0/ ) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
This article has been cited by other articles in PMC.
Type 1 diabetes mellitus (T1DM) results from a highly specific immune-mediated destruction of pancreatic cells, resulting in chronic hyperglycemia. For many years, one of the mainstays of the Continue reading

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How I Stay on Track With My Diabetes Diet During Holiday Meals | Everyday Health

My 79-year-old mother is a house- and pet-sitter in her hometown and is usually busy whenever the holidays roll around, so the family usually spends these special occasions anywhere but her house. Over the last few years, weve held gatherings in various places from the local steak house and our favorite barbecue joint to other family members abodes, such as my cousins house in Atlanta, where we enjoyed Turkey Day in 2015.
That year was the first time we had enjoyed Thanksgiving at her house in several years, but the memory stands out for another reason: I ate way too much.
I remember the day distinctly: I made three trips through the food line, had a quick nap in the recliner while reminiscing about family gatherings spent down on the farm at Grannys, and, two hours later, was ready for a turkey sandwich and more deviled eggs. I was so full that I could barely move, and I hadnt had dessert yet!
How Holiday Meals Tend to Derail My Diabetes Management Plan
Although I remember the discomfort of last years feast vividly, this episode of joyful binge-eating actually wasnt a stand-alone event. Whenever a big day rolls around, no matter how hard I try or how many preparations I make, I usually tend to go off my meal plan, eat too many carbs, and overeat, not finding my way back into my healthier lifestyle until about a week later.
As someone who has lived with type 2 diabetes for 20 years, I have learned a lot, but I continue to struggle with the management of my disease. Its a daily struggle, but as I have matured, not only in real life but as someone with a chronic illne Continue reading

The Diabetes Supplies Thief

Oren Liebermann is a CNN journalist based in Jerusalem who has received two Emmy awards and three Associated Press awards. His travel memoir, The Insulin Express, tells of his Type 1 diabetes diagnosis while globe trotting through 30 different countries. This is an excerpt.
I never see the bastards coming. There are two one driving the motorbike and the other sitting behind him. The second guy is the thief. The first is the getaway driver. Their target is a small pouch sticking about two inches out of my left cargo pocket. Im sure they think it has money since, somehow, I doubt they realize that no tourist would have his billfold hanging out of his pocket. Inside the pouch that I got from Etihad Airways on my way home after my diagnosis are my diabetic supplies: my blood sugar monitor, test strips, and about a third of an insulin pen. The red plaid pouch scores far more points for functionality than style.
They yank the pouch from my pocket as Cassie and I are walking to dinner along the river in Phnom Penh, Cambodia. They make a left and speed off. I immediately start sprinting after them, running full speed for about fifty meters, adrenaline pumping through my veins. Without my diabetes supplies, I am left guessing at my blood sugar. My glucose monitor is the single most important piece of equipment for me to control my diabetes. I cannot imagine a life without it because there is no life without it.
I keep them in sight, but Im not exactly closing the gap. Its not that Im slow. Quite the contrary. I was the fastest Jew in my high school, which almost means somethin Continue reading

Type 2 Diabetes: 7 Surprising Things That Affect Weight

Type 2 Diabetes: 7 Surprising Things That Affect Weight
Could you be sabotaging your diabetes weight loss plan without knowing it? Learn about the factors that may be standing between you and a healthier weight.
Medically Reviewed by Rosalyn Carson-DeWitt, MD
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It may not surprise you to know that being overweight or obese and having type 2 diabetes can increase your risk of diabetes-related complications. Or that, on the flipside, losing a few pounds through healthy habits like eating well and exercising can help reduce your risk for these complications and other health conditions. But what you might not realize is that even if you think youre doing everything right, you may be sabotaging your own your weight-loss efforts without even knowing it.
Here are 7 surprising factors that may be standing between you and a healthier weight and tips to tackle these obstacles and get back on the path to success from two certified diabetes educators (CDEs).
Weight Loss Obstacle #1: Youre overwhelmed.
Remedy: Commit. Renew the commitment daily in increments, if necessary.
If youre overweight or obese, the prospect of losing weight, and then maintaining it, can be daunting. Its a commitment and you need to renew that commitment every day, says Margaret Powers, PhD, RD, CDE, president of Health Care and Education for the American Diabetes Association. To make it less intimidating, she suggests thinking about the commitment as though youre just making it for today. Start by commi Continue reading

Best smoothies for people with diabetes

Smoothies may seem like a healthful option, but they can be a very bad choice for people who have diabetes.
Many people with diabetes are well-informed about what they can and cannot eat. They know also that choosing premade meals, snacks, and drinks can be challenging. People with diabetes have to be very careful when ordering smoothies in restaurants, as these often contain far too much sugar and not enough protein and fat.
With some modifications, however, smoothies can be enjoyed either at home or at a restaurant.
Things to consider when making a smoothie
People with diabetes must pay careful attention to their carbohydrate intake. Avoiding low quality carbohydrates, such as sugar or white flour, and using dietary fiber as their guide in choosing carbohydrates, are the best dietary options for them.
A person with diabetes should consider some of the following:
Extra fat can be a good thing
The debate can be very confusing between good and bad fat, what is good and bad cholesterol, and the ever-changing guidelines on what offers the best balance between them.
However, in short, some fats are very beneficial to people with diabetes, as they help slow down the speed at which sugar enters the blood.
Some sources of fat that can be added to a morning smoothie include:
almond or peanut butter
chia seeds
avocado
raw pecans
raw walnuts
Include extra protein
Similarly to fat, protein offers many health benefits that are particularly important to people with diabetes. For example, high-protein content slows the absorption of food, which reduces the speed at which sugar enters the Continue reading