Q: Hi doc, I’m 37, and I have a high blood sugar. My doctor say I should place myself on a diet., but I don’t know how to do it . Please Doc can you help me? Because I have wound on my leg but not diabetic wound. It has been there on my leg as a result of poison before the high blood sugar issue and now the wound refuse to go. Please what should i do . Please help me
A: Diabetes mellitus is a disease in which there are high levels of sugar in the blood either due to a lack of insulin (Type 1) or a resistance to the effect of insulin. What is insulin and why is it so important? Every food we eat is ultimately converted to a form of sugar. Once this sugar gets into the blood, insulin is produced by the pancreas to help take the glucose into the cells where they are to be used. In Diabetes, the body does not make any or enough insulin to move the glucose into the cells or the cells become resistant to the effect of insulin such that there is excess glucose in the blood (hyperglycemia).
Peripheral neuropathy (PN) arises due to this excessive blood sugar that affects nerves that control involuntary body functions. PN can manifest in several ways like excessive sweating, reduced sensation in the hands and feet (such that these people can easily get injured without knowing and the reduced blood flow in the area, makes wound healing poor), constipation, bloating, reduced ability to identify the symptoms of full bladder (with resultant frequent urinary tract infections) and reduced ability to recognize even the symptoms of low blood sugar.
I know all of that sounds very scary…but good control of your blood glucose will help counteract the effects above. Your doctor may also prescribe medications with time. You need to work with your doctor to ensure that your blood glucose is kept normal.In your case, even if you already had a wound, if your blood glucose control is not good, wound healing would be poor and prolonged. Before you conclude that the wound was due to poison, let your doctor check it out. Remember that though there was a specific day when you were diagnosed as diabetic, it does not mean that the disease was not present in your body before, doing damage. That may very well be the ‘poison‘that caused the wound. How to tame your blood sugar? It’s a mix of two things: keep lean and keep active.
Keeping lean involves eating healthy, more veggies and fruits. Remember that because fruits are also high in natural sugars, they have to form part of your daily calorie amount. Be sure to check with your dietician who will give you a proper diet plan. Eat more complex carbs like beans, sweet potatoes, whole wheat cereals, oat meal etc.
How can we make healthy foods the easier choice? Surround yourself with the right foods. Fresh fruits, veggies, dried fruits (which can also be added t nuts), nuts, dairy like yoghurt etc Then make the right choices. It’s one thing to buy up all the healthy things that have been suggested, it’s another to eat them and not reach for the doughnut that your colleague just brought into the office. In our high powered, we-are-all-busy-racing-to-somewhere world, eating breakfast may sound like a luxury, few can afford, but guess what? Studies have shown that eating breakfast may reduce the risk of obesity and Diabetes. So, whether you’re skipping breakfast because you think you don’t have time or because you want to lose weight by kipping meals, it’s bad news. So, how can you ensure that you’re not only eating breakfast but eating the right foods?
For a healthy breakfast on the run, try oatmeal. Oatmeal is always a great idea. Rich in fiber which reduce cholesterol and help protect your heart and keeps you feeling fuller for longer. If you’re not a huge fan of oatmeal, you could sprinkle some cinnamon on it and be sure to take with skimmed milk. Another idea for oatmeal I learnt from a chef is overnight oats. Soak your oats with milk and unsweetened yoghurt overnight (just enough to cover the oats). Cover and leave in the fridge overnight. In the morning, bring out and sprinkle some cinnamon, add some apple or banana slices, a couple of nuts (optional)…and you’ve got a delicious bowl of healthy deliciousness in your hands! Some whole wheat/grain cereals (unsweetened) also not go amiss. Whole grain bread with peanut or almond butter (peanut butter is just ground up peanuts or groundnuts), an egg with a cup of fresh juice or some fruit slices also sounds good If you want to go for a smoothie, be sure to add some veggies (carrots, a handful of green leafy veggies etc) to ensure it is super healthy and not just another sugar rush 😀
You’ve got to keep your weight within normal limits. The BMI is a good place to start. BMI is a simple calculation: weight in kg/height x height. Now, if math is not your favourite subject, you can simply go online and google ‘online bmi calculator’. There are lost of them and these calculators will do the work for you 😀 If your BMI is between 18.5 and 24.9, then you’re fine. If your BMI is 25 to 29.9, then you are overweight. Any BMI from 30 and above is obesity.
You can substitute some unhealthy foods with healthier versions. Please click on this link for more on these:
Keeping active refers to ensuring you have at least 150 minutes of exercise/activity weekly. For tips on how to incorporate activity into your day, please click on these:
Have a super-fabulous weekend 😀