Hi, I’m 41 yrs old and I’ve been dealing with diabetes since I was 23. I’ve gone up and down in my weight. I’ve noticed that stopping the insulin (although extremely dangerous) the weight just falls off. I started off at 343 lbs on insulin, stopped it, and got down to 215 lbs in under a year. I also noticed that the additional swelling that I had while on insulin also went away. I won’t speak for every diabetic, but when I take insulin I swell up.
Excess weight can greatly affect your health in many ways, with type 2 diabetes being one of the most serious. There are many forms of measurement used to evaluate someone’s excess weight; however, the most commonly-used method is calculating your body mass index (BMI). BMI is a number calculated by dividing a person’s weight in kilograms by his or her height in meters squared. BMI is a useful tool used in determining the degree of an individual’s excess weight. There are five weight status categories that you may fit into:
Studies have shown there is a 10% decrease in relative risk for microvascular complications for every 1% reduction in hemoglobin A1c. So, if a person with diabetes has an initial hemoglobin A1c level of 10.7 and drops to 8.2, though they are not yet at goal (about 6.5%), they have managed to decrease their risk of microvascular complications by about 20%. The closer to normal the hemoglobin A1c, the lower the absolute risk for microvascular complications.
What are the ideal levels of blood sugar? A blood sugar or blood glucose chart identifies ideal levels throughout the day, especially before and after meals. The charts allow doctors to set targets and monitor diabetes treatment, and they help people with diabetes to self-assess. Learn more about guidelines, interpreting results, and monitoring levels here. Read now
The A1C test measures the glucose (blood sugar) in your blood by assessing the amount of what’s called glycated hemoglobin. “Hemoglobin is a protein within red blood cells. As glucose enters the bloodstream, it binds to hemoglobin, or glycates. The more glucose that enters the bloodstream, the higher the amount of glycated hemoglobin,” Dr. Dodell says.
“I found out about my prediabetes two years ago when I was diagnosed with polycystic ovary syndrome (PCOS), which puts me at greater risk for diabetes,” said Regan White, 33, of Charlotte. “I knew I was having some kind of blood sugar and hormone issues because I was extremely dizzy all the time – especially before and after eating.” Her fasting glucose was right on the borderline at 100 mg/dl, and her A1C was 6 percent – all indicators of insulin resistance and prediabetes.

When you eat out at a nice place, what comes first? Oh, right. The so-perky-you-want-to-strangle-her girl named Brittany whose pleasure it is to serve you today. But I was talking about the meal itself. Most non-fast-food meals start out with a good salad. What could be healthier? Salads are generally low in both calories and carbohydrates. That means they are good for controlling blood sugar and controlling waistline expansion. An added bonus: if you get filled up with salad, you’ll be less hungry when it comes to the rest of the meal—so you’ll eat less of the stuff that’s “bad” for your blood sugar log. Eating less of that other stuff will help you with Tip Number 4.


Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
Lifestyle change should be the cornerstone of treatment for type 2 diabetes. The recommendations go on to say that for patients who achieve an A1c below 6.5% with medications, we should decrease or even discontinue those drugs. Doing so requires careful monitoring to ensure that the person stays at the goal set with his or her doctor, which should be no lower than 7%, for the reasons stated above.
Hi, I’m 41 yrs old and I’ve been dealing with diabetes since I was 23. I’ve gone up and down in my weight. I’ve noticed that stopping the insulin (although extremely dangerous) the weight just falls off. I started off at 343 lbs on insulin, stopped it, and got down to 215 lbs in under a year. I also noticed that the additional swelling that I had while on insulin also went away. I won’t speak for every diabetic, but when I take insulin I swell up.
No single food, supplement, or workout session is going to be the magic bullet. To lower blood sugar (and keep it balanced for good), start eating a minimally processed diet that contains fiber, protein, healthy fats, and high quality carbohydrates; get regular exercise; make sure you’re hydrated and well rested; play around with meal composition; and experiment with research-backed superfoods and supplements.

When an individual predisposed to diabetes has excess weight, the cells in the body become less sensitive to the insulin that is released from the pancreas. There is some evidence that fat cells are more resistant to insulin than muscle cells. Individuals affected by type 2 diabetes, who exercise, appear to reduce the severity of insulin-resistance because the exercising muscles use the extra sugar found in the blood; therefore, the body does not secrete insulin and the sugar is no longer diverted to excess fat cells.

The only reason to continue to give this bad advice is the lingering fear of natural fat. If you’re going to avoid fat you need to eat more carbohydrates in order to get satiated. But in recent years the old theory about fat being dangerous has been proven incorrect and is today on its way out. Low-fat products are simply unnecessary. So this reason doesn’t hold up either.

Your A1C goal is specific to you. Several factors come into play, such as your age, how advanced the diabetes is, and any other heath conditions you have. A common A1C goal for people with diabetes is less than 7 percent, Dodell says. If you can keep your A1C number below your goal, you help to reduce the risk of diabetes complications, such as nerve damage and eye problems.
Yes. Health care professionals also use the fasting plasma glucose (FPG) test and the OGTT to diagnose type 2 diabetes and prediabetes. For these blood glucose tests used to diagnose diabetes, you must fast at least 8 hours before you have your blood drawn. If you have symptoms of diabetes, your doctor may use the random plasma glucose test, which doesn’t require fasting. In some cases, health care professionals use the A1C test to help confirm the results of another blood glucose test.
We as doctors were supposed to first encourage diet and exercise, all that good lifestyle change stuff, which is very well studied and shown to decrease blood sugars significantly. But if patients didn’t meet those target A1c levels with diet and exercise alone, then per standard guidelines, the next step was to add medications, starting with pills. If the levels still weren’t at goal, then it was time to start insulin injections.
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It provides different, and complementary, information to a single glucose concentration. Some patients may have near normal fasting glucose values but very high postprandial levels, and others may have elevated fasting levels with only moderately elevated postprandial levels. Hemoglobin A1c provides information comparable to what might be provided by having frequent glucose values throughout the day over the course of 3 months. [2, 3, 4]
Kim SE, Castro Sweet CM, Gibson E, Madero EN, Rubino B, Morrison J, Rosen D, Imberg W, Cousineau MR. Evaluation of a digital diabetes prevention program adapted for the Medicaid population: Study design and methods for a non-randomized, controlled trial. Contemp Clin Trials Commun. 2018 Jun;10:161-168. [PMC free article: PMC6052649] [PubMed: 30035241]
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Like fiber and protein, fat buffers blood sugar spikes. In fact, unsaturated fats have been specifically linked to improved insulin resistance. Just be sure to avoid refined fats, including trans fats and processed vegetable oils, like corn, soybean, and safflower oils, which can be pro-inflammatory. Sources of quality fats to consider adding to your diet include: nuts, olive oil, ghee, coconut oil, avocado, and fatty fish like salmon.

When you are choosing types of exercise, pick activities which are going to be enjoyable for you. When you perform activities that you enjoy, you have a better chance of sticking with them. You can occasionally change up the exercises that you do to prevent yourself from getting tired of following the same routine. Great examples of fun exercises are swimming, walking with a friend, or a dance class.


Aside from managing your diabetes, a diabetes diet offers other benefits, too. Because a diabetes diet recommends generous amounts of fruits, vegetables and fiber, following it is likely to reduce your risk of cardiovascular diseases and certain types of cancer. And consuming low-fat dairy products can reduce your risk of low bone mass in the future.

While intentional weight loss in people with diabetes is usually a good thing, unintentional weight loss is not. If blood sugars are very high, patients with diabetes tend to urinate a lot, and this results in dehydration as a possible cause of weight loss. Also, muscle breakdown can occur if sugars are too high, causing an unhealthy weight loss. Actually, many patients with diabetes present for the first time to their doctor's office because of unexplained loss of weight. In addition to diabetes, there are other concerning causes of unexpected weight loss which should be explored such as thyroid disease and cancers.


Any condition that affects the quality and quantity of red blood cells (RBCs) and hemoglobin (e.g. iron deficiency, bleeding, hemolysis, etc.) will affect A1c test results. For example, if someone is iron-deficient, the A1c level may be increased or if a person receives erythropoietin therapy or has had a recent blood transfusion, the A1c may be inaccurate and may not accurately reflect glucose control for 2-3 months.
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
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How does diabetes affect children and teens? Studies show that many parents cannot identify signs and symptoms of diabetes in children and teens, but type 1 and especially type 2 are becoming more common. Knowing the signs and getting an early diagnosis makes diabetes easier to manage. Find out more about how to recognize diabetes and how to spot the early signs. Read now

Diabetes: The differences between types 1 and 2 There are fundamental differences between diabetes type 1 and type 2, including when they might occur, their causes, and how they affect someone's life. Find out here what distinguishes the different forms of the disease, the various symptoms, treatment methods, and how blood tests are interpreted. Read now
If you think you may have a medical emergency, call your healthcare provider or 911 immediately. Any mention of products or services is not meant as a guarantee, endorsement, or recommendation of the products, services, or companies. Reliance on any information provided is solely at your own risk. Please discuss any options with your healthcare provider.

Oversnacking. Some kids with diabetes eat too many snacks because they or their parents worry about hypoglycemia (low blood sugar). Keep track of the snacks in your home and how quickly they're eaten. If you have questions about healthy snacks, talk to your doctor or a registered dietitian. Also, talk with your child about the importance of following the diabetes meal plan.

Taylor says he intends to follow up on the people in the study for another four years to see if they are able to maintain their weight, and, if they are, whether they continue to remain in remission. “From the very clear data we produced in this trial, yes, this is a watershed moment for diabetes,” he says. “We can offer people hope from the start.”


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Can diabetics eat bananas? Traditionally on the list of foods to avoid with diabetes, it seems that bananas may, in moderation, be a suitable choice. Learn about how bananas can affect your blood sugar and how to get their nutritional benefits while following a healthful diabetes diet. Get some tips on how to incorporate bananas into the diet. Read now
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it is very possible to prevent prediabetes from developing into type 2 diabetes. Eating healthy whole food, addressing overweight and staying at a healthy weight, and committing to some physical activity—which can be a walk or two daily—is enough to help get your blood glucose level back into the normal range. That's the key to assuring you avoid not only the onset of diabetes but all the related complications including heart disease, vision, loss, nerve damage, and kidney failure.
What are the ideal levels of blood sugar? A blood sugar or blood glucose chart identifies ideal levels throughout the day, especially before and after meals. The charts allow doctors to set targets and monitor diabetes treatment, and they help people with diabetes to self-assess. Learn more about guidelines, interpreting results, and monitoring levels here. Read now

For monitoring glucose control, A1c is currently reported as a percentage and, for most people with diabetes, it is recommended that they aim to keep their hemoglobin A1c below 7%. The closer they can keep their A1c to the American Diabetes Association (ADA)'s therapeutic goal of less than 7% without experiencing excessive low blood glucose (hypoglycemia), the better their diabetes is in control. As the A1c increases, so does the risk of complications.
The American Diabetes Association (ADA) recommends to begin A1c testing at age 45 for overweight or obese people; if the result is normal, the testing should be repeated at a minimum of 3-year intervals, with consideration of more frequent testing depending on initial results and risk status, or when classical signs or symptoms of increased blood glucose levels are observed.

In case of a medical emergency, be sure that you carry medical identification (a tag or card) that says you have diabetes and lists the medicines you take. It should also give the name and telephone number of your doctor. Tell your family, friends, teachers, or other people you see often about the signs of low blood sugar. Explain how to treat it. You may need their help some day.
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