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February 10th, 2012
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A coworker asked me if I knew of a cake mix that was sugar free. She was asked to bake a cake for a friend who has diabetes.

 

That began the carbohydrate lesson.

 

"The thing is, although something may say 'Sugar Free' or 'Reduced Sugar' it may still have carbs in it which is what effects blood sugar. Sugar is included in that number." I did my best to not get too technical.

 

"Well I bought this one to try but I thought I would check with you to see if you knew of a better one," she said.

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Sometimes diabetes really does come in handy in school. The knowledge I have obtained throughout more than fifteen years of this disease leads me to information overload. All this information gives me insight into the psychology of chronic illness, the details of diabetes, an overview of complications, and the added bonuses of nutrition, exercise, and all that jazz.

 



The two health classes that I have taken are prime examples of this information overload. When we reached the chapters covering diabetes, I didn't even have to study to pass that part of the exams. I already know the warning signs of type 1 and type 2, the treatments, and the list of complications. It's easy and saves me some time that I can devote to other diseases.

 

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The other night my wife, kids, and I went over to my sister's house for dinner.


Upon arriving we realized we had forgotten a crucial ingredient for the dish my wife was bringing. (Cheese-if you are wondering!)


My wife and I took a quick trip to local grocery store to pick up the cheese and possible get something for dessert. This was not the original plan but it seemed like a good idea to me!


We went into the store and quickly found the cheese she needed.


"Alright, let's go," my wife said assuming we were done!


"Um, I was thinking we should get dessert." I said it with that smile she cannot resist or at least, she makes me think so.


"Alright, what do you want?"


And this is when I freeze up. I have no clue what to get.


"Maybe just some cookies. That sounds good."

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My grandmother once told me that she'd be happy if she never had to eat again, that if she could just take a pill four nourishment instead of eating she'd be fine.
I, frankly, thought she was nuts. I love to eat. The textures, the tastes. There's something so intoxicating about food, especially the ones I'm not supposed to eat. Maybe it's more a case of the forbidden fruit.
Nevertheless, I've started thinking lately that my grandmother (who is also type 2) has the right idea. If I could just lose the desire to eat nonstop I'd be in good shape. If I had to essentially force myself to eat I think I could make healthier food choices more often. Or, more likely, not eat as often. (READ MORE)


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D was exactly what I needed. In fact, what I got from her was what I thought I was going to get from the counselor I started seeing last month about my eating/food issues. My counselor highly recommended that I see D. (Initially I scoffed at the idea of a nutritionist because I didn't need someone to tell me what to eat; I need someone to focus on the "why.")

 

D is more than a nutritionist. She deals with lifestyle issues as they relate to nutrition, eating disorders (in the broadest sense of that term), as well as nutrition. When I first contacted her she asked what we would be working on. I detailed what I wanted ("I want to lose weight and I need someone to help me do it") and what I didn't want ("I don't need an eat-this-don't-eat-that meal plan").

 

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In the past month, I've really gotten off track with my life. School and work seemed to be picking up, so I set a few things on the back burner (not to mention that I had a flare up with my other health conditions). The things that got pushed to the back were really major pieces of my diabetes management.

 

For one, I stopped working out in the way that I had been leading up to mid-March. Before Spring Break, I was working out at least twice a week (jogging 1.5-3 miles on the treadmill). But after Spring Break, life got in the way so I didn't make the time to add those workouts back into my schedule. I made all sorts of excuses: I was too tired, I wanted to go out with friends, I hadn't watched TV in forever, I had to study. Sadly, I think I've worked out a total of three or four times in the past month...that's just really disappointing.

 

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I was discussing diet with a friend of mine last weekend. We were talking about her mother, who is borderline type 2. I asked if her mother was watching her carbs and she said yes, that her mother had cut out almost all carbohydrates, but her blood sugars were still fluctuating all over the place.

When I asked what she was eating, my friend responded with "Chicken, fish, lots of fruit and yoghurt." I just kind of goggled at her. "Fruit? And yoghurt? Those have carbs in them, you know."
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In my nutrition class, an entire chapter is devoted to carbohydrates. Dreadful, but life-sustaining carbohydrates. Of course, the class goes into much greater detail than the familiarity that I have with carbs, but I still feel knowledgeable in the area.

 

 

One piece of information did strike me as very interesting and a little concerning. Someone (I believe the government) recommended that everyone consume at least 130 grams of carbohydrates per day in order to merely give the brain enough energy to survive. Apparently, 45% to 65% of my daily caloric intake should be from carbohydrates.

 

 

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Some years ago, I joined an online "healthy eating forum", expecting support in eating healthy (fresh, whole, medically-appropriate) foods in reasonable amounts -- the same sort of community support one expects from a community in which people are looking to lose or maintain weight. What I found instead was a community of young women in various stages of recovery from eating disorders or disordered eating, or progressing from one type of disordered eating to another.

 

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It's so easy to fall into the trap of thinking that just because I don't have to take a pill to control my Type 2 diabetes, I'm "cured". After all, that's what so many people in my condition were told, so many times, over the past half-century. Some are still told that today. And given that most of the time, my blood glucose levels stay between 85 and 120, with the occasional high postprandial excursion (which occasionally -- like, when I'm low and having dinner at a restaurant -- will lead to a high fasting reading the next morning), there's nothing to alarm the unsuspecting practitioner that back in 2002, at fifty pounds heavier than I am today, the doctor's meter read 170 mg/dl after a ten-hour fast, with an HbA1c of 7.8. Or in lay terms, "I had diabeetus".

 

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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
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