The Question

08/09/09 06:24 PM

"I have been involved in a different type of sex lifestyle where it can be a little rough, would there be any problems in that?"

Asked By: lisasmama

Category: Sexual Issues

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Diagnosed Dec 2008, have not lost any sexual desire at all, just a little worried about maybe getting a little too rough and just wondering if that would or could be a problem.

Expert Answers (2)

08/14/09 02:06 PM

Regards LisaMama; The diagnosis of diabetes merits some major lifestyle challenges. Within the US, diabetes is the 6th leading cause of death. In some racial and ethnic groups, it is the 4th leading cause of death. In 2000, the diagnosis has been found to be the leading cause of blindness, kidney failure, and lower limb amputation as well as a major factor in hypertension and cardiovascular disease. Type 2 diabetes is a disorder characterized by variable pancreatic beta cell function and insulin resistance. It accounts for 90 - 95 % of those with diabetes. Treatment always involves meal planning and physical activity (referred to as lifestyle therapies) and may include oral medications and/or insulin. Type 2 diabetes is a chronic disorder characterized by a triad of metabolic abnormalities causing the blood glucose to rise, resulting in damage to the blood vessels and nerves. The key to managing diabetes is self-management education. Education provides the basis for lifestyle change. Diabetes Educators provide information as well as lifestyle change counseling. The topics of self-management education includes information on medical nutrition therapy (MNT), monitoring glucose levels, the importance of physical activity, stress management, pharmacological therapies and other health strategies to prevent complications of diabetes and attain optimal health. Gene and behavioral interactions play a large role in the development of type 2 diabetes. It is theorized that many genes, each with a small effect, may have a role in the genetic predisposition to type 2 diabetes. Genes that are involved in the metabolism of fat or insulin resistance, as well as genes identified in some of the rare diabetes syndromes may also be involved in type 2 diabetes. The corner stone of MNT would include:

Eat a wide variety of foods. Special diet foods are not necessary; however, some reduced calorie items can be useful.

Eat on a regular basis (every 4-5 hours).

Care Sue

Answered By: Susan Throop

Accreditations: RD, CDE, MA

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08/14/09 05:39 PM

As a P.S regarding the concern "rough" activities; As I indicated in the above, diabetes is a complex condition and requires a balance between medications, dietary intake, activities(intensity and duration) and other metabolic influences of stress/good or bad. The influences in the blood glucose levels, A1C, random blood glucose levels, fasting readings, are all dependent on those variables. A post exercise syndrome could occur lasting up to 24-48 hours to impact the blood glucose levels, again depending on intensity and durations of activity. So, to conclude the answer is YES, potentially this activity could cause a problem.

Self-monitoring of blood glucose (SMBG) will help with evaluation and to assess your response and determine if blood glucose goals are achieved. It can also assist in management of hypoglycemic episodes, illness and coordination of amount and timing of food, activity, and timing of medications. The ABCs of Diabetes would apply:

A1C<7%,

Blood pressure<130/80,

Total cholesterol<200, LDL<100, HDL>50 for women and 40 for men, TGs<150mg/dl. I would suggest pre-meal values of 90-130 and post meal glucose numbers>150-70mg/dl.

I would suggest, due to the diagnosis of diabetes you receive an influenza vaccine annually and have a current pneumococcal vaccination. Thanks again for asking dLife, call on us as needed. Take care. Regards Sue

Answered By: Susan Throop

Accreditations: RD, CDE, MA

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