Download Diabetes for Dummies (ISBN - 0470270861) PDF

TitleDiabetes for Dummies (ISBN - 0470270861)
TagsFor Dummies
File Size4.0 MB
Total Pages410
Table of Contents
                            Diabetes for Dummies, 3rd Edition
	About the Author
	Author’s Acknowledgments
	Contents at a Glance
	Table of Contents
		About This Book
		Conventions Used in This Book
		What You’re Not to Read
		Foolish Assumptions
		How This Book Is Organized
		Icons Used in This Book
		Where to Go from Here
	Part I: Dealing with the Onset of Diabetes
		Chapter 1: Dealing with Diabetes
			Achieving Anything . . . Or Everything!
			Reacting to Your Diagnosis
			Maintaining a High Quality of Life
		Chapter 2: It’s the Glucose
			Detecting Prediabetes
			Understanding What Diabetes Does
			Tracing the History of Diabetes Treatment
			Sharing Some Real Patient Stories
		Chapter 3: What Type of Diabetes Do You Have?
			Getting to Know Your Pancreas
			Type 1 Diabetes and You
			Having Type 2 Diabetes
			Having Gestational Diabetes
			Recognizing Other Types of Diabetes
	Part II: How Diabetes Affects Your Body
		Chapter 4: Battling Short-Term Complications
			Solving Short-Term Complications
			Understanding Hypoglycemia
			Combating Ketoacidosis
			Managing the Hyperosmolar Syndrome
		Chapter 5: Preventing Long-Term Complications
			How Long-Term Complications Develop
			Kidney Disease
			Eye Disease
			Nerve Disease, or Neuropathy
			Heart Disease
			Diabetic Blood Vessel Disease Away from the Heart
			Diabetic Foot Disease
			Skin Disease in Diabetes
			Gum Disease in Diabetes
		Chapter 6: Diabetes, Sexual Function, and Pregnancy
			Examining Erection Problems
			Facing Female Sexual Problems
			Striving for a Healthy Pregnancy
			Identifying Polycystic Ovarian Syndrome
	Part III: Managing Diabetes: The “Thriving with Diabetes” Lifestyle Plan
		Chapter 7: Glucose Monitoring and Other Tests
			Testing, Testing: Tests You Need to Stay Healthy
			Monitoring Blood Glucose: It’s a Must
			Choosing a Blood Glucose Meter
			Tracking Your Glucose over Time: Hemoglobin A1c
			GlycoMark Test
			Testing for Kidney Damage: Microalbuminuria
			Checking for Eye Problems
			Examining Your Feet
			Tracking Cholesterol and Other Fats
			Measuring Blood Pressure
			Checking Your Weight and BMI
			Testing for Ketones
			Testing the C-reactive Protein
			Checking the TSH
		Chapter 8: Diabetes Diet Plan
			Considering Total Calories First
			Getting Enough Vitamins, Minerals, and Water
			Counting Alcohol as Part of Your Diet
			Using Sugar Substitutes
			Eating Well for Type 1 Diabetes
			Eating Well for Type 2 Diabetes
			Reducing Your Weight
			Coping with Eating Disorders
		Chapter 9: Keeping It Moving: Exercise Plan
			Getting Off the Couch: Why Exercise Is Essential
			Exercising When You Have Diabetes
			Determining How Much Exercise to Do
			Is Golf a Sport? Choosing Your Activity
			Walking 10K a Day
			Lifting Weights
		Chapter 10: Medications: What You Should Know
			Taking Drugs by Mouth: Oral Agents
			Using Other Medications
			Avoiding Drug Interactions
			Finding Assistance Obtaining Drugs
		Chapter 11: Diabetes Is Your Show
			Your Role as Author, Producer, Director, and Star
			The Primary Physician — Your Assistant Director
			The Diabetologist or Endocrinologist — Your Technical Consultant
			The Eye Doctor — Your Lighting Designer
			The Foot Doctor — Your Dance Instructor
			The Dietitian — Your Food Services Provider
			The Diabetes Educator — Your Researcher
			The Pharmacist — Your Usher
			The Mental Health Worker — Your Supporting Actor
			Your Family and Friends — Your Captivated and Caring Audience
			The Internet: Your Potential Partner in Lifestyle Change
		Chapter 12: Putting Your Knowledge to Work for You
			Delaying or Preventing Diabetes
			Developing Positive Thinking
			Monitoring and Testing
			Using Medications
			Following a Diet
			Exercising Regularly
			Using Expertise Available to You
	Part IV: Special Considerations for Living with Diabetes
		Chapter 13: Your Child Has Diabetes
			Your Baby or Preschooler Has Diabetes
			Your Primary School Child Has Diabetes
			Your Adolescent Has Diabetes
			Your Young Adult Child Has Diabetes
			Off to College
			Obesity and Type 2 Diabetes in Children
			Sick Day Solutions
			Thyroid Disease in Type 1 Children
			The Extra Value of Team Care
		Chapter 14: Diabetes and the Elderly
			Diagnosing Diabetes in the Elderly
			Evaluating Intellectual Functioning
			Considering Heart Disease
			Preparing a Proper Diet
			Avoiding Hypoglycemia
			Using Medications
			Dealing with Eye Problems
			Coping with Urinary and Sexual Problems
			Considering Treatment Approaches
			Understanding the Medicare Law
		Chapter 15: Occupational and Insurance Problems
			Traveling with Diabetes
			Knowing Where You Can’t Work
			Becoming Familiar with Workplace Law
			Navigating the Health Insurance System
			Changing or Losing a Job
			Considering Long-Term Care Insurance
			Shopping for Life Insurance
		Chapter 16: What’s New in Diabetes Care
			Protecting Yourself from the Dangers of New Drugs
			Red Wine to Defy Aging
			Taking a Statin for All People With Diabetes
			Correcting the Cause of Complications
			Getting Cells to Make Insulin
			Understanding the Importance of the ACCORD Study
		Chapter 17: What Doesn’t Work When You Treat Diabetes
			Developing a Critical Eye
			Identifying Drugs That Don’t Work
			Avoiding Illegal Drugs
			Knowing the Dangers of Some Legal Drugs
			Recognizing Diets That Don’t Work
	Part V: The Part of Tens
		Chapter 18: Ten Ways to Prevent or Reverse the Effects of Diabetes
			Major Monitoring
			Devout Dieting
			Tenacious Testing
			Enthusiastic Exercising
			Lifelong Learning
			Meticulous Medicating
			Appropriate Attitude
			Preventive Planning
			Fastidious Foot Care
			Essential Eye Care
		Chapter 19: Ten Myths about Diabetes That You Can Forget
			Perfect Treatment Yields Perfect Glucoses
			You Can Have Borderline Diabetes for Years
			Unorthodox Methods Can Cure Diabetes
			You Can Tell the Level of Your Blood Glucose by How You Feel
			Hypoglycemia Kills Brain Cells
			If You Need Insulin, You’re Doomed
			People with Diabetes Shouldn’t Exercise
			You Can’t Get Life and Health Insurance
			Most Diabetes Is Inherited
			Diabetes Wrecks Your Sense of Humor
			Soak Your Feet Daily if You Have Diabetes
		Chapter 20: Ten Ways to Get Others to Help You
			Explain Hypoglycemia
			Follow the Standards of Care with Your Doctor
			Find an Exercise Partner
			Use Your Foot Doctor
			Enlist Help to Fight Food Temptation
			Expand Your Education with Diabetes Educators
			Fit Your Favorite Foods into Your Diet with a Dietitian
			Seek Out Appropriate Specialists
			Discuss Your Medications with the Pharmacist
			Share This Book with Everyone
	Part VI: Appendixes
		Appendix A: Mini-Cookbook
			Border Grill
			Charlie Trotter’s
			Gaylord India Restaurant
			Harbor Village
			Il Fornaio
		Appendix B: Dr. W.W. Web
			My Web Site
			General Sites
			Companies That Make Diabetes Products
			Diabetic Exercise and Sports Association
			Government Web Sites
			Diabetes Information in Other Languages
			Sites for the Visually Impaired
			Animals with Diabetes
			Recipes for People with Diabetes
		Appendix C: Glossary
Document Text Contents
Page 1

by Alan L. Rubin, MD




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Activity Kcalories Burned Kcalories Burned
(125 pounds) (175 pounds)

Running, 7 mph 236 328

Gardening 60 84

Writing 30 42

Typing 38 54

Carpentry 64 88

House painting 58 80

Baseball 78 108

Dancing 70 96

Football 138 192

Golfing 66 96

Swimming 80 112

Skiing, downhill 160 224

Skiing, cross-country 196 276

Tennis 112 160

Everything you do burns calories. Even sleeping and watching television use
20 kcalories in 20 minutes if you weigh 125 pounds.

Your choice of an activity must take into account your physical condition.
If you have diabetic neuropathy (see Chapter 5) and cannot feel your feet,
you do not want to do pounding exercises that may damage them without
your awareness. You can swim, bike, row, or do armchair exercises where
you move your upper body vigorously. One of my favorite relatively new
machines that give you a good workout without trauma to your joints is the
elliptical trainer, but you may have to join a club to get at one unless you
buy one for home.

If you have diabetic retinopathy (see Chapter 5), you won’t want to do exer-
cises that raise your blood pressure (like weight lifting), cause jerky motions
in your eyes (like bouncing on a trampoline), or change the pressure in your
eyes significantly (like scuba diving or high mountain climbing). You also
should not do exercises that place your eyes below the level of your heart,
such as when you touch your toes.

Patients with nephropathy (see Chapter 5) should avoid exercises that raise
the blood pressure for prolonged periods. These exercises are extremely
intense activities that you do for a long time, like marathon running.

185Chapter 9: Keeping It Moving: Exercise Plan

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Some people have pain in the legs after they walk a certain distance. This
may be due to diminished blood supply to the legs so that the needs of the
muscles in the legs cannot be met. Although you need to discuss this prob-
lem with your doctor, you do not need to give up walking. Instead, determine
the distance you can walk up to the point of pain. Then walk about three-
quarters of that distance and stop to give the circulation a chance to catch
up. After you have rested, you will find that you can go about the same dis-
tance again without pain. By stringing several of these walks together, you
can get a good, pain-free workout. You may even find that you are able to
increase the distance after a while because this kind of training tends to
create new blood vessels.

Is there a medical condition that should absolutely prevent you from doing
exercise? Short of chest pain at rest, which must be addressed by your
doctor, the answer is no. If you cannot figure out an exercise that you can
do, get together with an exercise therapist. You will be amazed at how many
muscles you can move that you never knew you had.

Walking 10K a Day
The idea of walking 10,000 steps a day may seem like a huge, unattainable
goal to you, but you may be surprised. This is certainly a goal worth striving
toward because, as I discuss previously in this chapter, walking is one of the
most beneficial exercises you can do.

The first step toward reaching this goal is to buy a pedometer, a device that
you wear on your waist that counts each step you take. Don’t buy a fancy
one with a lot of bells and whistles. All you need is to be able to count your
steps and, if you want, to convert the steps into miles. To do this, you need
to know how far you walk each time you take a step. Walk ten steps, measure
the distance, and divide by ten to get your stride length. Input this number
in the appropriate place in the pedometer, and it will give you the miles that
correspond with the steps you walk.

Accusplit pedometers work very well. The model I like is the Accusplit
Eagle, which does nothing but record your steps. You can find it at www. You also can find pedometers at sporting
goods stores.

Begin by doing your usual amount of exercise each day. Remember to record
the steps at the end of the day and reset the button on the pedometer to
zero. After seven days, add up the steps and divide by seven to get your daily
count. You will probably find that you are doing between 3,000 and 5,000
steps a day.

186 Part III: Managing Diabetes: The “Thriving with Diabetes” Lifestyle Plan

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Page 409

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