Entries in American Diabetes Association (3)

Wednesday
Jul282010

Do you Have Pre-Diabetes or Diabetes?

On an initial consult I ask my clients to bring a copy of their most recent blood work. As I glance at the numbers I may ask "when did you get diagnosed with diabetes?" I usually get a look of astonishment with the client saying, "my doctor told me my sugar was a little high and that I am pre-diabetic but not diabetic."

How do you know if you have diabetes? The American Diabetes Association (ADA) has clear-cut guidelines. However, I find these guidelines are not known or acknowledged by many health care professionals.

There is a blood test called the glycosylated hemoglobin A1C. Basically, this is a fancy word showing what your blood sugar has been averaging over the previous 3 months.

Laboratories across the United States have differing normal values, but the average normal for A1C is 4.0-6.0. Once you go above 6 you are technically diabetic, not pre-diabetic. It is like you are pregnant or not, not just pre-pregnant or a little pregnant.

Another way to diagnose whether you are diabetic is to look at your blood sugars 2 hours after eating a meal. If your values register over 126 on more than 2 occasions the ADA guidelines state you are diabetic.

I look at my patient’s fasting blood sugar levels as well. A fasting blood sugar in the 100-115 range could indicate diabetes or that one is on the verge of diabetes. Because these values fall into normal range your physician may not alert you to your level.

Obtain a copy of your blood results and look at your values over time so you have control over your health and knowledge of what is happening in your body.

A diagnosis of diabetes is not a death sentence. If your A1C goes over 6, altering your diet and exercise program can quickly put you back into the normal range. However, your lifestyle will need to be maintained. Diabetes requires daily management.

Knowing your values and the definitions gives you awareness of your health. Hopefully if you hear your health-care professional state "you have diabetes" it will not come as a surprise.

Friday
Mar052010

Heart Disease in Children?

Last month a topic of discussion at the American Diabetes Association conference was children and heart disease.  Artery autopsies done on children who had fatal accidents showed the presence of fatty streaks.

Although I had knowledge of this phenomenon it still came as a shock to fathom children having fatty streaks and blockages in the arteries.  Isn’t that only supposed to happen to older adults?

I hear from parents – “they only wants pizza, burgers and fries.”  Who’s controlling the food?  When I was growing up I ate what was served without too many questions.  If I did not like a particular item served I was encouraged to have a few “no thank you” bites.  I know things have changed but I have to wonder if the current philosophy of feeding our youth needs an adjustment.

This week’s LA times article “A Sticking Issue with Kids” discusses the Center for Disease Control report which showed that cholesterol abnormalities – i.e. high bad cholesterol and low good cholesterol values – are far more common in children than in past times, particularly overweight children.  The article questioned whether we should start checking children’s cholesterol panels.  Pediatrician’s views are mixed.

Where does the solution start?  Will pediatricians start prescribing statin drugs for children to fix the problem of unbalanced eating and inactivity like we do in adults?

When do we start looking at the cause rather than the symptom?  Taking control of our youth’s health and happiness is having time for family dinners, cooking at home, and making meals from whole unprocessed foods.  Our bodies are happy to get rid of bad cholesterol and avoid making plaque when we feed them “clean’ foods in their natural forms.  Running around on the weekend with our kids and engaging them in outdoor activities is essential to keeping their little arteries supple and healthy.

It’s not too late to start now.  Even if your child is overweight and has high cholesterol studies show a turnaround is possible in as little as 2 weeks.  The body responds quickly to dietary changes.  Act now and start those “no thank you” bites of healthy foods.  Remember, it’s prevention not prescription.

Friday
Feb192010

Taking Care of our Children

This week’s New York Times revealed what our country is facing:  childhood obesity and raising children who have more health issues than their parents.  The article’s title is: Gastric Bypass Surgery for Obese Children.  Bypass surgery for children?   There is something seriously wrong with this concept.

Our food supply is toxic; for convenience we feed our children processed packaged foods; we don’t have time to cook, and by the way – let’s operate to fix this problem.

Our nation needs a big wake-up call.  First Lady Michelle Obama launched her anti-obesity campaign for children and it comes not a moment too soon.  How can we help the children in America live a long healthy life?

There needs to be a direct correlation with the government incorporating policies to subsidize fruits and vegetables (versus corn that causes the problem) along with parents who model that practice in the home environment.

A great first step is addressing how you shop.  Shopping around the perimeter of grocery store allows you to buy foods that are fresh and wholesome, rather than processed and refined.  Eating real whole foods means you don’t have to read a label, since apples and broccoli are label-free. 

Foods you buy with a label should have less than 5 or 6 ingredients.  The more ingredients a food has the more processed it becomes.

Does the label contain any ingredients you can’t recognize or pronounce?  Answering this question may be a clue the food is not the healthiest choice.

Besides food choices, exercise and activity are non negotiable for children.  The American Diabetes Association encourages a minimum of 300 minutes of activity or exercise per week for health.  Currently children get 700 less activity calories per day than a decade ago – potentially a 72 pound weight gain per year. 

Studies show cooking and eating at home is a huge component combating childhood obesity.  It is up to us to provide our children healthy meals and activities to decrease their risks – otherwise we may out-live our children.  Our youth is faced with enough obstacles without having to have a major surgery.  Remember, it’s prevention not prescription.