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Case ([personal profile] case) wrote in [community profile] fandomsecrets2014-06-25 06:55 pm

[ SECRET POST #2731 ]


⌈ Secret Post #2731 ⌋

Warning: Some secrets are NOT worksafe and may contain SPOILERS.

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Notes:

Secrets Left to Post: 02 pages, 033 secrets from Secret Submission Post #390.
Secrets Not Posted: [ 0 - broken links ], [ 0 - not!secrets ], [ 0 - not!fandom ], [ 0 - too big ], [ 0 - repeat ].
Current Secret Submissions Post: here.
Suggestions, comments, and concerns should go here.

Re: Diabetes

(Anonymous) 2014-06-26 03:15 am (UTC)(link)
Thanks. Would you say that, as long as you don't need to take insulin or be on medication, that reversing/managing diabetes is pretty much just like doing what you should have been doing anyway regarding diet and exercise? Would you still be called a diabetic if, just by proper nutrition and fitness, you maintained healthy blood sugar? I guess that's where I get confused on what is reversing versus what is managing, and do either of those still allow for the ocassional indulgence? Is it like "You may never have a piece of cake again!" Or is it "I'ma have this cake today, but then I shouldn't have ice cream tomorrow, pizza the next day, and cookies the day after."

Sorry to be bombarding you with questions. I'll be glad to talk to the nutritionist next month. Because it's funny, actually. I was here a couple months ago trying to figure out how to manage what I ate and get some perspective on what was an appropriate amount of dessert in a week, because it didn't seem like I should be eating dessert every day. One of the things I said was that I was trying to limit to three a week, and was trying to figure out if I would count it as a full-on dessert if I had one fudge-dipped Ritz cracker (they're very good and satisfying), or if it only counted if I had the full-serving of four (which I never did).

And I was harangued by people who tried to tell me I was depriving myself with just the one cracker, and OF COURSE dessert every day is OK, as long you practice moderation! Now, to me that sounded like a load of hooey from someone who probably has less of a clue about what moderation of dessert is than I do. But either way, guess I'll be cutting back/out even more now.

Re: Diabetes

[personal profile] herpymcderp 2014-06-26 04:12 am (UTC)(link)
Reversing as in no longer diabetic: no insulin, medication, or other management needed. Granted, I could easily become diabetic again if I gained a lot of weight, stopped exercising, or decided to subsist on candy.

I limit sugar, but I don't abstain from it. Most of my diet is carbohydrates actually, but they're always paired with something that lowers the glycemic index considerably. Examples: I'll have granola for breakfast which contains a fair amount of sugar, but it's made of oats which contain a good amount of protein and I have it with plain yogurt and fruit. I'll have pizza, but I make the crust with ground flax seeds in the flour for fibre, protein, and omega 3's and the toppings are largely vegetables and low fat mozzarella.

I make healthier versions of most recipes so I can still enjoy the foods I like without having to worry about what it's doing to my blood sugar. I make my own desserts and I eat small portions of them. I still love things like strawberry shortcake, but if I have it it's a cupcake sized portion with plenty of berries and only a small scoop of ice cream. I don't go overboard. Hell, I'd even say I eat dessert every day, but dessert for me can be anything from watermelon agua fresca to fresh cherries to a homemade brownie.

I also love things like jams, but I've taken to making my own with around half the sugar the recipes call for.

If you're managing your diabetes, you're still diabetic. If you've reversed it, your a1c and random fasting blood glucose is down to normal levels and insulin and medications aren't necessary. The latter I'd say still allows for a few sweets now and again, but you have to make sure the rest of your diet is clean. The only thing I absolutely never have aside from special occasions is soda and candy. Pure sugar is just not something I need, and the enjoyment isn't worth the health detriment.

I also can't stress the importance of a muscle building workout routine enough. Not only does it help your metabolism, you also increase the number of insulin binding sites in your body since striated muscle is one of the only places aside from the gut where they heavily populate the tissues. Lifting weights is one of the best things I have done to help get my diabetes under control.

Re: Diabetes

(Anonymous) 2014-06-26 04:43 am (UTC)(link)
Thanks for all of this. You make me feel a lot more at ease with my situation and my future.

Re: Diabetes

(Anonymous) 2014-06-26 04:25 am (UTC)(link)
Herpymcderp is correct. Typically when you've reversed your diabetes you label it as in remission, I believe. So you don't have it, but you are likely to again if you let diet and exercise go out of control.

Re: Diabetes

(Anonymous) 2014-06-26 08:50 am (UTC)(link)
Type 1 diabetes can't be reversed. Type 2 diabetes can, but not everyone can do it so they "manage" it much like type 1 diabetics do depending on how severe their problem is.

Right now, my A1C is not within the range that's considered diabetic by my doctor, but I am still on medication. The meds are no big deal, they're just pills, taken twice a day. I actually like them, because they also work as an appetite suppressant which REALLY REALLY helps with not overeating. Don't fear the pills, anon.

Is it like "You may never have a piece of cake again!" Or is it "I'ma have this cake today, but then I shouldn't have ice cream tomorrow, pizza the next day, and cookies the day after."

It's more the latter. IF you are being sensible about your diet (lots of vegetables, carbs in strict moderation, no sugary drinks/snacks, etc.) and IF you are exercising regularly, then the occasional piece of cake won't kill you, just don't make a habit of it and definitely limit portion size like herpymcderp describes. Honestly, the "it's okay to eat dessert everyday!" people mean well, but they're not really taking into account that "dessert" means different things to different people, and that for diabetics, "moderation" is going to have to be more stringent than the average person's idea of moderation. But it's not the end of the world, really.

Most of this thread has focused on diet more than exercise but I really cannot emphasize enough how much regular (preferably daily) exercise helps. I'd even go so far as to say that if you just do the diet but not the exercise, reversing type 2 diabetes will be damn near impossible and the effects on your A1C won't be nearly as noticeable without it. You don't necessarily have to bust your ass at the gym, certainly not right away. But get walking. Exercise bike/elliptical is also good. Half an hour a day at a pace quick enough to get your heart rate up and keep it elevated while you're doing it.