Sunday, April 21, 2024

GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #21: How To Happily Eat Summer – WITHOUT Your Glucose Hitting 600!

For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!


If you want to read more, just click on the three articles below for great information about ways to have fun WHILE keeping your Type 2 in good standing.

First of all, let me tell you, I am NOT a Poster Old Man for smart Type 2 Diabetes living. Staying away from foods I love is often difficult, and I sometimes just give in and go to DQ anyway. But I haven’t given up entirely. We still try to eat right and avoid certain foods. Friends of our help to keep us on the “straight-and-narrow” by their own personal choices (BUT NOT BY PREACHING!) That’s what I try and do here – I try to share what things that work for me.

One example is exercising. I hate exercise. There, I said it.

HOWEVER, I love riding my bike. I’ve liked biking since my parents bought me a three-speed for a Confirmation gift. That started a habit that’s lasted over half a century. Of course, shortly after my parents got me the three-speed, I got a job and bought a REAL bike: my first “curly-handle ten speed”. I’ve been riding ever since. I even use my bike in the winter. A friend of mine lent me his indoor bike stand. For the past three winters I’ve spent about half an hour every other day pedaling away (in boredom), while waiting for Spring to come; or riding on the trails as long as could into Fall.

During the summer, I rotate five different (and hopefully finally add a sixth – two times!) trails. Their LENGTH isn’t as different as that two of them force me to climb a ramp over a busy highway.

At any rate, the three articles I reference below deal mostly with EATING over the summer months! Boiling down TWO of them (the other is Diabetic-Friendly recipes), give me this lists of things I should either CONTINUE doing or try starting.
 
If you use insulin, BEWARE: heat makes the insulin absorb into your skin faster; it can also be damaged by high temperatures; also, heat alters the accuracy of your glucose monitors -- and even the test strips. Just be aware of where and how you carry your "gear".

A) Try NOT to sit around at summer parties -- move around, chat with people, even volunteer to bring foods in and out, or bring cans of pop out.

B) Be aware of how fluid Summer-eating times can be! Lunch can easily slide to supper on a hot day, and the evening meal can show up after 10 pm! We don't have the luxury of a stable metabolism that can handle eating a box of Dunkin Donuts after midnight!

C) Don't load up on carbs and sugar after the sun goes down! You might be alarmed at your glucose readings when you check them first thing in the morning like I do!

D) Don't power load on carbs! (This is me reminding myself, I'm sure you have better control than I do!!!)

E) Sit down and eat a plateful rather than grazing the tables and bags of chips and dips and coolers and...well, you know what I mean! I'm going to try next week at my nephew's wedding: HALF the plate is veggies and meats; the other half can be carbs: buns, cakes, cookies, candies. Keep that balance! (I might try (I) as well...)

F) If possible, pick the grilled chicken breast rather than the grilled burger -- oh, and use half a bun instead of the whole thing -- in either case!

G) If you're eating with close family: ASK FOR OPTIONS! They love you (presumably) but as non-Type Twos, they don't THINK OF HAVING TO CHOOSE healthy options! They WANT you to be around to change diapers and go to concerts and basketball games!

H) DON'T SKIP MEALS BEFORE THE BIG BBQ!!!! I try not to do that anymore! Or if I do, I work extra hard to balance the "big meal" like the plate up in E.

I) Grab the nearest loved one you haven't seen for a while and take a survey of the SPREAD with them noting what's there, what's not there, and what you look forward to eating! Being AWARE of our eating is more important than just about ANYTHING we can do to remain healthy while being happy, too!

Lastly, bring a HEALTHY DISH you can share – scan the recipe website below for suggestions. Even the most sugar-addled, carbohydrate magnet young adult might be open to trying something new and tasty (make SURE you test the recipes before you bring them!) The majority won’t even notice if your deviled eggs have egg whites substituting for HALF the usual six yolks; mixed in low-fat mayo; and checking the mustard content – just skip adding the half cup of sawdust most people assume low-carb, low fat foods will taste like!

Lastly, have fun! Take the grandkids to the park at the end of the street; go for a walk about the block after the meal (better yet, BEFORE the meal!)

Sunday, April 7, 2024

DIABETES RESEARCH RIGHT NOW! #16: The ARTIFICIAL PANCREAS – Today for Type 1; Tomorrow for Type 2!

From the first moment I discovered I had been diagnosed with DIABETES, I joined a HUGE “club” that has been rapidly expanding since it stopped being a death sentence in the early 20th Century. Currently, there are about HALF A BILLION PEOPLE who have Type 2 Diabetes. For the past 3500 years – dating back to Ancient Egypt – people have suffered from diabetes. Well, I’m one of them now… Not one to shut up for any known reason, I added a section to this blog…

Every month, I’ll be highlighting Diabetes research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: STARTING with a 2014 article, “Diabetes – Will it Ever be cured?”; I check up on the various therapies mentioned…Today: MORE advances on the artificial pancreas!  https://www.healthline.com/health-news/type-2-diabetes-an-artificial-pancreas-may-help-improve-blood-sugar-levels


While the system was originally developed to manage blood glucose levels in people with type 1 diabetes, new research suggests that fully closed-loop insulin therapy may help people with type 2 diabetes improve blood glucose levels without raising their risk of severe hypoglycemia, or dangerously low blood sugar.”

"Roughly 415 million people around the world have type 2 diabetes — and keeping their blood glucose levels within a specific range is critically important to reducing their risk of long-term diabetes complications.”

“Dr. Thomas Grace [Medical Director of the Blanchard Valley Diabetes Center in Findlay, Ohio] expects more fully closed-loop systems to become available in the future, including in the United States.”

Well, they’re here now. One such system was developed where I live: Minnesota.

“The Medtronic MiniMed 780G System is an automated insulin delivery system that helps people ages 7 and older manage their diabetes by detecting trends and tracking patterns in glucose levels through continuous monitoring, then using an insulin pump to automatically deliver insulin, and adjust the amount of insulin delivered, as needed.”

WOW! But…uh…what does “a hybrid closed loop system” MEAN????

“An insulin pump is a small, computerized device worn outside of the body that delivers insulin under the skin. A hybrid closed loop insulin pump attempts to mimic the body's natural communication loop by linking with a secondary device called a continuous glucose monitor, or CGM, sensor and automatically adjusting some of the insulin delivered based on continually monitored blood sugar levels.”

My wife already uses a “continually monitored” glucose device. The system you probably seen most often, because it’s regularly advertised on TV, is the “FreeStyle Libre” (manufactured by Abbott (a pharmaceutical company)).

A needle attached to a small, plastic platform has a needle on one side. When applied, the needle is in the bloodstream. Using a synchronized cellphone app, you hold your phone over the platform, and it sends the sensor-derived blood glucose level to the app. You can do it whenever you want, and you eventually get a graph like this: 
https://www.usmeddirect.com/cdn/shop/products/FreeStyleLibre2_002_002_grande.png?v=1597075020

Linked to a blood monitor sensor, that is linked in with an insulin delivery system – hence it’s a closed loop. The person with the “artificial pancreas” doesn’t have to take their blood sugars, then inject insulin themselves. It’s done automatically.

Amazing. Even more amazing that “the first experimental artificial pancreas was developed in 1964.” From that first step to a viable artificial pancreas that was invented for people with Type 1 diabetes…and now applicable to people with Type 2 – all in sixty years!

YOU may be the next recipient of an ARTIFICIAL PANCREAS!

Links: https://www.healthline.com/health-news/type-2-diabetes-an-artificial-pancreas-may-help-improve-blood-sugar-levels , https://myacare.com/blog/artificial-pancreas-technology-for-diabetes-management-types-and-benefits, https://finance.yahoo.com/news/artificial-pancreas-device-systems-market-230200881.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAADBAy9cdsnafVvSQuS0pjYfdIf-U4seLpKhN_HaLqwEmE_0I19d11FV250q3MVWSWqKoB-9VWDfxSQtxXYhRmVHjKDjbB_k8BKxOnSV24tVKvwmXQWy2Tkke_bDQTjrbTWj4mlX65TvZrYTt4LH4BhqfFREeFtEX0fNpMNDV2Bfo , https://www.fda.gov/medical-devices/recently-approved-devices/minimed-780g-system-p160017s091 , https://www.niddk.nih.gov/news/archive/2017/story-discovery-artificial-pancreas-managing-type1-diabetes
Image: https://asploro.com/wp-content/uploads/2019/12/Diabetes-Research_Open-Access.jpg