
A healthy weight prevents many health problems. That goes for everyone, but especially for people with diabetes. With obesity, insulin is less effective because the body becomes less sensitive to insulin. In obese people, losing weight helps to normalise their high blood sugar levels. Achieving a healthy body weight is sometimes enough to return to normal blood glucose levels! If you notice that you are overweight, you should consult with a dietitian to determine your appropriate weight.
Move
Exercises such as walking, cycling, walking your dog, taking the stairs in stead of the elevator, or digging in the garden, help to maintain a healthy weight and fitness level. Exercise also promotes blood circulation and strengthens your heart, diminishing your risk of heart disease and strokes.
Nutrition
Previously, people with diabetes were put on a strict sugar-free diet. That is no longer necessary, but good nutrition and regular meals, are very important.
Different types of food affect your blood sugar levels. Good nutrition consists of a varied diet, not too much fat, sugar and salt. Many high-fibre foods such as legumes, brown bread, fruit and vegetables, are very healthy.
A few tips on healthy eating:
• If you are thirsty, drink water or herbal tea
• Eat at regular intervals
• Avoid food with high fat or sugar content
• Eat lots of vegetables
• Use low-fat dairy
• Moderate use of alcohol
Regularity
A balance between blood sugar and insulin is important, so eat regularly throughout the day. This means: three main meals (breakfast, lunch and dinner) and possibly, a morning, afternoon and evening snack. As a snack, you should choose healthy alternatives such as fruit or a cracker; skipping meals is not wise.
By eating at more or less fixed times throughout the day, glucose gets released gradually into the body. Blood glucose remains constant, and the ratio of insulin and glucose remains in balance. Ask your dietitian for advice on what is best for you.
Alcohol
Alcohol is considered a poison by your body, and all efforts are made to excrete it. The greatest impact is seen in those who drink heavily on a frequent basis. Heavy drinkers deplete their glycogen stores within a few hours when their diet does not provide a sufficient amount of carbohydrates. Over time, excessive alcohol consumption can decrease insulin's effectiveness, resulting in high blood sugar levels.
Alcohol can also negatively impact blood sugar levels each time that it is consumed. Acute consumption increases insulin secretion, causing low blood sugar (hypoglycemia), and can also impair the hormonal response that would normally rectify the low blood sugar. Drinking as little as 2 ounces of alcohol on an empty stomach can lead to very low blood sugar levels. This makes alcohol an even bigger problem for anyone with diabetes. Along with the impact on blood sugar, alcohol can impact the effectiveness of the hypoglycemic medications, so extreme caution needs to be taken when consuming alcohol by anyone with diabetes.
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