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Riva Greenberg

Riva Greenberg

Posted: December 17, 2010 11:38 AM

Diabetes myths abound, so my gift to you this holiday season are five diabetes truths you must know. Diabetes is a complex condition, with numerous tasks a patient must do every day to be well. Whether you live a long and healthy life with diabetes often depends on whether you have accurate information and know what to do, when to do it, why, how and how much.

Decisions you make every day about food, carbohydrate counting, medicine, exercise, doctor visits, lab tests, blood sugar monitoring and more either increase or decrease your health.

What better gift to give yourself or a loved one for the holidays than better health?

Excerpt below from my book "50 Diabetes Myths That Can Ruin Your Life and the 50 Diabetes Truths That Can Save It" by Da Capo, a member of the Perseus Books Group.

1. MYTH: Diabetes is the leading cause of heart disease, blindness, kidney disease, and amputation.

TRUTH: Poorly-controlled diabetes is the cause of these outcomes. Well-controlled diabetes rarely is. Highly esteemed psychologist and certified diabetes educator, Dr. William Polonsky, says well-controlled diabetes is the cause of nothing. I like to add, except for a healthier and happier life.

2. MYTH: I must follow one specific "diabetic diet."

TRUTH: There is no longer any such thing as a "diabetic diet." The same dietary guidelines recommended for all Americans: eat a variety of vegetables and fruits (five cups/day), whole grains, lean protein, low-fat dairy, healthful fats, and fiber, are recommended for those with diabetes. Sweets are allowed in moderation and should be worked into your meal plan. A healthy meal plan is one that take calories, carbohydrates and fats into account so that you can reach and maintain your weight and health goals. If you need help designing a meal plan ask your doctor for a referral to a licensed dietitian.

3. MYTH: I don't have to watch myself, because my doctor says I have "just a touch of sugar" or "I'm borderline."

TRUTH: If your doctor says you have "just a touch of sugar" or "you're borderline," you have pre-diabetes. Pre-diabetes is characterized by higher than normal blood sugar but not as high as type 2 diabetes. However, pre-diabetes puts you at risk for type 2 diabetes within five to 10 years. Losing some weight, if you're overweight, and getting more active can reduce your risk of getting diabetes. The landmark Diabetes Prevention Program in 1992 found that lifestyle changes, more than medication, reduced pre-diabetics' risk of getting type 2 diabetes by 58 percent. In people over age 60 the risk was reduced by 71 percent!

4. MYTH: Type 2 diabetes is not as serious as type 1.

TRUTH: Type 1 and type 2 diabetes are equally serious because both can lead to the same debilitating diabetes complications, such as heart disease, blindness, kidney disease, and amputation. As I mentioned in myth number one, poorly-controlled diabetes -- high blood sugar over years -- causes these complications no matter what type of diabetes you have. While type 1 diabetes typically requires more intensive management, approximately 25 percent of people with type 2 diabetes have complications when diagnosed because they've usually had it for several years before diagnosis.

5. MYTH: If my doctor says it's time for me to take insulin, I've failed.

TRUTH: You haven't necessarily failed, type 2 diabetes is progressive for most people. Over time insulin-producing beta cells become compromised and produce less insulin and the body uses insulin less effectively. About 40 percent of people with type 2 diabetes will require insulin to control their blood sugar. While most doctors delay adding insulin to a patient's treatment plan, the renown Joslin clinic starts type 2 patients immediately on insulin for effective blood sugar control. Also, if you're thinking insulin causes diabetes complications, it doesn't. Complications are due to years of uncontrolled high blood sugar.

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You'll find fuller explanations and more information on these and 45 other myths and truths, along tips and recommendations -- on every aspect of diabetes health -- from leading diabetes experts in my book 50 Diabetes Myths That Can Ruin Your Life and the 50 Diabetes Truths That Can Save It."

You can read several more excerpts now to jump-start your improved health. What I know is the more you know, the better you'll do.

For yourself, a loved one or a friend with diabetes, why not give the gift of diabetes health this holiday? Besides, it will solve your problem what to give Aunt Jesse, and you won't have to play "diabetes police" anymore when your loved one realizes the impact of what he or she eats on their diabetes.

May the holidays be not just merry, but your or a loved one's kick-off season for greater health and happiness.

 
 
 

Follow Riva Greenberg on Twitter: www.twitter.com/diabetesmyths

 
 
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HerrMonk
Son of Apollo
03:37 PM on 12/21/2010
Truth:

Fruits and whole grains cause big insulin reactions, and should be avoided if you have the betes.

A low carbohydrate diet essentially cure type II diabetes.

That medical professionals continue to tell people with diabetes to eat sugar and grains is should be a crime. It's like telling someone with lung-cancer to smoke, just smoke the "right" kind of cigarette.
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HUFFPOST SUPER USER
eLucida
Liberate Fitzwalkerstan, defeat A.L.E.C.
10:53 AM on 12/19/2010
T2DM is a disease of carbohydrate metabolism.

MYTH: There is no longer any such thing as a "diabetic diet." The same dietary guidelines recommended for all Americans: eat a variety of vegetables and fruits (five cups/day), whole grains, lean protein, low-fat dairy, healthful fats, and fiber, are recommended for those with diabetes.

TRUTH: Cut back on Carbohydrates, even 'HealthyWholeGrains'. Saturated fat is fine.
Use moderation with sweets, lead, arsenic and opiates.

More info at Blood Sugar 101 http://www.phlaunt.com/diabetes/
and
"Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars" by Richard K. Bernstein
This user has chosen to opt out of the Badges program
11:37 PM on 12/19/2010
I'm sorry but both your post and the website is untrue.
Saturated fat is damaging to people with or without diabetes and carbs, specifically healthy carbs, are very important for good health, again, whether you have diabetes or not.
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HUFFPOST SUPER USER
eLucida
Liberate Fitzwalkerstan, defeat A.L.E.C.
09:53 AM on 12/20/2010
I'm sorry but your reply makes no sense.

How is Blood Sugar 101 untrue? http://www­.phlaunt.c­om/diabete­s/

>Saturated fat is damaging to people with or without diabetes and carbs,

Time to lose the anti-fat phobia.

“The evidence against saturated fats is simply not there.”

>specifical­ly healthy carbs,

Please define.
HUFFPOST SUPER USER
DrP
04:38 PM on 12/20/2010
Please provide sound, scientific evidence to support your claims about saturated fat.
Not the disproven self-reported observational studies, please. I want epidemiological studies and a biochemical explanation. Gary Taubes does this well in support of the truth that it is not saturated fat, but carbohydrates that are unhealthy in the modern diet.
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SitandStay
Lorenzo&BushH8ter
03:19 AM on 12/19/2010
Riva, I am totally disgusted with the medical industry in regards to diabetes. Being a Type 1, brittle diabetic, that can feel my heart "being eaten up" by insulin and the lack of advances made for this disease almost 100 years ago as the first REAL breakthrough managing this disease with insulin being used was in 1922. It was discovered and developed in Canada.
Ever since, it has been one stupid little glucose meter after another, along with the extremely expensive test strips, foist upon this epidemic of diabetics with gazillions more on their way into the coffers of medical device manufacturers and pharmaceutical companies. Nothing could be more profitable as this faux "war" against this killer and quality of life reducer. (Greenpeace should be demonstrating against the profusion of non-biodegradable that is given free by the pushers of the glucose strips. The contrast of funding for this disease and the other diseases that are not as prevalent, where massive amounts of money disappear from anyones sight or regulation, is farce that begs investigating. Celebrities and CEO's wives that are not medical professionals yet sit on boards of directors....IT IS CRIMINAL. Now they make strips that expire if you don't use them in time. A Mission Impossible product that self destructs so you must buy more. I have never had any problem with strips not giving a accurate reading. What is not safe, is to not get a reading!
MommyMD
MD, Professor, Mom
05:42 AM on 12/19/2010
SitandStay,
Find yourself a wonderful endocrinologist and a great insulin pump (cheaper in the long run). It is a crime that our diabetics are as miserable as you sound. Best wishes.
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DrP
04:40 PM on 12/20/2010
I highly recommend you read Dr. Bernstein's book and website. He uses a low-carb approach to treating his own and his patients' Type I. The lower the glucose in the diet, the less insulin you will need to use. If you don't eat foods that require insulin to metabolize (i.e. carbohydrates) and really on fats which don't require insulin, you may find your control improving greatly.
MommyMD
MD, Professor, Mom
02:56 AM on 12/18/2010
Thanks Riva,
As an endocrinologist, I am SO happy that HuffPo seems to have altered their health section from unproven, trendy, money-making, non-scientific articles to lovely posts like your last two. Keep up the good work and tighten your seatbelt....as the entire country becomes pre-diabetic or diabetic, we endos need tons of help with education. Diabetes can only be treated/prevented from the ground up. By the time patients get to me, far too much preventable damage has been done.
Kudos! Continue your education campaigns and thanks for actual science on the Post.
:)
HUFFPOST SUPER USER
Chas53
07:37 AM on 12/20/2010
Agreed. Type II DM is a food borne illness and is usually curable by diet alone. I come across many patients who have never been told this by their doctors.
Also, the Medical Industrial Complex is part of the problem; fast food is in 40% of American Hospitals and pop/snack machines abound.
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DrP
04:34 PM on 12/20/2010
I agree that Type II is a condition (I refuse to call it an illness..it is a symptom of untreated insulin-resistance) that is the result of improper diet. However, Riva's dietary recommendations are actually the myths here. People with insulin-resistance should not be taking insulin. Why would you give more insulin to a "Type II" that has a working pancreas. The problem is not lack of insulin but the inability of the insulin to work in the process of making glucose available for use as energy by the cells. Giving them more insulin just causes high insulin levels and all that insulin in the system is very inflammatory and prevents release of fat stores..thus causing the health issues associated with Type II including obesity (another symptom of insulin-resistance). Hyperglycemia/insulinemia can be prevented and/or reversed with proper diet, which is a high-fat, very low-carb diet, ketogenic diet. The insulin-resistant individual thus burns ketones since glucose can no longer be utilized by the cells. I have staved off my genetic "diabetes" with a ketogenic diet for 11 years. Sadly, Riva's advice is what is literally killing people like me who don't know better than follow conventional medical advice. Read Gary Taubes and Richard Bernstein (even Type Is improve on this sort of diet) and Jay Wortman's website. Doctors like Riva should be sued for malpractice. Or maybe she isn't a doctor?
11:26 PM on 12/20/2010
If diabetes type 2 aren't too far advanced, they can be reversed with right kind of diet that focus on controlling blood sugar level. I believe there are 4 clinical studies where they tried "Paleo Diet" and so far the results are impressive. Heart disease and diabetes go hand in hand. Heart Scan Blog/ Track Your Plaque are great places to learn about how they controlled heart disease (and diabetes). Whole Health Source Blog is another great one. It's really all about controlling blood sugar level by limiting the amount of carbohydrates. If you see fat kids, that means they have very high risk of getting heart disease/diabetes so obviously some are very sensitive to the amount of carbohydrates.
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maribelles
Gopala Gopala Devakinandana Gopala
09:00 AM on 12/26/2010
While I agree that this particular article is somewhat even handed if lacking in a holistic scope, the turnover to 180 degrees to a medical approach is not going to help anyone in the long run, either. The Allopathic medical industry in this country has power akin to the Bank of America and Goldman Sachs in this country, and furthermore, corporations often control the "studies" that influence medical science and medical education. There is nothing inherently "proven" about medical opinions and science, as evidenced by the abominably poor health in our country and the mindset that most disease should continue to be "managed" rather than eradicated, particularly easily healed conditions such as diabetes type 2, obesity, and frankly, heart disease. And "money making"? I think we all know who is milking the cash cows in this country- the medical and pharma industries, not the village herbalist or alternative practitioner.
11:54 PM on 12/17/2010
I have always loved that quote by Dr. Polonsky! I also love and recommend the book. Thank you Riva!
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thepoordiabetic
Ronnie Gregory M
02:40 PM on 12/17/2010
Well said Riva these truths go a long way in dispelling some of the myths like weight gain on insulin or oral diabetes meds cannot be prevented http://bit.ly/fLeJFO