{"id":19336,"date":"2022-06-09T06:03:22","date_gmt":"2022-06-09T06:03:22","guid":{"rendered":"http:\/\/egrowonline.com\/?p=19336"},"modified":"2022-06-09T06:03:22","modified_gmt":"2022-06-09T06:03:22","slug":"living-with-diabetes-and-its-ripple-effect-on-families","status":"publish","type":"post","link":"http:\/\/egrowonline.com\/?p=19336","title":{"rendered":"Living with diabetes and its ripple effect on families"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p><span style=\"font-weight: 400\">When one family member is diagnosed with diabetes, it can be extremely difficult to help them switch to a new, healthier diet. Many factors need to be considered and questions answered. Can you afford to make the nutritional changes? What kind of food should they be avoiding? Do I have to change my diet too?<\/span><\/p>\n<p><span style=\"font-weight: 400\">According to <\/span><span style=\"font-weight: 400\">the<\/span><a target=\"_blank\" href=\"https:\/\/borgenproject.org\/facts-about-diabetes-in-south-africa\/\" rel=\"noopener\"><span style=\"font-weight: 400\"> Borgen Project, <\/span><\/a>diabetes<span style=\"font-weight: 400\">\u00a0is one of the three leading causes of death in South Africa, the other two being tuberculosis and cerebrovascular diseases.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Socioeconomic disparities and other factors contribute to the prevalence of diabetes in South Africa, where proper healthcare is inaccessible in poorer communities.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">More than one million citizens in South Africa do not know if they are diabetic.\u00a0<\/span><\/p>\n<h2>Living with diabetes<\/h2>\n<p><span style=\"font-weight: 400\">There are many ill-side effects for those living with diabetes. Diabetics must consistently track their blood sugar levels to ensure they don\u2019t go into a diabetic coma.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Additionally, diabetics are two to three times likelier to experience cardiovascular problems, like heart attacks or strokes. Diabetes can also cause an individual\u2019s kidneys to stop working.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Among the South African population, there is a major lack of awareness of the <a target=\"_blank\" href=\"https:\/\/health-e.org.za\/2022\/03\/01\/support-for-diabetes-sensor-technology-gathers-momentum\/\" rel=\"noopener\">disease<\/a> and access to proper healthcare. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Dr Joel Dave is the Head of the Endocrinology Division at Groote Schuur Hospital and the University of Cape Town.\u00a0 He explained a few things that we should know about diabetes.<\/span><\/p>\n<p><b>When a family member is diagnosed with diabetes, what happens to their body? <\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There is a multitude of symptoms and complications of diabetes. Common symptoms at diagnosis include frequent urinating of large volumes, especially at night, increased thirst, increased drinking, blurred vision, fatigue and dizziness.\u00a0\u00a0<\/span><\/p>\n<h2>Good control possible<\/h2>\n<p><span style=\"font-weight: 400\">At diagnosis, 50% of people living with type 2 diabetes are already likely to have a complication such as nerve damage in their feet, eye damage or damage to their kidneys.\u00a0 All of the symptoms and complications can resolve and be prevented by good control of diabetes.<\/span><\/p>\n<p><b>What kind of changes do they have to make in terms of their diet (do they have to cut out certain foods or add certain foods)?<\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The most important thing to cut out of the diet is anything containing sugar.\u00a0 They will also need to limit their intake of carbohydrates.\u00a0\u00a0<\/span><\/p>\n<p><b>How do these nutritional and lifestyle changes make managing diabetes easier for the individual and family as a whole?<\/b><span style=\"font-weight: 400\"> \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Lifestyle changes and particularly diet are essential components of diabetes management.\u00a0 Often good control of diabetes could be obtained just with strict lifestyle changes.\u00a0 There is also some data that suggests that these stringent changes include remission of type 2 diabetes in some people.\u00a0<\/span><\/p>\n<p><b>What kind of exercises are they allowed to do? <\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This is a difficult question to answer in general because there is a wide spectrum of people living with various types of diabetes and with various comorbidities such as hypertension, ischemic heart disease and diabetic retinopathy.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In essence, almost all people living with diabetes should do some form of exercise, guided by their treating clinicians.<\/span><\/p>\n<p><b>Will family members who change their eating habits make it easier for the individual who is diagnosed to change theirs?<\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Definitely, support is essential for people living with diabetes, and if the whole household is able to eat similarly, it will make it much easier for the person living with diabetes.<\/span><\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">Diabetes SA has launched our new <a target=\"_blank\" href=\"https:\/\/twitter.com\/hashtag\/ExercisePhysiology?src=hash&amp;ref_src=twsrc%5Etfw\" rel=\"noopener\">#ExercisePhysiology<\/a> service, focused on supporting people who are living with <a target=\"_blank\" href=\"https:\/\/twitter.com\/hashtag\/diabetes?src=hash&amp;ref_src=twsrc%5Etfw\" rel=\"noopener\">#diabetes<\/a>, or at risk of diabetes. You can find out more, or book an appointment, by speaking with Trent, our <a target=\"_blank\" href=\"https:\/\/twitter.com\/hashtag\/AccreditedExercisePhysiologist?src=hash&amp;ref_src=twsrc%5Etfw\" rel=\"noopener\">#AccreditedExercisePhysiologist<\/a>: <a target=\"_blank\" href=\"https:\/\/t.co\/pCfOf1aVuI\" rel=\"noopener\">https:\/\/t.co\/pCfOf1aVuI<\/a> <a target=\"_blank\" href=\"https:\/\/t.co\/uZlhos2K2S\" rel=\"noopener\">pic.twitter.com\/uZlhos2K2S<\/a><\/p>\n<p>\u2014 Diabetes SA (@DiabetesSA) <a target=\"_blank\" href=\"https:\/\/twitter.com\/DiabetesSA\/status\/1493086042739855361?ref_src=twsrc%5Etfw\" rel=\"noopener\">February 14, 2022<\/a><\/p>\n<\/blockquote>\n<p><b>Do family members who are not diagnosed with diabetes have to follow the same diet as the family member who is? <\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If one was honest, the type of diet that a person living with diabetes is required to adhere to should actually be followed by EVERYONE.\u00a0<\/span><\/p>\n<h2>Review your lifestyle<\/h2>\n<p><span style=\"font-weight: 400\">Obesity and chronic diseases of lifestyle are at an all-time high, so it is important for everyone to review their lifestyle choices and to make the type of changes that would promote achieving a normal body mass index and prevention of chronic disease.<\/span><\/p>\n<p><b>What can a family, who can\u2019t afford to make big nutritional changes, do to support the family member who has been diagnosed with diabetes?\u00a0\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400\">This is an excellent question that is very difficult to answer.\u00a0 Food insecurity is a major problem in our country, and the types of food that offer the best chance of achieving good health are expensive.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We certainly do need some form of social grant system and\/or community empowerment to grow vegetables or fruit that can be used to make healthy meals.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">All families should review their spending and to rather divert it to purchasing foods that would promote good health rather than other items, for example, cigarettes, alcohol, fast food, sugar-containing carbonated drinks and high glycaemic index carbohydrates.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Handy tips for those living with diabetes<\/h2>\n<p><span style=\"font-weight: 400\">Registered dietitian and member of <\/span><a target=\"_blank\" href=\"https:\/\/sweetlife.org.za\/\" rel=\"noopener\"><span style=\"font-weight: 400\">Sweet Life Diabetes Community<\/span><\/a><span style=\"font-weight: 400\">, Pitsi Dilepi, also shared a few tips that people who have been diagnosed with diabetes can use.<\/span><b \/><\/p>\n<p><b>W<\/b><b>hat tip(s) would you give someone who wants to stick to their diet and keep their blood sugar under control?\u00a0<\/b><\/p>\n<p>TEEL is a simple way to manage your diabetes. The T is for Take your medication, E is for Eat healthy food, E is for Exercise, a little every day, and L is for Lose weight if you need to.<br \/><b \/><\/p>\n<p><span style=\"font-weight: 400\">If you\u2019re living with Type 2 diabetes, you might not be taking medication \u2013 in that case, you only have to remember EEL: Eat healthily, exercise a little every day, and lose weight if you need to.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Other people with Type 2 will be taking tablets \u2013 usually metformin. And then others will be on insulin injections. If you\u2019re taking metformin, you might have noticed that it gives you an upset tummy \u2013 diarrhoea is a common side effect.<\/span><\/p>\n<p><span style=\"font-weight: 400\">For Type 1 diabetics, the most helpful tip we have is to rotate your injection sites. Inject into a new spot every day. You might not know it, but if you inject into the same area over and over, it can lead to something called lipohypertrophy \u2013 lumps and bumps under the skin.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you inject into these spots, your insulin doesn\u2019t get absorbed properly, and you could be losing as much as 25% of your dose.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If all you do is increase the amount of vegetables you eat at lunch and dinner \u2013 nothing else! \u2013 you will already be doing your diabetes management a big favour.<\/span><\/p>\n<h2>Think green and get physical<\/h2>\n<p><span style=\"font-weight: 400\">Choose from salads, broccoli, spinach, cucumber, cabbage, peas and green beans,\u00a0 gem squash and courgettes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some vegetables aren\u2019t green but still fit into this category because they don\u2019t have any carbs or starch in them \u2013 veggies like tomatoes, carrots, pumpkin, mushrooms, peppers, cauliflower and onions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Avoid potatoes, sweet potatoes or butternut because they are all carbs or starch.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Exercise is like a superpower for diabetes. It can help you lose weight if you need to. It can also help your body use insulin better and make you feel better, happier and more energetic.<\/span><\/p>\n<h2>Losing weight beneficial<\/h2>\n<p><span style=\"font-weight: 400\">If you\u2019re overweight, losing weight is the No 1 thing you can do to help control your blood sugar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It lets the insulin released by your body work much better, it lowers insulin resistance, it\u2019s good for your cholesterol, and it\u2019s good for your blood pressure.<\/span><b \/><\/p>\n<p><b>What kinds of food should diabetics eat more of? What kinds should they eat less of?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Foods that diabetics should eat more of include wholewheat bread, seeded rolls, wholewheat pita,\u00a0 pasta\/noodles or wraps, brown or basmati rice, fresh fruit, lean cold meats, grilled chicken, mini meatballs, legumes like beans or lentils, fish like tuna, sardines or pilchards, cottage cheese and boiled eggs.<\/span><\/p>\n<p><span style=\"font-weight: 400\">They should also consider still or sparkling water, tea or coffee, vegetable juice, low-fat milk and sugar-free fizzy drinks.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Foods that diabetics should avoid include deep-fried foods (like samoosas, spring rolls or vetkoek), sausage rolls and pies, croissants, muffins or other pastries.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Diabetics should also keep in mind that portions are important. <em>\u2013 Health-e News<\/em><\/span><\/p>\n<p>\u00a0<\/p>\n<\/p><\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/health-e.org.za\/2022\/06\/09\/living-with-diabetes-and-its-ripple-effect-on-families\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When one family member is diagnosed with diabetes, it can be extremely difficult to help them switch to a new, healthier diet. Many factors need to be considered and questions answered. Can you afford to make the nutritional changes? What kind of food should they be avoiding? Do I have to change my diet too? [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":19337,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[45],"tags":[8852,395,8853,3452,265],"class_list":["post-19336","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ripple","tag-diabetes","tag-effect","tag-families","tag-living","tag-ripple"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"http:\/\/egrowonline.com\/wp-content\/uploads\/2022\/06\/hand-holding-blood-glucose-meter-measuring-blood-sugar-background-is-stethoscope-chart-file-scaled.jpg","_links":{"self":[{"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/posts\/19336","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/egrowonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=19336"}],"version-history":[{"count":1,"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/posts\/19336\/revisions"}],"predecessor-version":[{"id":19338,"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/posts\/19336\/revisions\/19338"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/egrowonline.com\/index.php?rest_route=\/wp\/v2\/media\/19337"}],"wp:attachment":[{"href":"http:\/\/egrowonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/egrowonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19336"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/egrowonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}