Kinda sort of diabetes PSA

I haven’t got my new running shoes delivered yet, so the Brooks Adrenaline’s are enjoying a few last jaunts around the bridle path and Central Park roads.

7.6 miles in shorts at sunrise with a happy hamstring = happy Kelly. It’s going to be a busy day but I’ve got a runner’s high so it’s all good.

On diabetes
I mentioned in my last post that we’re studying anything and everything diabetes this week – it’s an interesting condition biochemically, but even more so because of its growing prevalence in this country. I’m talking mostly about type 2 diabetes – the kind that people develop later in life (although younger people are getting it now too!) because of obesity, improper diet/exercise and heredity.

The Earth Mother slice from Two Boots. Healthy and still delicious.

In the hospital, we’ll see patients with diabetes all day long whether we like it or not, so it’s kind of important to understand how to treat it nutritionally. But what gets me about this one is that it’s extremely possible to prevent. So why aren’t people taking the steps they need to prevent it??

Well, for the same reasons obesity is a legit epidemic and not slowing down any time soon – education, motivation, socioeconomics, family history, etc. It worries me that this stuff is starting to be considered “the norm”and may even be on its way to being more acceptable.

I know most of you reading this are younger and runners, but that doesn’t mean we shouldn’t think about this stuff. Especially since most of us have parents, grandparents, aunts and uncles. And chances are if one of them doesn’t already have type 2 diabetes, they will at some point soon.

Who is at risk for type 2 diabetes? People who:

  • Are overweight (BMI of >25) or obese (BMI of >30)
  • Have a parent or sibling with type 2 diabetes
  • Have high blood pressure and/or cholesterol levels
  • Are physically inactive
  • Have a history of heart disease
  • Have had impaired fasting glucose (IFG) or impaired glucose tolerance (IGT) on a recent test at their doctor’s
  • Eat a diet high in saturated fat, sodium and sugar (think processed foods and fast food)

Because I’m so involved in nutrition and health, it frustrates me that people don’t recognize the problems they may be setting themselves up to have, and sometimes I assume they just don’t care. But as an RD in training, it’s important to understand there’s a lot more to it than that, which is why it’s such a huge issue.

What can be done about all of this? If I had the answer, I would definitely be living a few blocks closer to Central Park (and have laundry in my building, a giant kitchen, an endless supply of running shoes…etc.). But one thing I think we can all do is talk to our loved ones that may be at risk. It may not be the easiest thing to do, but when it comes down to it we want them around for as long as possible, right?

Greek yogurt, fruit, walnuts (diabetes-friendly!)

I have a lot to learn about nutrition counseling and what actually gets people to change, but hearing how much your family cares about you has got to have some affect.

And as much as I love you all, I don’t want to be adjusting insulin, treating low/high blood sugar and teaching your relatives (or you!) about carbohydrate counting any time soon.

Aaaand that’s my PSA for the week.

Question: Tell me, how has diabetes affected you or your family? I want to know!

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  • http://www.susanruns.com/ Susan- Nurse on the Run

    My mom was diagnosed with diabetes when I was four years old…it’s an odd combination of Type I/Type II. The doctors can’t figure out exactly which one it is because she’s insulin dependent (more like Type I), but she was diagnosed when she was in her late 30′s. They actually said the stress of having twins might have caused it…oops. She has an insulin pump now, which has made having control a little bit easier, but it’s a really tough disease to manage because you have to be on the ball pretty much all the time. Sometimes she tells me that it doesn’t seem like it’s worth it and that she just wants to eat whatever she wants, but I’ve seen so many people with complications from diabetes that I’m glad she hasn’t actually gone to that.

    Luckily the rest of my family has escaped diabetes, although my sister is overweight and I have a feeling it might hit her at some point, although she is finally trying to lose weight.

    I don’t think people realize what long term effects diabetes can have…it’s not just controlling your blood sugar, it can have major effects on your kidneys, vision, wound healing, etc! A pill does not solve the problem, and a healthy diet and exercise can really make a huge difference. Not that people in this country actually want to work for anything…

    • Jill

      My MIL and FIL both have type 2 diabetes and they really don’t seem to care. They are both extremely overweight, inactive and continue to eat a diet high in fat. They have the mentally that they are too old (late 60′s)to lose weight and just keep popping pills etc…. It’s sad to see somebody kill themselves a little bit everyday.

      • Anonymous

        Oh man, I”m sorry. I wish I knew how to get through to people with that thought process and convince them it’s not to late to make changes.

    • Anonymous

      exactly! It’s not just the diabetes, but everything that comes along with it that will kill you. I think that since it’s not happening to people in the present time, they don’t think they need to do anything to control their blood sugar. it’s hard to look at the bigger picture for them, I guess. But it’s maddening!

  • http://secondcityrandomness.wordpress.com/ Amy B @ Second City Randomness

    Diabetes is definitely a concern I have for my parents. My grandma, as small as she is, got the disease in the last few years. I believe for her it’s mostly that old-fashioned “steak and potatoes” diet. I wish my parents would realize it’s not just a thing people sometimes get when they’re older, but something to be prevented. It’s frustrating.

  • Courtney

    My younger sister was diagnosed with Type 1 diabetes two years ago (around age 22). Actually, I’m not sure how best I can help/support her, though, since she is already regulating, on insulin, etc. That aside, I do agree with you that there should be a lot education about prevention of Type 2.

  • http://amandarunsny.com/ AmandaRunsNY

    My father was diagnosed with type II diabetes recently. Now when I go home I’m always lecturing him on the nutritional value or lack thereof in his food choices. I know it gets annoying to him and I try not to do it all the time (i.e. I refrained on Christmas day), but then he told me that he is listening and trying to make better choices and my mom told me he is working on it too.

    Thanks for the PSA, I’d love if you shared more about the stuff you learn. I really like nutrition science and stuff. My favorite class in college was Anthropology & Nutrition.

    • Anonymous

      that’s good your dad is trying to make changes! And thank you! I’ll definitely keep sharing my learnings… :)

  • J (Morning Runner)

    My dad has type 1 diabetes and my grandpa in law has type 2 so I am surrounded by it. Some days it can be tough to deal with but my dad has had it for over 55 years and he really is doing well with it. It is amazing the technology they have for people now.

  • Anonymous

    :( Family members with health problems is so hard. My Grandma was just put on high doses of the steroid prednisone and it’s doing something funny to her blood sugar. She’s overweight and not very active, so I guess it was only a matter of time before this cropped up. I try to set a good example with exercise, healthy foods, desserts in moderation, but for someone who’s been set in her ways for 70+ years it’s hard to make a change, you know? That’s why I think it’s important to get the healthy living message to kids while they’re still young!

    • Anonymous

      Oh no! Steroids can cause high blood sugar! I hope your Grandma’s doctor told her that and things she can do to help it? I can send you some info if you need it.

      And yes, completely agree in getting to people while they’re young – the older people get the harder it is for them to make any sort of change

      • Anonymous

        I think she’s working with the doctors on the blood sugar issue. She has to test her sugar levels 3x day and is supposed to eat every few hours and more balanced meals/snacks. I can only hope she follows that advice!

  • http://keepingitrealfood.com/ Jess

    My dad’s parents both developed Type 2 late in life, and I worry about him, as his blood sugar is “borderline high” as he says. I call that pre diabetes but it scares him when I put on my clinician hat around him. He did start working out in the past year, so I’m really happy he’s added at least one thing that may be protective.

  • http://happycorredora.com/ Josie @ happycorredora.com

    My grandpa had diabetes. When he was younger he was really active but when he got older, he basically stopped as well as eating the wrong foods. My parents are very active and eat well so I don’t worry too much about them. I was actually worried about my status (I am not overweight or anything) it’s just that I eat a stackload of candy and I thought maybe I might be heading down the wrong path. I got a pre-diabetes check last time I was in Australia which was negative. To be honest, I don’t even know if eating a lot of candy can lead to diabetes… you should do a post! Thanks for the PSA, its an important message.

    • Anonymous

      It’s a ton of other things besides eating a lot of candy (which isn’t exactly great, but once in a while is fine). It mostly develops in older, overweight people (though they’re getting younger)… I listed main risk factors above in the post.

  • http://thethinksicanthink.wordpress.com/ Meggie

    I think we should show high schoolers pictures of diabetic foot ulcers — that should be motivating right?

    It is sad how commonplace type II DM is becoming.

    Just for kicks – go look up Flatbush Diabetes — its a form of type II that can present with DKA (which can throw ppl off bc type IIs usually should not get DKA) — and it doesn’t have to do much with obesity. You know where it’s named for? Flatbush in Brooklyn!

    • Anonymous

      oooh the foot ulcers. yes. that’s really interesting! I had no idea about that – you are a wealth of medical knowledge.

  • http://cheaperthantherapy.me Marie

    My husband’s dad had type II diabetes ( inactive, poor diet) so it’s really important to both of us to be healthy and active and that we raise our daughter the same way…well, eventually she will be active, right now she just sits around. Lazy good for nothing baby.

    No, but seriously: there are so many ways you can screw up your kids, but one easy thing you can do is help them eat right and hopefully it will develop into a lifelong healthy habit.

    • Anonymous

      those lazy, good for nothing babies. haha. I completely agree with you – it’s our responsibility to our kids to help them grow up to be healthy! It drives me nuts that so many people don’t get that.

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