People with type 2 diabetes have an increased risk of heart problems, so most doctors make a recommendation to limit fat below 30% of total daily calorie intake – this tends to make eating less fat in general and stay away from saturated fat. You should also pay attention to cholesterol levels by eating smaller amounts of meat, and sticking to lean meats like chicken and fish.

It will take some time to adjust to its new diabetes diet and healthy lifestyle, especially if you have not followed the practices of healthy living in the past, but the results will be worth the effort. Not only will you be able to better manage their diabetes, but also you will become a much healthier person.

Kathy has followed three simple steps to maintain a healthy life by controlling your diabetes: weight control, healthy diet, and monitoring and control of diabetes through the use of technology.

Before surgery, Kathy performed little or no exercise and had a poor diet. This helped to develop diabetes and weight to go up, trying to lower with no success. Their quality of life was poor due to illness and being overweight is not allowed to perform many activities.

Several years ago, while working as a nurse in a hospital in Bronson, noticed the product many medical complications of diabetes, and it was then decided to make a radical change in his life, with the aim of improving their health and live better
.
A classification of diabetes: type 1, type 2, gestational diabetes and prediabetes.
Type 1 diabetes is when the body stops producing insulin, the hormone that unlocks the cells of the body, and the glucose enters them. There is an estimated 5-10% of Americans diagnosed with this type of diabetes.
Type 2 diabetes is when there is resistance to insulin, as well as deficiency of it. Most people diagnosed with diabetes have this type.
Gestational diabetes occurs during pregnancy when levels are elevated blood sugar regularly during the second or third semester. Although some women after pregnancy the condition disappears, many others develop type 2 diabetes later.

There is another condition called prediabetes, which is when they rise above normal levels of blood glucose, but not enough to be diagnosed as type 2 diabetes.
In the U.S., about 57 million people have prediabetes, and 23.6 million have diabetes.

Some of the complications that Kathy, working as a nurse saw in their patients, are: vision problems, amputations, etc. Diabetes has characteristic symptoms: frequent urination, excessive thirst and hunger, fatigue, irritability, blurred vision, unusual weight loss, among others. Many people do not seek diagnosis or treatment for diabetes because most of the symptoms seem harmless and let pass the time until reaching complications.

Kathy underwent bariatric surgery in April 2008 in order to lose weight and control your diabetes problem. Now follow a healthy diet and maintaining healthy eating habits.

Step 3 is to use technology to control their diabetes. With an insulin pump can know how many carbohydrates consumed, so you can compensate with the right amount of insulin.

It also has a glucose monitor, which together with the insulin pump, to save you time and keep it healthy. Previously he had to inject twice and stick your finger several times a day to see the level of sugar in your blood. It is now easier and more comfortable for her.

Having suffered from type 2 diabetes since she was 10 years, now having dropped about 50 kilos of sugar level is controlled and feels better than ever.

Conclusion: Obesity causes or worsens, several diseases that threaten life. Diabetes is one of them.

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1. Some common types of medications are listed below and are taken orally or injected.
2. Biguanides (Metformin) tell the liver that produce less glucose and help you adipocytes and muscle cells and the liver to absorb more glucose from the bloodstream, which lowers blood sugar levels.
3. The sulfonylureas (like glimepiride, glyburide, and tolazamide) trigger the pancreas to produce more insulin. Are taken by mouth.
4. Thiazolidinediones (such as rosiglitazone) help adipocytes and muscle and liver cells to absorb more blood sugar when insulin is present. Rosiglitazone may increase the risk of heart problems, so consult your doctor.
5. Injectable medications (including exenatide and pramlintide) can lower blood sugar.
6. Meglitinides (including repaglinide and nateglinide) trigger the pancreas to produce more insulin in response to glucose in the blood.
7. Inhibitors of alpha-glucosidase (such as acarbose) decrease the absorption of carbohydrates from the digestive tract to lower glucose levels after meals.

If you continue to have poor glycemic control despite changes in lifestyle and taking medicines by mouth, your doctor will prescribe insulin. It is also possible that the prescription if you have had an adverse reaction to other drugs. Insulin must be injected under the skin using a syringe or insulin pen, and can not be taken by mouth.

Insulin preparations are different in how quickly they start to work and the duration of its effect. The doctor will determine the appropriate type of insulin to use and tell you what time of day to.

More than one type may be mixed together in one injection to achieve better control of blood glucose. Usually injections are needed one to four times a day. Your doctor or diabetes educator will show you how to give yourself an injection.

Some people with type 2 diabetes find they no longer need medication if they lose weight and increase activity. When they reach their ideal weight, their own insulin and a careful diet can control their blood sugar levels.

It is not known whether hypoglycemia medications taken by mouth are safe for use in pregnancy. Women with type 2 diabetes taking these medications may be switched to insulin during pregnancy and while breastfeeding.

Exercise can help the overall health by improving blood flow and blood pressure. It decreases insulin resistance even without weight loss. Exercise also increases the body’s energy level, lowers tension, and improves the ability to handle stress.

Consider the following when starting an exercise routine:

* Always check with your doctor before starting any new exercise program.
* Ask your doctor or nurse if you have the right footwear.
* Choose an enjoyable physical activity that is appropriate for your current fitness level.
* Exercise every day and at the same time, if possible.
* Check your blood sugar levels at home before and after exercise.
* Carry food that contains a fast-acting carbohydrate in case blood sugar levels get too low during or after exercise.
* Carry a diabetes identification bracelet and carry a cell phone for emergency use.
* Drink extra fluids that do not contain sugar before, during and after exercise.
* As you change the intensity or duration of exercise, you may need to modify your diet or medication to keep blood glucose levels in an appropriate range.

It is important to control your weight and eating a balanced diet. Some people with type 2 diabetes can stop taking medications after losing weight, but still have the disease. See: Diet for diabetes.

You can consider bariatric surgery (weight loss) for very overweight patients who are not well managed with diet and medication

The following tests will help you and your doctor will monitor your diabetes and prevent its complications:
* Getting your blood pressure checked at least every year (ideal blood pressure should be 130/80 mm / Hg or lower).
* Do check the glycosylated hemoglobin (HbA1c) every 6 months if your diabetes is well controlled, otherwise every 3 months.
* Do check the levels of cholesterol and triglyceride annually (try to achieve cholesterol levels below 100 mg / dL).
* Have regular yearly checkups to check that your kidneys are working well (microalbuminuria and serum creatinine).
* Visit an ophthalmologist at least once a year or more frequently if you have signs of diabetic retinopathy.
* Visit the dentist every 6 months for a complete dental exam and cleaning, making sure that the dentist and hygienist know that you have diabetes.

Join the club of small things!

Why? Because it has been shown that small changes are more realistic, easier and more effective, since they are just naturally incorporated into the routine of daily life. I’ll give you some examples:

1. Take one hundred calories less a day.

Reduce intake of 100 calories each day can hardly notice it at meals, but it is effective in the long term. With no sense of hunger will be easier to do this.

Some tips for this:

* Come on small plates. If you’re hungry and you will stand up for more, but do not fill your plate to overflowing. In addition, once you serve, remove the pan instead of staying with her before.
* Pour yourself a glass of fruit with a scoop of ice cream, instead of a cup of ice cream with pieces of fruit.
* Choose half the usual serving desserts and foods high in fat.
* Make use of oil aerosols that can dispense fair. Once you’ve seasoned the salad, remove the oil.
* No monks bread in the sauce.

2. Do not throw anything from your diet

Prohibiting certain foods make your power of suggestion is much older. Occasionally you can take energy dense foods, but try to lighten. How?

* Reduce the ration.
* Add half of cheese pizza.
* Do not impregnate butter sandwiches
* Snacks, best of lettuce and tomato, cheese and chorizo.

3. Aleja temptations

The farther you have a food, the less likely they go after him. So it’s good then remove the pan to serve you and so is ideal not have home high-energy products such as candy or bakery products. Of them, better be on that top shelf all that you do not get no lean on the chair. Like it’s hard to believe, but the reality is that the greater the effort you have to do an individual to obtain a food, the lower their consumption.

4. Exercise

At the moment I’m not going to ask you notes to the gym (which would not be bad), but does include some activity in your daily life, just walking 15 minutes a day. Not so much right?

For us to be steadfast in achieving our fundamental goals is the sense of variety that each day we eat something healthy, yes, but rich and different from what it yesterday and tomorrow. Furthermore, we eat with their eyes, it is best to use small plates (not to get carried away by the enthusiasm) and prepare dishes full of color.

Ready? I propose a weekly menu with which to lose weight without getting bored!

Monday
* Breakfast
Orange juice + 1 yogurt with cereal
* Food
Cream of zucchini & tomatoes stuffed with rice + cottage cheese with nuts and honey
* Dinner
Hake fillet with grilled vegetables + 1 pear

Tuesday
* Breakfast
+ 1 smoothie sandwinch unroasted wheat bread with cheese
* Food
+ Milanese pasta salad with soy cheese + 1 tangerine
* Dinner
Green beans cooked with potatoes and egg + 1 kiwi

Wednesday
* Breakfast
Grapefruit juice + 30 g skimmed milk Cereal
* Food
Melon with ham & steak grilled salmon with a tomato + yogurt
* Dinner
Avocado salad and grilled shrimp + + grapes

Thursday
* Breakfast
Strawberry yogurt + 3 graham crackers with cream cheese
* Food
Catalan Spinach (with raisins and pine nuts) + steak grilled cuttlefish + + pineapple potato gratin
* Dinner
Scrambled eggs with zucchini + toast with a white quesito skim + 1 infusion

Friday
* Breakfast
Drinkable yogurt crackers + 2 + 2 slices pineapple
* Food
+ 1 leek cream baked chicken breaded with rice + salad
* Dinner
Lettuce, tomato and mozzarella + 1 handful of nuts

Saturday
* Breakfast
Orange juice + 2 +1 infusion grain toast with turkey
* Food
Gazpacho + + cod with chickpeas baked apple
* Dinner
Spaghetti with clams + 1 kiwi

Sunday
* Breakfast
1 banana + skim milk with 30 grams of cereal
* Food
+ Vegetable broth stew with potatoes + cheese with quince
* Dinner
Ensalasa lettuce, tomato, carrot, cheese, tuna and egg + 1 orange

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1. What are the diets Cormillot?

They are customized nutritional programs that can be obtained via the Internet. It is named after its creator, Dr. Alberto Cormillot specializes in obesity.

From this website advised (along with other specialists) on how to lose weight. To do this, and depending on the objectives, calls for a series of personal data on the body, health and lifestyle, to provide the diet that best suits.

This diet is available from its website for informational purposes, if you have a serious problem, NEVER replace a visit to your doctor or nutritionist.

2. How they work?

On the one hand, uses a system of “credits”, which is given a specific value to each food. Each person, according to its characteristics, is given a certain number of credits to be used wisely, choosing suitable foods containing nutrients from the diet and eliminating those that are not suitable. Ideally, each person develop their own menu to “learn” to eat, always supervised by a team of Cormillot.

It also advocates a volumetric diet, to increase the size of the dishes without adding calories, so increase the feeling of satiety. This is done, for example, adding water or fiber to the dishes.

3. “I can trust to diets that are named Cormillot published in different websites?

Note that it is personalized diets, so it makes little sense to keep one designed for someone other than you. On the other hand, you can find “Cormillot diet of 900 calories, while the doctor Cormillot says he, in principle, against low-calorie diets.

4. Will I get a diet lose weight if I Cormillot?

Diets are no miracle diets Cormillot short term, but a point of support to learn to lose weight. Dr. Cormillot do much emphasis on the need to change lifestyle and diet to combat obesity. As always, get healthy and lose weight permanently is not dependent on the diet you choose, but to keep balanced nutrition guidelines.

Aggressively treated patients had a much lower level of blood glucose (but still slightly above normal) than patients less medicated. After 3 years and 6 months, there were no differences between the two groups in the development of cardiovascular disease (one of the major complications of diabetes). Incredibly, those in the aggressively treated group had a 22 percent increase in risk of mortality.

Obviously, there was a lot of hands waving in the conference to try to explain these results. After all, it is well known that the reduction of blood glucose levels due to caloric restriction leads to a longer life cycle and greater overall health. So, in the opinion of Dr. Barry Sears, the answer is that the drugs used to lower blood glucose levels in diabetics involves a long-term toxicity. This is the sad part of modern medicine, especially in the treatment of diabetics, where drugs have become powerful treatment of the disease.

This is almost the opposite of the past when the diet was used as the main treatment for diabetes. Today, patients can eat what they want and just take more drugs.

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