1Ask your doctor before adding herbs. Many herbs have not been tested for
safety during pregnancy, so if you are pregnant or dealing with gestational
diabetes, make certain you speak to your physician before adding any herbs or
supplements. Also, even though these herbs and supplements are natural, they
CAN interact with various medications.
·You can also ask your
pharmacist about drug-herb/supplement interactions.
2Buy quality herbs and supplements. Make sure you buy national brands of
herbs and supplements and that the companies follow Good Manufacturing
Practices (GMP). For herbs, make certain that the suppliers use pesticide and
herbicide free organically and sustainably grown herbs.
3Try bitter melon. Bitter melon (Momordica charantia) is
often recommended for diabetes control. However, bitter melon has been
associated with miscarriages and induced abortions in animals, so it should be
avoided if you are pregnant or want to get pregnant. Bitter melon has been
shown to improve blood glucose levels, increase the secretion of insulin and
decrease insulin resistance.
4Consider Gurmar. Gurmar, also known as Gymnema sylvestre
has been used for centuries in Ayurvedic medicine and has been shown to improve
the control of blood sugar. Gymnema is generally taken in doses of 200 mg
twice a day. Gymnema appears to be safe in pregnancy, but speak to your
physician before using.
5Look into prickly-pear cactus. Prickly-pear cactus or nopal has been
shown to improve blood sugar control. Prickly-pear cactus has not been tested
in pregnancy, but has been used for centuries as food, suggesting but not
proving that it is safe.
6Add cinnamon. Cinnamon has been used to help control
blood sugar levels and is considered safe for pregnant women in the amounts
used in foods. This corresponds to approximately 1 gm (1000 mg) every day. 500
mg of cinnamon taken twice a day has been shown to improve A1c levels (and the
levels of blood fats). A1c is used to determine average glucose levels for the
previous 3 months. Lowered A1c levels reflect improved diabetic control.
7Take vanadium and chromium. Vanadium and chromium are trace minerals
and have been shown to be essential for control of blood sugar levels in
diabetes. They may also function as antioxidants. Keep in mind that these
minerals are only needed in small amounts.
·Vanadium should be
taken as vanadyl sulfate at 50-100 mcg per day.
·Chromium should be
taken as chromium picolinate at a dose of 400mcg per day.
1Get regular cardiovascular exercise. Exercise can help you control your blood
sugar, so it is essential for diabetes prevention and treatment. Increased
exercise makes your cells more sensitive and responsive to the insulin your
body produces. Exercise can also lower your blood pressure and strengthen your
heart, which is relevant because high blood pressure and heart disease are
often associated with diabetes.
·Try to get at least
thirty minutes of moderate exercise every day. When you are just starting out,
low-intensity exercises such as walking are helpful as well.
2Add strength training. Strength training will help you to
improve your muscle strength and efficiency. The more muscle that you have, the
more calories you will burn and the easier it will be to maintain a healthy
weight, which is a crucial part of diabetes prevention.
·Try adding in a couple
of strength training sessions per week to your exercise routine to improve your
overall fitness level.
3Consider getting a personal trainer or taking
a class. As you progress
and get more fit, consider finding a trainer or a class where you can get
individualized advice regarding target heart rates and types of exercise. To
begin, walking is the easiest way to start, but you can also go swimming or
join a yoga class.
4Change up your routine often. People often get bored with exercise
routines and end up quitting before they achieve any real results. Therefore,
it is a good idea to make your routine as varied as possible.
·Find things that you
enjoy so that you stick with your routine. For example, if you have never been
particularly interested in sports, you are not likely to stick with competitive
sports.
5Look for little ways to get more physical
activity. You can get more
physical activity by looking for opportunities in your daily routine. For
example, you can try parking your car at the far end of the parking lot when
you go grocery shopping or use the stairs instead of the elevator at work.
1Check your blood glucose levels often. Your physician will make you aware of
your “target” blood glucose levels, but you may need to test these blood levels
daily. These can be tested at home using a home glucose monitor with test
strips. Depending on the monitor, you may need to get a pinprick of blood from
your fingertips or from your forearm. These pinpricks are not too painful for
most people, but they can be painful for some people. Target blood glucose
levels are typically:
·morning (or fasting)
levels of less than 100mg/dL (< 5.3 mmol/L),
·1 hour after meals:
<140 mg/dL (<7.8 mmol/L)
·2 hours after meals:
< 115mg/dL (< 6.4 mmol/L)
2Use your blood glucose levels to help you
change what and how much you eat.Your blood glucose level test results can guide you into
changing the types and amounts of foods you eat to lower the levels of sugar in
the blood.
·If your blood sugar is
high, you may need more insulin and you may need to look at what you are eating
and decrease the amounts of sugars in your diet.
·If the blood sugar
levels remain high and you are on diabetes medications, those may have to be
increased.
3Take insulin as directed by your doctor. Insulin is a natural hormone replacement
treatment and is a widely used natural treatment for diabetes. It may be
necessary to add insulin (by injection) in order to “force” glucose into your
cells. Your physician will guide you as to how much insulin to take and how to
take it.
Diabetes is a condition of chronic hormonal
disorders. The main characteristic is high sugar (glucose) in the blood because
the cells of the body have become resistant to the action of insulin. Insulin
is a hormone made by the pancreas that helps control blood sugar levels.
Although it is important to seek medical treatment for diabetes, there are
several ways that you can treat and prevent diabetes using natural strategies
such as diet modification, herbal supplementation, and exercise.
1Keep your food as close to its original or
natural form as possible. This
means that you should try to limit any processed or prepared foods and cook
from scratch as much as possible. Avoid boxed, canned, and “ready to eat” foods
as much as possible.
·Start shopping in the
bulk section of your grocery store to get a better price for beans, rice, and
pasta.
·Buy fresh vegetables
as much as possible. Frozen vegetables are fine, but fresh, organic, in-season
vegetables are the best choice.
·If you are pressed for
time, try using a crock pot to cook your meals.
2Make sure that 90-95% of your carbohydrates
are complex carbohydrates.Complex
carbohydrates are made up of individual sugar molecules that are strung
together in long, complicated and often branched chains.
·Complex carbohydrates
are found in whole, unprocessed foods. Examples of complex carbohydrates
include whole grain bread, brown rice, buckwheat, millet, quinoa, oats, starchy
vegetables such as sweet potatoes, corn, pumpkin and squash, beans, peas, lentils,
nuts and seeds.
·Avoid simple
carbohydrates. Simple carbohydrates include added sugars like glucose, sucrose
(table sugar), and fructose (most often added as high fructose corn syrup or
HFCS). Consuming HFCS has been associated with increased risk of cardiovascular
disease and obesity.
3Increase the amount of water you drink. Water helps flush out naturally produced
toxins and helps maintain mineral (electrolyte) balance. Aim for about eight 8
ounce glasses of water per day. Talk to your doctor to determine if you have
any special fluid restrictions or needs that you should consider.
·Skip sugary beverages.
Sugar by itself does not cause diabetes, but ingesting more sugar-filled
beverages is linked to an increased risk of Type 2 diabetes.
·Try drinking water,
unsweetened sparkling water, or unsweetened iced tea instead of sugary soda.
4Read labels on the foods you purchase and eat. Reading labels can help you determine
the amount of sugars in food. Just keep in mind that manufacturers are not
required to list added sugars. That is why it is best to choose whole,
unprocessed foods as often as possible.
·Avoid any food that
includes terms like “enriched” or “refined.”
·Unprocessed foods do
contain some sugar, but it is not found in high levels and it is usually in the
form of complex carbohydrates.
5Watch your serving sizes of complex
carbohydrates. Serving sizes
vary depending on the type of food and your needs will depend on your weight
and other factors such as age, sex, and activity level. A general
recommendation is to have 45-60 grams of complex carbohydrates at every meal.
·Eat most of your
complex carbohydrates at breakfast and lunch and only have a small portion of
complex carbohydrates for dinner.
6Add flaxseeds to get more fiber in your diet. Getting enough fiber is essential to
preventing and treating diabetes. Flaxseeds are great sources of fiber and
they are an excellent source of the essential omega-3 fatty acids, EPA and DHA.
·In addition to
providing essential nutrients that may help to treat and prevent diabetes,
flaxseed and the fiber they contain can help with bowel movements and can help
you decrease blood cholesterol as well. Flaxseeds are also associated with
decreased risk of colon, breast and prostate cancer, and they may also help
with menopause symptoms.
·Try to include a
tablespoon of ground flaxseeds at every meal or 3 tablespoons of flaxseed a
day.
·Use a coffee grinder
to grind your own flaxseeds or keep pre-frozen ground seeds in your freezer.
7Eat more fish and skinless poultry. Getting enough quality protein is an
important component of diabetes prevention. Make sure that any poultry you
eat is skinless to reduce the amount of unhealthy animal fats you consume and
eat a couple of servings of wild-caught fish each week.
·Wild-caught fish such
as salmon, cod, haddock and tuna are good sources of omega-3 fatty acids, which
are essential to good health.
8Eat more fruits and vegetables. Eat plenty of non-root or starchy
vegetables such as broccoli, leafy greens, cauliflower, and beans. These types
of vegetables are low in calories, high in fiber, and nutrient dense. However,
when you eat starchy vegetables and root vegetables, you will need to take the
carbohydrate level into account.
·You can also eat
fruit. Being diagnosed with Type 2 diabetes does not mean you can’t eat ANY
sugars. It is just important to control the amount of sugars that you do eat.
9Keep a diet diary for at least a month. The diet diary should record everything
you eat and any changes in how you feel. Make sure to record the quality of
your sleep and make notes about any changes that may be due to the foods you
are eating.
·Keeping a diet diary
can also help you to keep track of what and how much you eat during the day.
This may make you more aware of what and how much you are eating and help you
to cut down on certain foods if necessary.
·For example, if you
find that every time you eat a particular food, you get very gassy and have
some bloating, you can avoid that food in the future.
·Take note of potential
food sensitivities. Food sensitivities may make you more prone to obesity and
that is a risk factor for diabetes. If you suspect that you are sensitive
to some food, eliminate that food for at least two weeks.
·The most common food
sensitivities are to gluten (a protein found in wheat products), dairy
products, milk/ lactose, tree nuts, shellfish, eggs and soy.
10Get your Vitamin D levels checked if you are
pregnant. Low Vitamin D
levels may be associated with an increased risk of gestational diabetes. Have
your Vitamin D levels checked and take supplementation if you are deficient.
1000-2000 IU/day of Vitamin D have been safely used in pregnant women.
·During sunny days,
spend 10-15 minutes in the afternoon sun with some skin on your arms and legs
exposed.
1Ask your doctor for a demonstration. Do not rely on articles or videos online
to teach you how to administer insulin, whether it's via a syringe, inhaler, or
another device. Your doctor can answer any questions and show you the correct
way to use your device (for instance, with shots she will need to show you at
which angle you should insert the needle). Your doctor will also give you your
exact dosage and all the necessary prescriptions.
2Avoid using any insulin product if you are
allergic. Seek medical
attention immediately if you experience an allergic reaction.
§Some insulins are derived from animal sources,
most commonly pork, and may cause allergic reactions in people that have severe
allergies.
§Common allergic reactions to insulin include
local and systemic reactions. Local reactions occur as redness, minor swelling,
and itching at the injection site. This type of skin reaction resolves in a few
days to weeks.
§Systemic allergic reactions can present as a
rash or hives that covers large portions of the body, difficulty breathing,
shortness of breath, wheezing, decreased blood pressure, increased heart rate,
and sweating. This is a medical emergency and you should call 911 or have
someone take you to the emergency room if it is close by.
3Do not administer insulin if you are having a
hypoglycemic event. Hypoglycemia
occurs when your blood sugar level is too low. Insulin will make
hypoglycemia worse; instead, you will need to consumer quick-acting
carbohydrates or simple sugars.
§Low blood sugar interferes with your brain’s
ability to function properly.
§Symptoms of hypoglycemia can include
dizziness, trembling, headache, blurred vision, having trouble concentrating,
confusion, and sometimes trouble with speaking. Other symptoms can include
tremor, heavy sweating, increased heart rate, feeling anxious, and hunger.
§Using fast-acting insulin in the midst of a
hypoglycemic event will quickly drop your blood sugar even further and result
in severe confusion, inability to communicate, and loss of consciousness.
§If you mistakenly administer insulin when you
are having a hypoglycemic event, quickly alert friends or family to seek
medical attention, or call emergency if you are alone. Severe hypoglycemia events are serious and
life-threatening situations.
§You can begin to reverse the reaction by drinking
orange juice, taking prepared glucose tablets or gel, or quickly begin to
consume some form of sugar.
4Monitor your skin for lipodystrophy. Lipodystrophy is a reaction that
sometimes occurs on the skin where frequent insulin injections are given.
§Symptoms of lipodystrophy include changes in
the fatty tissues just under the surface of the skin. Unwanted changes that
indicate lipodystrophy include both thickening and thinning of the fatty tissue
in the injection site areas.
§Check your skin regularly for lipodystrophy as
well as inflammation, swelling, or any signs of infection.
5Discard used needles properly. Never put syringes or needles in the
regular trash.
§Sharps, including used needles, lancets, and
syringes, are considered to be biohazardous waste since they came in direct
contact with someone's skin or blood.
§Always dispose of needles that are used or
damaged in a sharps container. Sharps containers are designed to be a safe way
to dispose of syringes and needles.
§Sharps containers are available for purchase
at your local pharmacy, or online.
§Review your state’s biohazardous waste
guidelines. Many states have specific recommendations and programs that can
help you develop a regular system for disposing of biohazardous waste.
§Work with a mail back kit. Some companies
offer to supply you with the appropriate sizes of sharps containers, and agree
to set up an arrangement for you to safely mail those containers back to them
when they are full. The company will dispose of the biohazard materials
appropriately, according to EPA, FDA, and state requirements.
6Never re-use or share a needle. Once the injection has been given,
discard the needle and syringe in a sharps container. When an insulin pen is
empty, discard the device in the sharps container.
§A needle that has pierced your skin, or the
skin of someone else, is not only dulled, but contaminated with possibly
serious and contagious diseases.
7Do not change insulin brands. Some insulin products are very similar
but not exact. Talk to your doctor before you make any changes in your insulin
regimen, including switching brands.
§Even though some brands are similar, your
doctor has chosen the brand that best suits your needs, and your dose has been
adjusted to the way that product reacts in your body.
§Use the same brand of syringes and needles. It
is easy to become confused and administer the wrong amount if the syringes and
needles look different.
8Never use insulin that has expired. Check the expiration date on your insulin
product often. Avoid using insulin that has passed its expiration date.
§While the potency may be close to the potency
when purchased, there is a risk that you will not get enough from using
products that have expired, contaminants may be present, or particles may have
formed inside the vial.
9Discard insulin that has been open for 28
days. Once the first
dose has been used from an insulin product, it is considered open.
§This includes insulin that has been properly
stored in the refrigerator or at room temperature. Since the top of the insulin
vial has been punctured, there is an increased risk of contaminants inside the
vial, even if you have stored it properly.
10Know your products and your dose. Be familiar with the brand of insulin
you use, your dose, and the brand of additional supplies you use.
§Be sure you consistently use the same size
insulin syringes and needles that were prescribed for you.
§Using a U-100 syringe in place of a U-500
syringe can be extremely dangerous, and vice versa.
§Talk to your doctor or diabetic healthcare
provider if you notice any changes in your products or have any questions.