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Care New England Wellness Center
Care New England Wellness Center

Answers to Your Diabetes Questions

Experts from the Care New England Wellness Center have answered a range of questions about diabetes and diabetes education as part of our "Ask the Experts" campaign.  More Diabetes Information

Is there a cookbook that you would recommend for someone recently diagnosed with diabetes?

The American Diabetes Association has several cookbooks that would be helpful.  We carry an ADA cookbook for sale here at the Care New England Wellness Center titled Diabetic Meals In 30 Minutes--Or Less. The cost is $5.00.  Stop in to pick up a copy.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

I have friends and relatives that have been diagnosed with diabetes, put on medication, then seem to be able to control it enough to no longer need medical intervention. How is this possible?

Diabetes is controllable.  Sometimes individuals can come off diabetes medications if they are adhering to proper dietary guidelines and exercising regularly. These individuals are still, and will always be, diabetics so regular medical appointments are always important.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

Does diabetes affect your teeth health?

Poorly controlled diabetes can cause gum disease. Bacteria, especially those that thrive in the mouth, love sweets. When you have high glucose levels, your saliva makes your mouth a home for the bacteria that causes gum infections. It's harder for your body to fight off infections when you have diabetes.  Schedule regular visits with your dentist and remember to inform him or her that you are diabetic.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

I worry about my blood sugar getting too low. How do I safely exercise as a diabetic?

Your blood glucose reacts to any exercise. Exercise can lower your levels right after, or for as long as 24 hours afterward. If you take oral medications or insulin, your blood glucose level can sometimes drop too low.  Always check your blood glucose readings before you exercise. If your blood sugars are between 120 and 250, you can exercise. Always carry a snack, 15gms of carbohydrate with you in case your blood glucose goes too low. Best time to exercise is one to three hours after a meal.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

I just turned 52, and I have a long history of diabetic close relatives with high Cholesterol. I had gestational diabetes when I was pregnant with my 2nd child. I'm 5ft, 3 in. and my weight is 150 lb. My annual physical check up is OK. I eat healthy, exercise time to time. It makes me worried that diabetes is in the corner waiting for me. What can I do to prevent it from catching up with me?

You may be able to delay or prevent diabetes with continued physical activity and healthy, balanced eating. Your present BMI (height to weight ratio) is 26.5, a healthy BMI is 25. A 5 to 10 lb weight loss can be helpful. You had an annual physical, did your physician have you do blood work? If so, always ask them to review the results with you.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

Do sugar free soft drinks have a deleterious effect on diabetes?

Sugar-free soda does not have a harmful effect on diabetes. Artificial sweeteners have been subject to intense scrutiny for years but they are FDA regulated and approved. They are a good alternative to sugar for diabetics. Like anything we consume, moderation is the key.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

Are sugar free lollipops a free food for diabetic children? One regular size lollipop made with Sorbee?

Typically sugar-free hard candies/lollipops should be limited to 3 per day. These products are made with a sugar alcohol that gets into the blood stream slowly and shouldn't affect blood sugar levels. Sometimes sugar alcohol has a laxative affect and can cause some stomach cramping.

Joan Perlmutter, RD, LDN, CDOE, CVDOE

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