[at-l] Type-II diabetes

[lbooher at pure.net (lbooher)]

Also, with diabetes, you need to pay extra special attention to your feet, 
seeing that they don't stay wet or get blisters.  This is one detail that you 
really don't want to neglect.  anklebear




On Mon, 07 Mar 2005 14:23:40 -0500, Steve Adams wrote
> WhoAh,
> 
> Reference your post, dated 03-06-05, asking about hiking with Type 
> II Diabetes.
> 
> No matter how much you like your general practitioner, get a 
> specialist, an endocrinologist.
> 
> My endocrinologist prescribed, first, appointments with a 
> nutritionist.  This may seem a frill to you, as it did to me at the 
> time, but I quickly changed my mind.
> 
> Different people, at least different diabetics, process foods 
> differently.  What works well or poorly for me may not work the same 
> for you.  A nutritionist will start you analyzing YOUR dietary needs,
>  how they change, and learning what to minimize or avoid.
> 
> Use your blood-glucose monitor with some frequency.  Learn how YOU 
> process different foods.  When you hike, you may be able to add 
> another entire meal to each day.
> 
> I have experienced such oddities, to me at least, as a large slice 
> of sugar-loaded pie raises my blood-glucose numbers.  We all would 
> expect that.   The surprise is, most of my sugar increase is from 
> the crust.  If I am desperate to eat a slice of pie, but it would 
> exceed my allotted carbohydrates when combined with what I?ve 
> already consumed, or will consume, I could just have a small nibble 
> of the pie crust and devour the filling.
> 
> One average, smallish, razor thin, flour tortilla is equivalent to 
> two slices of store-bought white bread, FOR ME.  This is both good 
> and bad news.   The bad news is a lunch at Taco Bell (ugh) will be 
> fairly small if it includes flour tortillas.  (Corn tortillas, on 
> the other hand, have relatively little effect upon my blood-glucose 
> level.)  Good news includes that I now know this about myself, and I 
> can simply carry a couple flour tortillas with me to counter low 
> blood sugar when I hike - virtually no weight and no volume.
> 
> FOR ME, a problem with the Snickers Bar is, a large quantity of 
> sugar causes my blood-glucose level to spike.  It rises quickly, 
> remains a relatively short period of time, and drops like a stone. 
>  Spiking blood-glucose levels are credited with causing blindness 
> and the amputation of one or both legs.  I haven?t weighed a 
> Snickers Bar or a can of sardines, but the sardines would work 
> better FOR ME, supplying energy without the sugar spike.
> 
> Yes, I know, one Snickers Bar is far more satisfying than a pound of 
> sardines, at least for non-Scandinavians.  But, you know, life isn?t 
> always fair, and these are the cards you?ve been dealt.  Play them 
> the best you can.
> 
> All my physicians would love it if I hiked non-stop, except, of 
> course, for the occasional doctor?s appointment.  I doubt you need 
> to worry about hiking, per se.  You will need to take some 
> precautions, paying closer attention to how you?re feeling, and 
> having some proper food readily available.
> 
> You are responsible for how well and how long you live, and for how 
> quickly or poorly you die.
> 
> Best of luck.  See an endocrinologist and a nutritionist.
> 
> Steve
> 
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