Wednesday, November 6, 2013

Q & A from Janis Roszler MSFT, RD, CDE, LD/N

Q.   Can you suggest a few holiday gifts for someone who has diabetes?
A.   Sure! Here are several diabetes-friendly gift ideas:
  • Exercise videos or a health club membership. 
  • A massage.
  • A bicycle or other piece of exercise equipment.
  • A romantic date that includes dinner plus a night of dancing or tickets to a show.
  • Assorted low carbohydrate snacks and a diabetes-friendly cookbook arranged in a new piece of cookware.
  • A selection of relaxing music CD’s. 
  • Slippers and a robe.  Choose slippers that have solid soles as people with diabetes must protect their feet from cuts and other injuries that invite infections. 
  • A new diabetes book. 
  • Make a donation in your friend’s honor to the International Diabetes Federation’s Life for a Child Program.  This program supports the care of close to 1100 children with diabetes in more than 18 countries worldwide.  Their website is www.lifeforachild.idf.org

Q.   I get a flu shot every fall.  A friend told me she got a pneumonia shot also.  Do I need that too?
A.   According to the American Diabetes Association, people with diabetes are three times more likely to die from pneumonia than those without diabetes.  You can take a pneumonia shot anytime during the year.  A single shot will protect most people for their entire lifetime.  Ask your doctor if a pneumonia shot is right for you.
Q.   Can I ski while wearing an insulin pump?  What if I fall?
A.   Your pump can definitely join you on the slopes.  Pump cases are made from a plastic similar to the type used for motorcycle helmets.  They tolerate bumps quite well, so you needn’t worry about taking a fall. You can also purchase a comfortable holder from your pump company, so your pump will stay on securely. 
Athletic activity requires an adjustment in insulin delivery rate as exercise usually lowers blood sugar levels.   Also, very cold or windy conditions may intensify the blood-glucose lowering effect, so monitor your blood sugar level often.
Some experts recommend the following:
  • Reduce your mealtime boluses by 10-30% for all-day or intense skiing and snowboarding.
  • Reduce your basal insulin rates by 25-50% for the entire day.
  • If needed, eat 10-15 grams of additional carbohydrate per hour.
Q.   Who discovered insulin?
A.   The discovery of insulin is a great story.  The year was 1921.  In a poorly equipped, long-forgotten lab in Toronto, Canada, Dr. Frederick Banting and Charles H. Best began their research.   They were given about eight weeks to prove Banting’s belief that the pancreas contained a magical substance that could prevent diabetes.  Using the money from the sale of Banting’s car, the researchers started their work.  The first few weeks were terribly disappointing.  Finally, as the seventh week approached, a breakthrough happened.  Banting isolated the “anti-diabetic factor” and demonstrated its ability to lower blood sugar in diabetic dogs.
Banting was awarded a Nobel Prize for medicine with Dr. John J. MacLeod, who provided the research lab.  Upset that his associate, Charles Best, had been slighted, Banting shared his Nobel Prize with him.  Later, Banting was knighted by the Queen and became Sir Frederick Grant Banting.  In 1922, Banting and Best became associated with Eli Lilly and the commercial production of insulin for human use began.


*This article originally appeared in 2008
**please consult with your healthcare provider before making any changes to your diabetes regimen.

- For more great articles by Janis Roszler, visit the e-version of our magazine at walgreensdiabetes.com 

No comments:

Post a Comment