Showing posts with label massage. Show all posts
Showing posts with label massage. Show all posts

Wednesday, November 6, 2013

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

Q.   I tested my blood this morning with my sister’s glucose monitor.  It was 120.  I have diabetes, right?

A.   A home monitor provides relatively accurate information about blood sugar levels, but is not precise enough to diagnose diabetes – that must be done in a doctor’s office.  A fasting blood sugar level of 126 mg/dl or higher is considered a diabetic level, but must be repeated to confirm the results.  If your blood sugar tests higher than normal, yet not high enough to be diabetes, you may have pre-diabetes.  If this is the case, you may be able to avoid or delay its development by losing some weight and by increasing your physical activity.  Please visit your doctor to check this out.

Q.   Can people with diabetes drink tomato juice?

A.   They sure can!  Tomato juice contains very few carbohydrates (about 7 grams per 6 ounces) and shouldn’t affect your blood sugar level in any significant way unless you consume a large amount.  Today’s diabetes meal plans are far more flexible than in the past.  They allow individuals with diabetes to enjoy the foods they love as long as they are eaten in appropriate portion sizes. A dietitian can help you plan ways to add many of your favorite foods back into your day.

Q.   My father was just diagnosed with type 2 diabetes.  I purchased a few books for him, but he found them very technical and overwhelming.  Can you suggest a book that is easy to understand?

A.   I have the perfect book!  Your First Year with Diabetes uses humor and expert information to make learning about 
diabetes a breeze.  It teaches you how to manage your diabetes day to day, week to week, and month to month.  It was written by Theresa Garnero, a past AADE Diabetes Educator of the Year and…a stand-up comedian!  The book is published by the American Diabetes Association. I think your father will enjoy it and will learn a great deal.

Q.   Can massage help my diabetes?

A.   Many people believe it can.  A relaxing massage may help reduce stress, which is always a plus.  Some studies suggest that massage can also improve blood sugar levels and lessen the symptoms of diabetic neuropathy (nerve problems).  Massaging an injection site may also increase insulin absorption. 

Q.   I struggle with food portions when I eat out at a restaurant.  Is there an easy way to estimate serving sizes?

A.   Your hand is a measuring tool that goes with you everywhere you go.  Here are a few ways to use it:
  • Tip of the thumb to the first knuckle = 1 teaspoon
  • Whole thumb up to the second knuckle = 1 Tablespoon
  • The palm of your hand = 3 ounces of cooked meat
  • Tight fist = ½ cup or 1 cup for a large hand
  • Loose fist or open handful = 1 cup or approximately 1 ½ cups for a large hand
*This article originally appeared in 2009
**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 





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

Q.   I'm very skinny and I think I found a great place to inject insulin – in my breasts! It seems to work so well there.   What do you think?
A.   I do NOT recommend injecting insulin into the breast area. Insulin injections can cause scarring and lumps to develop. The breast is one area that you really want to keep lump-free. Having lumps or scarring in the breast can make it more difficult to locate malignant lumps and problems. Please consider using another location, such as your abdomen, upper buttocks or hips, the back of your upper arms, or the outer side of your thighs.   These areas have a layer of fat just beneath the skin, so they absorb insulin well.  They also have fewer nerves, so they should be more comfortable sites for you to use.
Q.   Does massage help diabetes?
A.   Some studies suggest that massage can improve blood sugar levels and lessen the symptoms of diabetic neuropathy (nerve problems).  Massaging an injection site may also increase insulin absorption. In addition, a relaxing massage may also reduce stress, which is also a plus.
Q.   I read that I can buy special diabetes snack bars that will help keep my blood sugar level from dropping while I’m asleep.  Money is tight right now.  Is there something that I can make myself instead of buying the bars?
A.   Extend Bars were created by Dr. Francine Kaufman, a top pediatric endocrinologist and former president of the American Diabetes Association as a tasty and effective way to help prevent her patients from experiencing blood sugar lows during the night.   They contain a slow-digesting form of carbohydrate.  To make your own slow-digesting carbohydrate snack, add about   1 1/2 teaspoons of UNCOOKED cornstarch to milk, a shake or pudding. The cornstarch must be uncooked or the carbohydrate in the cornstarch will be broken down too quickly.

Q.   Its allergy season, so I started taking my annual doses of allergy medication.  I recently noticed that my blood sugar level is running higher than usual.  Do allergy medications raise blood sugar levels?
A.   You didn’t mention which medication you are taking, but if it contains an epinephrine-like drug such as ephedrine, pseudoephedrine, or phenylephrine, it can raise your blood sugar level.  If it does not contain this, the physical stress of living with allergies could be the cause. Your blood sugar level will often climb when your body is stressed in any way, emotionally or physically.
Q.   I recently read an article on the Internet that recommends eating raw celery as a way to lower blood sugar levels.  I’ve never heard this before.  Is it true?

A.   No reliable research shows that raw celery can lower blood sugar levels.  Be wary of information that you read on the Internet, especially if it isn’t posted on a reliable website by accepted medical experts.  Here are a few health websites I recommend:

Americanheart.org
Cartoonmd.com
Consumerlab.com
Dearjanis.com
Diabetes.org
Eatright.org
dLife.com
jdrf.org
joslin.org
medlineplus.gov
WebMD.com



*This article originally appeared in 2009
**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