Keeler, J. (2001, April 10). Diabetics learn better choices to control disease. The Daily Oklahoman, p. 3B.

OVERVIEW

So you have diabetes. Enjoy that last scoop of ice cream and can of soda. Just kidding! The good news is that the most current research indicates that it is better to consistently eat small amounts of carbohydrates throughout the day instead of worrying about simple versus complex sugars. In the past, diabetes were discouraged from eating any refined sugar.

It is encouraging for most diabetics to learn that they may still occasionally enjoy those finer things in life, like candy bars, cookies, and soft drinks. While the sugars found in starchy foods are more nutritious, sugary treats provide people small joys and comforts. And that goes a long way when faced with a serious disease such as diabetes.

GENERAL INFORMATION

Cases of diabetes are rising in the U.S. Over 15 million people have the disease, and about a million more will be diagnosed with it this year. The American Diabetes Association believes that nearly 5.5 million people don’t yet know that they have it.

Diabetics either produce no insulin or don’t effectively use what their bodies produce. Insulin is a hormone in the pancreas that is essential for converting sugar to energy. Uncontrolled diabetes allows sugar to fall into the bloodstream, potentially causing diseases in the kidney, heart, eye, and extremities. Damage is usually irreversible. While diabetes has no known cure, it may be controlled through diet, exercise, and medication.

There are two types of diabetes: Type I and Type II. Type I affects just ten percent with the disease. These diabetics do not produce insulin and must receive daily injections of the hormone. Type II sufferers comprise 90% of diabetics. Their bodies produce the hormone, but need help utilizing it. These diabetics usually take oral medications. Nutrition is key for both Type I and Type II diabetics.

HANDY TIPS

Being diagnosed with diabetes can be frightening, saddening, maddening, and frustrating. There is much to learn about managing the disease. Myths abound. Many doctors and dietitians don’t know the most current information about diabetes. Dana Lewis and Nancy Maza, professionals who regularly work with diabetics, offer tips to those seeking to manage their illness:

Take charge of your life. Don’t expect others to take care of your illness. You need to own it and manage it yourself. Assume responsibility with it. Learn more about it. Stick to a food plan. Plan ahead. Be consistent in your eating patterns. Work with a dietitician to individualize your meals, including your favorite foods in your dining repertoire. Read labels. Be most concerned about the carbohydrate amount. Typically, two to five carbohydrates are allowed during each meal. One "carb" equals 15 grams of carbohydrate, so serving size is important to watch. It doesn’t help to not eat. Balance is important for diabetics. A lack of food can cause blood sugar levels to tumble. This could trigger dizzy spells or blackouts. Diabetics should eat evenly throughout the day. Medication, exercise, and blood sugar monitoring are also essential elements in treating diabetes.

Maza concludes, " ‘You are your best caregiver. You’re the only one who can do it. With a positive attitude, you can control the progression of the disease without having it control you.’ "

QUESTIONS FOR REFLECTION AND DISCUSSION

1. How does this article help you, as a youth worker?
2. How can it help a young person coping with diabetes?
3. Can it be used to support families affected by the illness?
4. How does this information help you as you plan social events, involving food?

IMPLICATIONS

1. Knowledge is power. This information helps to make diabetes more palatable.
2. It is important for youth workers to have basic information about diabetes so that you can support young people or families dealing with the illness.
3. Youth workers can educate young people on how to avoid type II diabetes and how to live with it if someone is diagnosed.
4. It is helpful to learn about what types and amounts of food are beneficial to young diabetics. So many youth events are centered around food. While the young diabetic must learn to care for him-or herself, it is thoughtful to include healthy options.