Dublin – Sugar is the energy source of the body. We need it to survive, but how we control that energy source and release is the key to our long-term health and well-being.
Carbohydrates get broken down to glucose in the body, so all starchy foods such as bread, potatoes, rice, chips, sweets, biscuits and cakes, ultimately become a source of sugar.
To provide energy, glucose has to enter the cells in our bodies. Insulin is a hormone that acts like a key to these cells. Whenever blood sugar rises, insulin is released, then sugar enters the cells and is used as energy.
Certain foods such as vegetables, brown bread, rice and pasta release sugar slowly – these types of food lead to more steady sugar levels.
Sugars such as white carbohydrates and sweets, chips and so on, cause a quick sugar rise, placing higher demands on insulin in the body.
Over time, a diet high in these foods can increase the chance of the body becoming more resistant to, or becoming depleted in, insulin. This results in diabetes.
There are two main types: Type 1 (previously called insulin dependent) and Type 2 (previously called non-insulin dependent).
In Type 1 diabetes, the body is unable to produce insulin. This accounts for about 10 percent of diabetes cases. It is an autoimmune condition, and usually starts in childhood or adolescence.
The exact cause is unknown, but the result is that the cells that normally produce insulin are destroyed and unable to function.
People diagnosed with Type 1 diabetes need lifelong insulin injections to survive.
A simple blood sugar test can help to pick this up early, before symptoms appear.
In Type 2 diabetes, the body becomes resistant to the effects of insulin or does not produce enough.
The symptoms of Type 2 diabetes include thirst, frequent urination, weight loss and fatigue. They might come on gradually, or in some cases the symptoms are not obvious at all.
Blood glucose screening in those at risk can help to diagnose the condition early. Type 2 diabetes is treated by diet, lifestyle modification and medications that increase the body’s sensitivity to insulin.
In some cases this is not enough, and some people do ultimately end up requiring insulin therapy.
You are at risk of Type 2 diabetes if you have a family history of it, if you are obese (80 percent of Type 2 diabetics are), if you lead a sedentary lifestyle or if you are over 40.
Why do we care about sugar levels rising? When blood glucose levels are high, practically every cell in the body can be damaged. The risk of heart and vascular disease doubles in the first five years after diagnosis.
High blood pressure is common in diabetics. It can lead to kidney failure, nerve damage, erectile difficulties, eye damage, and foot and limb damage that might result in amputations.
Diabetics therefore require regular check-ups to help catch any complications early, and to prevent further problems in future.
The good news is that a healthy lifestyle can help to reduce the risk of developing diabetes, so maintaining a healthy weight and diet and getting at least 30 minutes of exercise daily are beneficial.
Even in those with the condition, if blood glucose levels are monitored and maintained at normal levels through lifestyle and medication, the risk of complications is greatly reduced.
Most people are under the impression that diabetics have to follow a special diet. The truth is there is no such thing.
It simply means eating plenty fruits, vegetables and whole-grains, and controlling the amount of carbohydrates consumed; a diet we should all follow.
Portion control is also important: one or two small potatoes is okay, five or six is not.
In those who are obese, weight loss is an essential part of management.
Diabetes is not a curable disease, but if you lead a healthy lifestyle throughout your life, it is largely preventable or manageable.
We are all familiar with checking the sugar content in foods, but when did you last check the sugar in your blood?
Think about it. It might just save your life. – Irish Independent