living with diabetes. living with a diabetic
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Living with Diabetes.Living with a Diabetic.
Bethany JohnstonDebra Schroeder
UNL Extension Educators & Diabetics
University of Nebraska–Lincoln
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What is Diabetes?
Insulin
Glucose
T1
T2
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The KickerBalancing Glucose and Insulin
Poof! Glucose.
InsulinFast ActingSlow ActingLittle boluses can add up
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Insulin
Mr. PancreasMrs. Liver
Glycogen =Glucose
Glucagon
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Rats. Pasta.Carbohydrates vs. SugarThink about the entire meal. Fat and protein delay sugar absorption.Adjust. Low blood sugars. Exercise.“Sugar-free”. Really?
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What Did You Learn so Far?
Insulin makes your bloodsugar go _____.Glucagon is sugar. T/FInsulin lasts for _____ in your bloodstream.Type 1 can avoid diabetes by exercise and diet changes.
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Myths about DiabetesFat and lazy. Here comes diabetes!Insulin cures diabetes. (I wish. sigh.)Sugar is BAD. Treating lows. (Basal too high, More insulin than food, Exercise, Alcohol, Hormones.)Stop insulin when you are sick.
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Myths about DiabetesStrive for perfection. What’s wrong with you!Exercise will lower your A1C.I am a bad person when I have high blood sugars.The Food Police- you know who you are.
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When to TestWhen you wake up in the AMBefore each meal2 hours after each mealBedtimeMid-sleep (occasional 3-4 hours)
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$&)@! Where’s the Glucagon?
Stay calm.Talk to the person.Push the liquid in the syringe into the bottle.Mix gently.Redraw your syringe (no air bubbles).Inject in thigh.Monitor blood sugar.
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Hello, 289. Where did you come from?
FoodIllness or infectionsStressMedicationsWeak insulin (too hot, too cold, too old)Bad infusion set, kinks, leaky siteCheck for ketones. Could save your life!
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I’m Not AloneI love Kerri. Sixuntilme.comwww.dlife.comBested by a Can of Soup. http://www.dlife.com/diabetes-food-and-fitness/carb_counting/scott_johnson/grams-of-carbs
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High Blood Glucose (Sugar)
Diabetes:Important to know your blood glucose (blood sugar) level, whether you have been diagnosed with diabetes or not. Fasting blood glucose level:
70 - 99 mg/dL – desirable level100-125 mg/dL – prediabetesAbove 126 mg/dL - diabetes
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Know how. Know now.My Choose My Plate
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Know how. Know now.Look for foods with fiber
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Know how. Know now.Cut Back on Fats, Sugars and Salt
Limit foods
high in sodium, added
sugars, and
refined grains
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Recipe MakeoverOriginal Apple Crisp
9 apples 1 cup sugar 1 teaspoon cinnamon 1½ cups all-purpose flour ¾ cup butter
New Apple Crisp9 apples¼ cup plus ¼ cup Splenda¼ cup plus ¼ cup sugar 2 teaspoons cinnamon½ cup trans-fat-free margarine¾ cup all-purpose flour¾ cup old-fashioned oatmeal
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Recipe MakeoverOriginal Apple Crisp
Yield: 12 Servings Serving size: 2/3 cup Exchanges per serving: 3 carbs, 2 fatPer serving:
Calories: 270Carbs: 41gFat: 12gFiber: 2g
New Apple CrispYield: 15 ServingsServing size: ½ cup Exchanges per serving: 2 carbs, 1 fat Per serving:
Calories: 170Carbs: 26gFat: 7gFiber: 2g
University of Nebraska–Lincoln
Know how. Know now.Who is the Gatekeeper?
What is your role when someone you love has diabetes?Sorry there is no one-size-fits-all answer.This is a disease that lasts for a lifetime; you both must be prepared for the future.But there are a few hints that we will share that have worked for others
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Mood SwingsDiabeticLearn to recognize early signs of high and low blood levelsSelf monitorAdjust management planHave emergency sources available
SpouseLearn to distinguish spouses normal behavior from high and low levelsBe suspicious of low blood glucose levelsAvoid hassling your spouseBe prepared
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DependencyDiabeticYou are responsible for your own actions and reactionsDon’t expect your spouse to be your pancreasLearn how to express your needs so that your partner can hear them
SpouseDon’t confuse love and caring and support with an enveloping behaviorTake the responsibility for starting communicationsDiscuss your needs as an individual and as a marital partnerRemember it takes time
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DenialDiabeticGive yourself timeLearn as much as you canYou are responsible for handling your own diabetesTell your spouse how much you appreciate his or her support
SpouseRecognize that you can not make your spouse face up to his/her diabetesOffer love and supportParticipate actively and openlyBe patient and supportive
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Should you be eating that?
Don’t accuse someone of cheating on their dietRespect your loved one’s privacyBe flexible in your attitude about food Refrain from teasing
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be eating that?Put your self in the other person’s shoesDon’t immediately blame dietary indiscretions for a “bad” check-upSet a good exampleLet go
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Some Practical TipsIf weight is the problem, follow a weight-loss program together.As the support person consider making lifestyle changes yourself.Find ways to exercise regularly, like taking a daily walk together, join a gym.
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Some Practical TipsA diet that’s healthy for people with diabetes is a diet that is healthy for everyone.Store appropriate foods in the pantry and keep inappropriate items out of the house.Stay involved, but do not take over control of managing the disease.
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Some Practical TipsRemember depression can be treated through improved blood sugar control, medication, and counseling.Don’t nag. Instead let your spouse know that you are worried about specific issues.
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Some Practical Tips•Let your sensitivity help build a bridge between you.•Try using the closeness that only the two of you share.•Express appreciation and admiration for the way your spouse is managing the difficult job of diabetes care.
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Idea sharing– what works
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Extension is a Division of the Institute of Agriculture and Natural Resources at the University of Nebraska–Lincoln cooperating with the Counties and the United States Department of Agriculture.
University of Nebraska–Lincoln Extension educational programs abide with the nondiscrimination policies of the University of Nebraska–Lincoln and the United States Department of Agriculture.