The Clinton Herald, Clinton, Iowa

Food & Health

October 17, 2013

DR. ROACH: Healthy, careful diet important for all diabetics

Dear Dr. Roach: Can you tell me why there is so much emphasis on small portions for diabetics or prediabetics? If you are watching carbs and are extremely underweight, is there still a reason to limit portion sizes? — C.

Answer: The majority of people in North America with diabetes and prediabetes are overweight or obese, so limiting portion size makes sense for most people. However, for the minority of people with diabetes or prediabetes with normal or below-normal weight, portion size no longer has the importance it does in overweight people.

A careful diet is important for everyone with diabetes. I would be cautious about the term “carbs,” since there are several different types of carbohydrates. Simple sugars and starches are the problem for diabetics, since they are rapidly converted to blood sugar. However, fruits, vegetables and whole grains are much more slowly turned into blood sugar, and along with high-quality protein and healthy fat, form the basis of a healthy diet for everybody — diabetics and non-diabetics alike.

Being underweight with diabetes should raise the possibility of type I diabetes, which is caused by autoimmune destruction of the cells in the pancreas that make insulin. Type I diabetics have no or almost no insulin, and absolutely need insulin by injection. Most people with type I are children or adolescents, but it can happen in adults. Type II diabetes is caused by resistance to insulin. Most type II diabetics have normal or even high levels of insulin. Insulin helps bring sugar from the blood into cells, but it also acts as a growth hormone. That’s one of the reasons type II diabetics have trouble losing weight, since the high insulin levels promote fat deposition. Type II diabetes is more common in adults, but as North Americans continue to have increasing rates of obesity, type II diabetes is showing up at younger and younger ages.

Text Only
Food & Health
  • Why a see-through mouse is a big deal for scientists

    A group of Caltech researchers announced in Cell Thursday their success in making an entire organism transparent. Unfortunately, this isn't any kind of "Invisible Man" scenario: The organism in question is a mouse, and the mouse in question is quite dead.

    August 1, 2014

  • Sunburn isn't the only sign of summer that can leave you itchy and blistered

    You've got a rash. You quickly rule out the usual suspects: You haven't been gardening or hiking or even picnicking, so it's probably not a plant irritant such as poison ivy or wild parsnip; likewise, it's probably not chiggers or ticks carrying Lyme disease; and you haven't been swimming in a pond, which can harbor the parasite that causes swimmer's itch.

    July 31, 2014

  • Fist bump photo Study: Fist bumps less germy than handshakes

    When it comes to preventing the spread of germs, maybe the president is on to something with his fondness for fist bumps.

    July 30, 2014 1 Photo

  • Watermelon Think beyond the slice with refreshing watermelon

    Watermelon is one of those foods you really don’t need to overthink.
    Slice it. Eat it. Spit out the occasional seed. Done.

    July 27, 2014 1 Photo

  • Health insurers owe Iowans nearly $1.8M in refunds

    The federal government says insurers owe Iowans nearly $1.8 million in refunds because of a provision in the Affordable Care Act.

    July 24, 2014

  • Agents get subsidized 'Obamacare' using fake IDs WASHINGTON (AP) — Undercover investigators using fake identities were able to secure taxpayer-subsidized health insurance under President Barack Obama’s health care law, congressional investigators said Wednesday.The weak link seemed to be call cente

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • Illinois patients to docs: 'What about marijuana?'

    Illinois doctors, nursing homes, hospitals and hospice organizations are ramping up for their role as gatekeepers in the state's new medical marijuana program.

    July 23, 2014

  • Amanda Stecker Herbs make a better way to flavor meals Summer is a season full of fresh herbs. This is the best time of year to take advantage of the fresh herbs in the grocery store. Herbs add a boost of flavor without added sodium and are rich in antioxidants. Herbs are easy to incorporate into everyda

    July 23, 2014 1 Photo

  • Genome Genetic mapping triggers new hope on schizophrenia WASHINGTON, D.C. — Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick.Such work could eventually point to new treatments, although they are many y

    July 23, 2014 1 Photo

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.