Monday, August 19, 2013

Type 2 Diabetes - Poorly Controlled Diabetes Can Lead to Gout!

The first point where gout is commonly formed is in the base of the big toe joint. However, other places include: knees, wrists, elbows, fingers and ankles. If you have an acute gout attack you will feel:
  • pain,
  • swelling,
  • warmth,
  • tenderness, and
  • a change in skin color in the affected area.
Gout is caused when uric acid crystals form in tiny sacs of fluid around your joints. The crystals create inflammation within the sacs that cause swelling and pain in the joints.
In some cases, inflammation can become chronic and mimic rheumatoid arthritis. In these cases, nodular masses form in soft tissue parts of your body. They can appear anywhere but hard nodules are most commonly found in the ears, the tips of your elbows, around your fingers and the big toe. When these nodules appear it's because of an overload of uric acid in your body.
There are several types of gout and the symptoms can vary. They are:
  • Asymptomatic Hyperuricemia,
  • Monoarticular and Polyarticular Gout,
  • Intercritical Gout,
  • Acute Gouty Arthritis, and
  • Chronic Tophaceous Gout.
Asymptomatic means you have no symptoms. The uric acid levels very slowly increase over many years. Only 20% of cases at this level actually become full-blown gout.
Monoarticular Gout starts in one joint and about 60% of all attacks occur in the big toe. It's also called podagra. It may also occur in the knee or ankle. Polyarticular Gout is similar but it occurs in more than one joint simultaneously. This happens in around 10-20% of cases and is more common in older people. The extremities are most likely affected and it's common to be along one side of the body.
Intercritical Gout is the name for the time between the gout attacks. More than two-thirds of people have a second attack within a couple of years and more than 90% of people have repeated attacks over a 10 year period. Treatment is always essential for gout and can delay relapses.
Acute Gouty Arthritis is when you notice minor symptoms such as severe pain around one or more joints. Swelling may be noticeable, as well as fever, chills, feeling sick and loss of appetite. Skin may become shiny and tight and begin to peel. This stage can last a couple of years before you get a full attack.
Chronic Tophaceous Gout is a long-term recurring type with its own set of problems in addition to the ones already mentioned, and is the one people suffer from the most because it's long-lasting.
The foods you should eat as a diabetic are basically the same as if you have gout. Protein, fruit, vegetables, grains, healthy fats and good carbohydrates should be on the menu instead of junk food.
It's best to eat healthy size meals... then your blood sugar will remain stable, your Type 2 diabetes will be under control and you reduce the risk of developing gout.
Foods to avoid if you have gout:
1. Food containing purines metabolize into uric acid. Avoid organ meats such as:
  • anchovies,
  • mussels,
  • herring, and
  • oysters because they all have a lot of purines.
2. Foods that create uric acid include:
  • red meat,
  • poultry,
  • asparagus,
  • beans,
  • spinach, and
  • alcohol, especially beer.
As a diabetic, you are prone to lots of problems, including gout.
Type 2 diabetes is not a condition you must just live with. By making easy changes to your daily routine, its possible to protect your heart, kidneys, eyes and limbs from the damage often caused by diabetes, and eliminate some of the complications you may already experience. Maintaining a healthy eating plan will also help reduce your possibility of developing gout.


Thursday, August 15, 2013

Diabetics, Eat Your Carrots

Carrots, peas and sweet potatoes are some of the richest vegetables in the nutritional world. It is so sad to see diabetics forgo these beneficial vegetables. It's not really the diabetic's fault; it's poor dietetic advice that's promoted in the hospitals. It's wrong advice and it's hurting many people.
It all started when they discovered in a lab somewhere that anything that was not a protein or fat can be used as a carbohydrate. Since it was known that carbohydrates raise blood sugar, dieticians grabbed onto the carbohydrate in equals blood sugar rise. It's the principle behind the glycemic index.
Since then, nutritionists discovered that all those vitamins, minerals and fibers slow the absorption of sugars and can direct some of those sugars into feeding the millions of probiotics in our digestive system. Some of the carbohydrates are used to build healthy tissue. Fat slows the absorption of carbohydrates and this is why it's best to eat a tiny bit of butter with your carrots; it also helps us absorb the Vitamin A.
Without the sugars entering our blood, the total blood sugar number does not go up. This is the principle behind the glycemic load. The best hospitals and doctors are using the nutritional information based on the glycemic load to teach diabetics about their foods.
The glycemic index for a serving of carrots is 41 (about half that of table sugar), but the glycemic load is only 3 (or "ridiculously low", according to Dr. Jonny Bowden, Ph.D., clinical nutritionist specialist). That's because people typically eat about 6 grams of carrots in 1 serving. Of that, nearly ½ is water, 1/3 more is fiber and nutrients. It doesn't leave enough sugars to affect blood sugars significantly.
So, why are the dieticians clinging to outdate belief? There are many reasons from politics to funding. Plus, no one likes to admit they were wrong. But you can take a stand for your health
Everyone needs to watch their blood sugars with any food they eat. There are some people who are very sensitive to the sugars in carrots and will see a sugar spike. I usually question that result and ask to see what else a person has eaten. Nearly always, I see bread, pasta or another processed food or chemical. That is the real problem.
The chemicals in processed foods and sugar substitutes can make the body react poorly to natural sugars. In fact, there have been studies done that show that aspartame, sucralose and saccharine actually increase our reactions to natural sugars and artificially raise blood sugars. They also harm the liver, cause cancer and disrupt hormones.
Most processed foods are also devoid in nutrients, so they deprive the body of the very thing that will help heal it: vitamins and minerals.
People need fruits and vegetables in their freshest and most natural form in order to absorb the nutrients necessary for health. Local farmer's markets are prefect for this. Otherwise, I recommend organic from the grocery store or organic frozen vegetables. Skip the cans and boxed stuff. In order to sit on the grocery store shelf, the nutrients must be stripped out.
So, go ahead and enjoy your fresh, local carrots. They will taste better than the cardboard, boxed stuff that only deprives your body of what it needs to heal.
Christina Major is the Naturopathic Doctor and Holistic Nutritionist of Crystal Holistic Health Consulting. Crystal Holistic Health helps people, especially women, who have Type II Diabetes, High Cholesterol and High Blood Pressure lower their numbers, get off medication and increase their energy so they can save money, take back control of their lives and improve the health and happiness of their families.