Diabetic testing guidelines

James LiddellArticles, DiabetesLeave a Comment

Managing diabetes is about testing to see whether it’s under control. Please use the guidelines for general diabetic testing Recommended testing at doctors visits:

First diabetic examination

  • Fasting blood glucose
  • Weight
  • Blood pressure
  • Urine micro albumin
  • Urine ketones
  • Testing for bacteria in urine
  • HbA1C – Keep level under 6.0%
  • Vitamin D
  • Serum-Creatinine
  • Lipogram
  • Other markers to access cardiovascular risk: Fibrinogen, Lipoprotein A, Homoscysteine, High sensitivity CRP
  • Eye exams with pupil dilatation
  • Feet pulse
  • General examination and an ECG
  • Fructosamine – reflects blood sugar control for past 2-3 weeks

Three monthly diabetic recommended tests

  • Fasting blood glucose
  • Weight
  • Blood pressure
  • Urine micro albumin
  • Urine ketones
  • HbA1C – keep level under 6.0%

Annual testing

All of the above and a Vit B12 blood test if patient are on Metformin.

Additional tests that can be performed

Fructosamine – will give you an indication how well your blood sugar is controlled over 2-3 weeks. This test can be used to check new medication regimes or in pregnant women.

Dr James’s Diabetic Diet Tips

  • Protein (lean): grass fed free range beef, ostrich, game, lamb and fish
  • Low GI/GL vegetables and fruits: greens, cauliflower, broccoli, peppers, celery, berries, etc. (good carbs)
  • Fats: Olive oil, butter and coconut oil
  • Nuts: walnuts, pecans, cashews, almonds etc
  • Diabetic logbook history
  • Alcohol (29kJ/ml): Limit intake 1-2 drinks at special occasions: dry wine, whiskey, spirits and no sugar loaded coolers (better not to drink at all)
  • Drinks: good quality water and herbal teas
  • Sweeteners: cut eventually out of the diet
  • Dark chocolate (70% min) occasionally

 

Low Carb Diabetic Food Pyramid

foods

Disclaimer

  • All diabetics that are new to the low carb diet should reduce carbs to 30g per day until their blood sugar adjusts
  • While following a low carb meal – monitor blood glucose and reduce medication to prevent lows

 

Exercise

To lose weight or maintain weight you should exercise 40-60 minutes daily – you can break it up if you are not fit.

The Benefits of Regular Exercise

1.  Musculoskeletal system

  • Increase muscle strength and muscle mass
  • Increases flexibility of muscles and range of joint motion
  • Produces stronger bones, ligaments, and tendons
  • Lessens chance of injury
  • Enhances posture, poise, and physique
  • Prevents osteoporosis

2. Heart and blood vessels

  • Lowers resting heart rate
  • Strengthens heart rate
  • Lowers blood pressure
  • Improves oxygen delivery throughout the body
  • Increases blood supply to muscles
  • Enlarges the arteries that provide blood to the heart muscle
  • Reduces the risk of coronary heart disease
  • Helps lower blood cholesterol and triglyceride levels
  • Raises levels of HDL the “good” cholesterol

3. Bodily processes

  • Improves immune function
  • Aids digestion and elimination
  • Increases endurance and energy levels
  • Promotes lean body mass; burn fat

4. Mental processes

  • Provides a natural release from pent-up feelings
  • Helps reduce tension and anxiety
  • Improves mental outlook and self-esteem
  • Helps relieve moderate depression
  • Improves the ability to handle stress
  • Stimulates improved mental function
  • Induces relaxation and improves sleep
  • Increases self-esteem
  • Improves sexual function in both men and women

 

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Dr James Liddell is an Integrated Healthcare Specialist (B.Pharm; M.Pharm; PhD; SAPC and PSSA registered) specialising in integrating different disciplines of healthcare to ensure holistic healthcare solutions. With 25 years experience as a Pharmacist, Dr of Nutrition and Complementary & Alternative Medicine Healthcare Practitioner, he believes lifestyle is ultimately the key to optimal health; a good nutritional foundation combined with sound emotional health are the fundamentals to what he calls ‘the optimal health zone’.

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