Thursday, 13 June 2013

WHAT FRUITS SHOULD DIABETICS AVOID?

WHAT FRUITS SHOULD DIABETICS AVOID?
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Nov 9, 2010 | By Jeffrey Traister
Diabetics should avoid fruits with a high glycemic index.Photo Credit Monkey Business Images Ltd/Valueline/Getty Images
Diabetes is a metabolic disorder that involves high blood sugar. The glycemic index used in rating foods indicates how certain foods affect your blood sugar. A higher glycemic index causes more blood sugar. Foods with a high glycemic index have a score between 70 and 100; foods with a medium index are scored 50 to 70; and foods with a low glycemic index are scored below 50, according to the University of Wisconsin Hospitals and Clinics Center for Integrative Medicine.
WATERMELON
Watermelon is a popular fruit eaten during the summer season. According to the George Mateljan Foundation, watermelon is loaded with antioxidants such as vitamins C and A and lycopene, a substance that may prevent prostate and other types of cancer. Watermelon is also rich in B vitamins and arginine, an amino acid that may help men with erectile dysfunction. Despite some of these nutritional benefits that would otherwise be healthy for people with diabetes, watermelon has a high glycemic index of 72, according to the Center for Integrative Medicine. If you are diabetic, you should avoid watermelon, because it may rapidly increase your blood sugar levels. If you decide to eat watermelon, you should eat a small amount, monitor your blood sugar levels and have insulin available to lower your blood sugar, if needed.
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PINEAPPLE
Pineapple is a tropical fruit that is an excellent source of several nutrients including manganese, vitamin C and bromelain, according to the George Mateljan Foundation. Manganese is a trace mineral that is involved with energy production and antioxidant activity. Vitamin C is an antioxidant that stimulates your immune system and protects your body from free radicals that can cause cancer and plaque buildup in the arteries. Bromelain is a complex mixture of substances that include protein-digesting enzymes that can reduce inflammation, blood coagulation and tumor growth. Yet for diabetics, eating pineapple can negatively impact blood sugar and should therefore be avoided. Pineapple has a glycemic index score of 66. If you are diabetic and choose to eat pineapple, you should consume a small portion along with other foods that have a low glycemic index.
BANANAS
A raw banana has a glycemic index of 62, according to the The University of Sydney. Bananas are high-energy fruits that contain vitamin B-6, vitamin C, potassium, manganese and fiber. Diabetics should avoid bananas, including muffins, desserts and other dishes that contain this fruit, because your blood sugar levels may quickly rise.
ss=Ms� � m l �� ࿂ so-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal'>Nerve Damage and Disease

Amputations and ulcers, especially in the feet, are more frequent in patients with poorly controlled diabetes. Decreased circulation to feet and legs leads to damage and loss of nerve function. The nerves lose their ability to sense pain, pressure, touch, or temperature correctly, which results in tingling and numbess of the feet and toes (fingers, too). This condition is called peripheral neuropathy.


Autonomic neuropathy occurs when there is nerve damage affecting the automatic processes in your body such as heart rate or sweating, so they do not work as they should. The stomach may not process food correctly. The heart rate or blood pressure does not speed up or slow down in response to exercise, exertion, rest, standing, or sitting. Autonomic neuropathy also contributes to the absence of chest pain with heart attack, and can cause sweating at inappropriate times or in specific areas, leaky bladder, pupils that do not constrict or dilate as needed, sexual dysfunction, and decreased ability to sense an infection or hypoglycemia.
If you already have numbness in your feet, is there any point to controlling blood sugars? Absolutely. Numbness and burning in the feet are signs that nerves have been damaged. Evidence has shown that nerves, when only damaged, can learn to trasmit messages through different pathways. If your feet are so completely numb that you cannot tell where they are because you cannot feel them, managing your blood sugars most likely will not get any sensation back. But it can prevent the numbness and nerve damage from spreading farther up your leg. And controlling your blood sugars will give your damanged nerves and your immune system a fighting chance to help your feet stay healthy.
Vision Problems
Retinopathy, macular edema, glaucoma, and cataracts are the more common eye disorders related to diabetes.
Eye disease is typically progressive, and there are usually no symptoms until damage has occurred. You may have 20/20 vision yet one day have complete vision loss due to a hemorrhage. This is the reason a yearly eye exam is so important. An eye doctor will be able to see the changes occurring before vision is at risk. Laser surgery can destroy the abnormal vessels in the eye and prevent their regrowth.
So What's The Good News?
Believe it or not, there is some good news. The whole process of long-term complications started with sticky red blood cells. The good news is that red blood cells only live two to three months. That means that in three months of keeping your blood sugar levels nearer to normal, you have a whole new set of unsticky red blood cells. This turnover eliminates the cops, slow cars, and semi-trucks from the freeway, and prevents further damage to the road. When blood sugar levels come down, the stickiness decreases on the walls of the arteries and veins, and triglycerides and cholesterol levels are reduced. So where lanes of traffic were closed, we now have open roads. Where damage has been done, we may not be able to repair it, but with improved control, we can prevent further complications and slow or stop the progress of any existing ones. Keeping blood sugars close to normal is the best way to prevent complications. Unlike genetics, age, or sex, it is the one component we have some control over.

Excerpt from: Mastering Your Diabetes (Before Diabetes Masters You)
Author: Janette Kirkham, RN, CDE, EMT for the American Diabetes Association

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