Don’t go from the nourishment of nuts to chowing down on carbs. That’s the opposite of what I mean by the title of this article. I mean to suggest that substituting nuts in your diet for some of your carbs makes sense. A study that will appear in the August issue of Diabetes Care, a professional journal of the American Diabetes Association, shows that eating nuts every day can help us manage our type 2 diabetes and prevent its complications. This research reports that eating just two ounces of nuts as a replacement for carbohydrates proved effective in managing our blood glucose and lipid levels. Dr. Cyril W.C. Kendall of the University of Toronto, who is the corresponding author, sent me the full-text of the study, “Nuts as a Replacement for Carbohydrates in the Diabetic Diet.” The abstract of the study is online . The lead author of the study is Dr. David J.A. Jenkins. That name is what brought the study to my attention because he created the most powerful tool t...
Some people think that when it comes to diabetic complications, the only thing that matters is your hemoglobin A1c level (A1c) . This is the test that is supposed to measure your average blood glucose (BG) level over the past several months.
High BG levels form what are called advanced glycation end products, or AGEs, and these long-lived products seem to gum up the works and cause diabetic complications, as well as normal aging.
Because it's an average, you can get the same A1c result if you have a constant BG level of 100 mg/dL (an unlikely event, but I'm using it to simplify), or if you spend half your time at 50 and half your time at 150 mg/dL. Because most studies of complication rates, for example the famous Diabetes Control Complications and Trial (DCCT), use only the A1c as a measure of control, many people think that's all that matters.
In fact, that's not true at all. Since then, some studies have suggested that the amount of glucose variability is as important as, or more im...
HbA1c is a test that measures the amount of glycated hemoglobin in your blood. Your doctor may order this test if you have diabetes.
Glycated hemoglobin; Glycosylated hemoglobin; Hemoglobin - glycosylated; A1C; GHb; Glycohemoglobin; Diabetic control index
How the test is performed
Blood is drawn from a vein. The vein is usually on the inside of your elbow or the back of your hand. A nurse will clean the site for germs. The nurse then wraps an elastic band around the upper arm. This puts pressure on the area and makes the vein swell with blood.
Next, the needle is gently inserted into your vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed. Then the area is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it ble...
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