How to Reduce or Eliminate Medications Using a Diabetes Diet

If you’ve been diagnosed with diabetes, your md has probably mentioned that you should pay careful attention to nutrition and diabetes diet as part of your treatment program. Nutrition experts say that there is no one diabetes diet, but people with diabetes should follow the nutrition guidelines in the Food Pyramid, while paying special attention to carbohydrate intake. People with diabetes should also eat about the same amount of food at the same time each day to keep blood sugar levels stable as part of their diabetes diet.

Getting Started With Nutrition Treatment

If you’ve never attempted to eat a healthy, well-balanced diabetes diet before your diabetes diagnosis, it can be difficult to know where to get started. Try these tips from the American Dietetic Association:

Eat more starches such as bread, cereal, and starchy vegetables. Aim for six servings a day or more. For example, have cold cereal with nonfat milk or a bagel with a teaspoon of jelly for breakfast. Another starch-adding strategy is to add cooked black beans, corn or garbanzo beans to salads or casseroles.

Eat five fruits and vegetables every day. Have a piece of fruit or two as a snack, or add vegetables to chili, stir-fried dishes or stews. You can also pack raw vegetables for lunch or snacks.

Eat sugars and sweets in moderation. Include your favorite sweets in your diet once or twice a week at most. Split a dessert to satisfy your sweet tooth while reducing the sugar, fat and calories.

Soluble fibers are found mainly in fruits, vegetables and some seeds, and are especially good for people with diabetes because they help to slow down or reduce the absorption of glucose from the intestines. Legumes, such as cooked kidney beans, are among the highest soluble fiber foods. Other fiber-containing foods, such as carrots, also have a positive effect on blood sugar levels. Insoluble fibers, found in bran, whole grains and nuts, act as intestinal scrubbers by cleaning out the lower gastrointestinal tract.

After a diabetes clinical diagnosis, consider seeing a dietitian and developing a diabetes diet meal plan to get started. Taking into account your lifestyle, your medication, your weight and any medical conditions you may have in addition to diabetes as well as your favorite foods, the dietitian will help you create a diet that will prevent complications of diabetes and still give you the pleasure you’ve always had in Eating.

A Healthier Weight and Lifestyle

Reaching and maintaining a healthy weight is important for everyone with diabetes. Weight control using a diabetes diet is extremely important in treating type 2 diabetes because extra body fat makes it difficult for people with type 2 diabetes to make and use their own insulin. If you are overweight, losing just 10 to 20 pounds may improve your blood sugar control so much that you can stop taking or reduce your medication.

If you smoke and have been diagnosed with diabetes, your medical practitioner will recommend that you quit because smoking makes problems caused by diabetes worse. People with diabetes can experience blood flow problems in the legs and feet, which can sometimes lead to amputation. Smoking can decrease blood flow even more. Smoking can also worsen sexual impotence in men, cause high levels of LDL cholesterol (the bad type of cholesterol), and can raise the risk of heart attack and stroke. If you have diabetes and you smoke, you need to quit.

Although alcohol in small amounts can be fit into your meal plan if your blood sugar is under good control, drinking alcohol on an empty stomach can cause low blood sugar.

Alcohol can contribute to complications of diabetes, so ask your doctor how much alcohol can be included in your meal plan and then stick to it.

Moderating Sugar, Fat and Carbohydrates

If you’ve been diagnosed with diabetes, you may have a lot of lifestyle changes to make. Does that mean you have to give up sugar, fat and carbohydrates forever?

The human breaks down different types of foods at different rates. Carbohydrates (be it potato or table sugar) typically take from five minutes to three hours to digest, whereas protein takes three to six hours and fat can take eight or more hours. That’s why different foods have different effects on blood sugar, such as why ice cream (higher in fat) raises blood sugar levels more slowly than potatoes. But people with diabetes don’t always have to forgo desserts and sweets. They just have to be sure not to eat moderate amounts more than once or twice a week.

To control carbohydrates, try a technique called carbohydrate counting. Carbohydrate counting means counting the total number of grams of carbohydrate you should eat at a meal or planned snack time based on your medication and exercise habits. Then you can choose how to meet those carbohydrate needs. You’ll probably use a carbohydrate counting book, which you can get at a supermarket or bookstore. If you want to learn how to count carbohydrates accurately, make an appointment with a dietitian or a diabetes educator.

Because people with diabetes are at higher risk for heart problems, it’s often recommended that they limit fat below 30 percent of total daily calories by eating less overall fat and less saturated fat. They also need to watch cholesterol, choose smaller portions of lean meats, poultry and fish, and low or non-fat dairy products. Because high-protein diets such as the Atkins diet are high in fat, they are not usually recommended for people with diabetes.

Remember that it will take a while to learn how to adjust to the changes in your diabetes diet and lifestyle after a diabetes physical diagnosis. With practice and help, you can have a satisfying diabetes diet and keep your blood sugar under control, too.

Glenn Freiboth is a Certified Health Advisor lives in Illinois and has helped many overweight and obese people lose weight and reduce or even eliminate there diabetic medications. Get diabetes diet products at http://www.GetYouHealth.com

I Wake Up Screaming (1941) … “Should I Do It?” To Women Who Struggle with Porn-Driven Sex (July 2, 2011) …item 2.. The I-Don’t-Wanna-Use-Lube Blues — I don’t want to depend on KY for the rest of my sex life. (October 3, 2011) ..
no more diabetes
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The answer to the question “Should I do it?” is simple: No one has an obligation to another person, no matter what level of commitment in a relationship, to participate in any sexual activity that causes pain, discomfort or distress.

People can discuss desires honestly and be open to sexual exploration, yet be clear about what crosses the line and is not acceptable.
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“Should I Do It?” To Women Who Struggle with Porn-Driven Sex
July 2, 2011 by Robert Jensen

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Usually I address my writing about pornography to men, who are the majority of the consumers of sexually explicit material. But after a recent conversation with a woman friend, I was reminded of how often women who raise concerns about the sexism of pornography are discounted as being overly sensitive, prudish or unable to see things objectively. Since I’m a man, you can be assured–of course!–that I am not overly sensitive or prudish, and that I’m completely objective. So, if you are a woman who is struggling to get your partner to understand your concerns about pornography, I suggest you send this essay to him with a note at the top that says, “It’s not just women who think pornography is sexist.” Then add a note at the bottom that says, “You shouldn’t have had to hear it from a man to take me seriously.”

First, to give credit where credit is due: Everything I know about pornography I learned from women or discovered because of the feminism I learned from women. From the feminist anti-pornography movement that emerged in the 1970s and ‘80s, I learned to critique the system of male dominance and my own place in it. So, there is little that is original in this essay, but much that is important to keep saying.

When I present the radical feminist critique of pornography in public, I am often approached afterward by women with some version of this question:

….My husband/boyfriend/partner wants me to do [fill in the blank with a sex practice that causes pain, discomfort or distress for the woman]. I love him, and I want to be a good partner. Should I do it?

The “it” can be anything, but common requests include ejaculating on her face, anal sex, a threesome with another man or woman, rough sex or role-playing that feels inauthentic to her. Again, not all women reject those practices, but for many they are unwanted.

The answer to the question “Should I do it?” is simple: No one has an obligation to another person, no matter what level of commitment in a relationship, to participate in any sexual activity that causes pain, discomfort or distress. People can discuss desires honestly and be open to sexual exploration, yet be clear about what crosses the line and is not acceptable.

Because I’m a man, women sometimes assume I can also provide a simple answer to their next question, “Why does he want to do that to me?” There is a simple, though not pleasant, answer rooted in feminism: In patriarchy, men are socialized to understand sex in the context of men’s domination and women’s submission. The majority of the pornography that saturates our hyper-mediated lives presents not images of “just sex,” but sex in the context of male dominance. And over the past two decades, as pornography has become more easily accessible online and the sexual acts in pornography have become more extreme, women increasingly report that men ask them to participate in sex acts that come directly from the conventional male-supremacist pornographic script, with little recognition by men of the potential for pain, discomfort or distress in their women partners.

The third, and most challenging, question is: “Why can’t he understand why I don’t want that?” The strength of sexual desire plays a role, but here the answer is really about the absence of empathy, the lack of an ability to imagine what another human being might be feeling. Pornography has always presented women as objectified bodies for male sexual pleasure, but each year pornography does that with more overt cruelty toward women. The “gonzo” genre of pornography, where the industry pushes the culture’s limits with the most intense sexual degradation, encourages men to see women as vehicles for their sexual pleasure, even depicting women as eager to participate in their own degradation.

After more than two decades of work on this subject, I have no doubt of one truth about contemporary pornography: It is one way that men’s capacity for empathy can be dramatically diminished.

To make this point in talks to college and community audiences, I often suggest that “pornography is what the end of the world looks like.” By that I don’t mean that pornography is going to bring about the end of the world, nor do I mean that of all the social problems we face, pornography is the most threatening.

Instead, I mean that pornography encourages men to abandon empathy, and a world without empathy is a world without hope.

This is why pornography matters beyond its effects in our private lives. Empathy is not itself a strategy for progressive social change, but it is difficult to imagine people being motivated to work for progressive social change if they have no capacity for empathy. Politics is more than empathy, but empathy matters. Empathy is a necessary but not sufficient condition to do work that challenges the domination/subordination dynamic of existing hierarchies–work that is crucial to a just and sustainable future.

For women who want to communicate their need for sexual integrity to partners, and for men who want to transcend the pornographic imagination and empathize with their partners, the feminist critique offers a critique of male dominance and a vision of equality that can help. Instead of turning away from the unpleasant realities about how pornography is made, rather than ignoring the inhumanity of the images, rather than minimizing the effects of men’s use of pornography–we should face ourselves and face the culture we are creating.

As long as we turn away from that task, the pornographers will continue to profit. We need ask what their profits cost us all.

Etching by Daniel Hopfer (c. 1470-1536) of “The Lovers,” from Wikimedia Commons
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The I-Don’t-Wanna-Use-Lube Blues
October 3, 2011 by Heather Corinna

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Q: Why don’t I produce enough natural lubricant during sex? There is nothing wrong with me physically. I’m 34 now, but I’ve always been like this! I’m envious of women that talk about how wet they get. Men always ask me why I don’t get that wet. I feel like something is wrong with me. I don’t want to depend on KY for the rest of my sex life. There has to be a solution other than use lubes!!!! From my understanding there are glands near the entrance of the vagina that are supposed to produce lube to help the penis enter the vagina. I don’t think mine work!!! Doctors just say use lube. Help!!!

Every now and then, when I find this concern in my inbox–essentially, this notion that wanting or needing an additional lubricant is some kind of personal failure, or that going without one has some sort of elevated status–I just sit here and scratch my head. Because I see people getting really upset over something they don’t have to.

I certainly get women having issues about vaginal dryness: that’s common, particularly when we’re talking about vaginal sex and heterosexual women. (And I’d put little stock in what a guy tells you about it per his previous female partner; let’s listen to what women have to say for themselves.) But the idea that people are constantly flooding the bedroom with vaginal lubrication every time they have sex just isn’t based in reality.

I also get why people have the idea sex should somehow be movie-screen seamless all the time, at any time, without making any adaptations–there are a lot of sources that enable those unrealistic ideas. But in fact, women’s pleasure during partnered sex, particularly as something separate from men’s pleasure, is something that has really only started to be widely addressed in the last 100 years. Historically and even now, a whole host of sexual norms based primarily on cultural ideas of men’s ideas and wants have meant that a lot of women have had a lot of not-at-all pleasurable sex.

Sexual lubricants are nothing even remotely new. They couldn’t always be purchased in stores, but for as long as people have been having genital sex, people have used all manner of things as a sexual lubricant: butter, oils, honey, saliva, animal fats and guts–you name it, if it’s slippery, it’s probably been used as a lube.

Here’s the part I don’t get: If a lubricant makes sex feel better, why not use it?

There are likely any number of things you do in your life that aren’t “natural” or organic. It’s likely that not all of your clothes are homemade ones created with organic fibers, for instance, and that you eat foods with preservatives or flavor enhancers. I might better understand this attitude about lube coming from die-hard naturists, but more often than not, I’d say that the women who send me lube worries are fine with every other aspect of their lives being less-than-100-percent-organic.

Let’s take this idea about “natural” sex to its logical conclusion. That would also mean going without most methods of birth control, protection from sexually transmitted infections or reproductive health care. Heck, it would mean not using the Internet to ask me this question in the first place. I think it’s reasonable to presume, then, that if and when a vagina is not lubricated enough, or at all, then one could conclude that the “natural” thing is for vaginal entry to just be uncomfortable or painful. And that maybe then, it’s “natural” for some kinds of sex you want to engage in for the sake of pleasure not to be pleasurable at all.

And I just don’t buy that way of thinking.

It is normal for women to sometimes not be wet enough for comfort and pleasure throughout all of a sexual endeavor; and for some women, it’s normal all or most of the time. We do have glands which produce vaginal lubrication when we are aroused, but how much we produce tends to depend on a lot of different factors: Not only does lubrication vary from woman to woman, but we won’t always produce the same amount every day, every year, every decade, in every relationship or in every sexual situation. How lubricated we are also is related to our fertility cycle and the chemical changes in our bodies: When we’re most fertile, our cervical mucus is very thin, fluid and slippery. During pregnancy, women often have increased amounts of vaginal discharge.

Vaginal dryness can also occur for other common reasons, including: medications (such as contraceptives, antidepressants or allergy medicine); smoking; health issues (like diabetes, hysterectomy, pregnancy, yeast or bacterial infections, sexually transmitted infections or allergies); dehydration; cancer treatments; low or decreased libido; not having sex as often as you’re used to; menopause or perimenopause; stress, fatigue, depression or anxiety; and chemical sensitivities to things like detergents.

But for people your age, the most common reason for vaginal dryness is a plain old lack of high sexual arousal or desire: not being as turned on as you could be. Sometimes, we’re just not feeling it with a partner. It’s also possible what you think is a lot of sexual arousal may not be so much after all–it may just be the most you’ve experienced so far, and as your life goes on and you have new attitudes and experiences, you may well discover you can be a lot more aroused.

So, what would I suggest as a plan of action for persistent vaginal dryness that’s got you so upset and doesn’t seem to be about a health issue?

…1)..See if using lube helps, and if so, use it when you need to. Not using lube, or feeling frustrated and disgruntled about using lube, are only going to be more ways to keep yourself from self-lubricating (stress inhibits arousal, after all). Alternately, take a break from the kinds of sex where you don’t feel lubricated enough.

…2)..See a health care provider who is a full-time sexual healthcare provider, not a general family doctor.

…3)..Do the best you can to be honest with that provider and fill them in on your health history–as well as the current status of your relationship and how you feel about your sexuality and sex life–in as much depth as possible.

…4)..Try what they suggest, be that a switch in a medication, a visit to a nutritionist, more masturbation, talk therapy, drinking more water, really only having sex when you are VERY aroused and that’s what you want, taking some time away from intercourse or, most likely, using lubricant as needed. Your doctor may even suggest using a vaginal lubricant daily, even if you aren’t having sex that day.

…5)..In the midst of all of this, whatever the result, take a look at your own body image, sexuality and gender issues. If you have ideas like that being dry sometimes isn’t feminine or womanly, like you’re “less of a woman” because you’re not dripping wet 24/7, or that something is wrong with your body for most likely functioning normally, see if you can’t work on ditching those ideas. It might help to remember that not all women have vaginas in the first place: Being a woman or feminine isn’t only about body parts.

Of course, if you just do NOT want to use lubricants, you don’t have to. That is likely to make some kinds of sex, or sex sometimes, less pleasurable or more uncomfortable. It also can mean things like winding up with UTIs or other infections more frequently. But if you feel better with those risks, you get to make that choice. Again, at times when you’re not lubricating, you also have the option of simply not having the kinds of sex where you need lube added, such as oral sex.

But it shouldn’t crush your ego to need or want lube, any more than it should crush your ego to need or want a haircut, salt on your food or to live in a decent neighborhood. Adding something to increase our enjoyment has nothing to do with our self-worth or with “succeeding” at sex. And using lubricant–whether it’s a need or a want–or being dry sometimes does not make a woman any less of a woman, does not make anyone less sexy, does not mean something is wrong with your body or your sexuality. Is a man not a man because he isn’t erect on demand or all the time? No? (Hint: Your answer should be no.) Well alrighty, then.

Speaking of men, I get letters from men saying they don’t like wetness. I get the same letters when it comes to dryness. However, I can’t recall a single time when I have ever gotten a letter from a man who has a problem with using lube himself or with a partner (perhaps in part because plenty of men use it for their own masturbation). So, when I hear someone tell me what “men” love, it’s always filtered by the knowledge that there are no absolutes with anything to do with sex. People of all genders like and dislike many different things.

Lube feels good. I don’t know about you, but one big reason I engage in sex is to feel good. That strikes me as perfectly harmonious. I don’t feel like I’m failing in any way when my partners and myself are feeling really good and sex rocks.

Obviously, you get to make up your own mind here and make your own choices. But I’d suggest that no matter what choice you make, an attitude adjustment on this stuff–not just on lubricant, but on not comparing oneself to other women and on realistic ideas about sexuality and the way your body functions–is going to benefit you. Most of what I hear in letters like this is that the attitudes expressed and the stress they create are getting you down far more than the issue of lubrication. And I’d say it’s certainly natural to change our attitudes or ideas for the sake of a healthier sexuality and self-esteem and a sex life we enjoy more.

Adapted from a post originally published at Scarleteen.com.

Have a sex, sexual-health or relationships question you want answered? Email it to Heather at sexandrelationships@msmagazine.com. By sending a question to that address, you acknowledge you give permission for your question to be published. Your email address and any other personally identifying information will remain private. Not all questions will receive answers.

Photo from Fickr user Lil’ Latvian under Creative Commons 2.o.
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