Type 2 diabetes
After his victory in the rowing at the 2000 Sydney Olympics, Sir Steve Redgrave became the only British athlete towin five consecutive Olympic gold medals.
But what many people don't realise is that Sir Steve achieved this final triumph against all the odds. Three years before the Sydney Olympics, he discovered he had diabetes.
"It was November 1997 and I had this tremendous thirst coming back from training one day," he says. "After drinkingthree or four pints of fluids, I knew something wasn't quite right."
Sir Steve's grandfather was also diabetic, so the athlete wasn't totally ignorant of the condition.
While training abroad, he and his team mates were given dipsticks to test their dehydration levels, and Sir Steve could also test his urine for sugar levels.
"For some reason I decided to do my own test, and it came back positive," he says. "I called my wife, who's a doctor, and she suggested going to see my GP.
"My blood sugar level was 32 [the norm is somewhere between4 and 7], and I was sent to see a specialist. From that day on I've been taking insulin."
The Olympic champion was 35 years old when he was diagnosed with type 2, or adult-onset, diabetes, wherethe body doesn't make enough insulin or the cells inthe body don't use insulin properly. He thought it was the end of his career.
"The little I knew about diabetes was that there were few sportspeople with the condition competing at the level I wanted to be at. I thought it was impossible to be diabetic and do what I did, so obviously I was a little depressed.
"I took it in my stride to some extent, because I'd already achieved four Olympic gold medals.
"But after a consultation, my specialist said he didn't see any reason why I couldn't achieve my dreams in Sydney. He said it wouldn't be straightforward, and he was certainly right about that."
Initially, Sir Steve was put on a low-sugar diet, but he soon found he didn't have the energy to carry out the endurance training needed to compete at the highest level.
His specialist decided that, as he'd performed well on his previous diet of 6,000 calories a day,including ahigh sugar content, he should go back on that diet and adjust his insulin dose accordingly.
"After I won in Sydney, my specialist and I did a press conference and another diabetes specialist stood up and said, 'You're a very lucky man'," Sir Steve recalls.
"He said if I'd come to the clinics of any of the specialists in that room, they'd have said I couldn't do it. They were amazed."
In theory, he could have been given tablets to control his blood sugar level, but Sir Steve says they wouldn't have given him enough insulin in his system for the amount of training he was doing.
"I was testing my blood sugar levels, using a pin prick to draw a spot of blood, 10 times a day. Normally, people with diabetes do it just once.
"If you're not diabetic,your bodynaturally adjustsyour insulin levels, so I was just trying to mimic as closely as possible what the body does naturally."
Sir Steve now uses an insulin pump. Instead of injecting several times a day, the pump is attached all day, every day, feeding a small amount of the medication into the body all the time.
The pump is about the size of a pack of playing cards and is attachedto the side of the abdomen.The infusion unit only needs changing every three days.
"It's a lot more convenient," he says, "particularly when you're out and about. And you can take it off to shower or exercise. The down side is that I sometimes wake up during the night with it wrapped around me.
"There are fundamental changes you have to make when you discover you have diabetes, but there's no reason why you can't achieve your dreams.
"I made the decision that diabetes was going to live with me; I wasn't going to live with diabetes."
Yes, diabetes is considered a risk factor for cardiac problems including a heart attack. Keeping your blood sugar, blood pressure and cholesterol well controlled will lower your risks quite a bit. Aiming for HbA1c (three-month blood sugar average) less than 7 would be ideal.
There is no convincing data to suggest that all diabetics have poor dental health. But having said that, poorly controlled DM does make one prone to infections and poor health—including dental health. Letting your dentist know that you have DM would be prudent. Given this knowledge about your medical condition, your dentist will be able to choose the correct products for treatment.
Yes, it is true, but not in everybody though. It depends on what degree of diabetes these patients had to start with prior to surgery.
Plant-based carbohydrates such as fruits, vegetables, whole grains and starchy vegetables including beans/lentils. Foods with higher fiber may take longer to digest and decrease the after-meal glucose spikes.
Diabetes is associated with an increased risk of cardiovascular disease, which includes coronary artery disease and peripheral artery disease. Fortunately, through management of blood pressure, cholesterol and blood sugar, your risk for heart-related events can substantially drop. Of these, blood pressure and cholesterol management appear to be more important than blood sugar control (with respect to cardiovascular disease). It is generally recommended that most patients with diabetes in your age group should be on statin-class drugs (types of cholesterol drugs) that are known to reduce the risk of cardiovascular disease. Eye exams are recommended annually for most patients. Blood sugar control has the greatest impact in reducing the risk of diabetes-related eye disease. Most patients with diabetes Type 2 are followed by primary care physicians (such as internists and family physicians). Those with more complex issues may need to be referred to an endocrinologist.
Cleveland Clinic has many locations that offer diabetes education classes, including a new, conveniently located, free standing Diabetes Center in the University Circle area. Topics covered includenutrition, education, meter and insulin injection instructions, basic education about the disease state, and insulin pumps. Group and individual sessions are available.
Type 2 diabetes occurs when the body doesn't produce enough insulin to function properly, or the body's cells don't react to insulin. This means glucose stays in the blood and isn't used as fuel for energy.
Read about the symptom of diabetes, including feeling very thirsty, passing more urine than usual, and feeling tired all the time.
Read about the causes of type 2 diabetes, which occurs when the pancreas doesn't produce enough insulin to maintain a normal blood glucose level, or the body is unable to use the insulin that is produced.
Read about treating type 2 diabetes. Find out how to keep your blood glucose levels as normal as possible by making lifestyle changes, such as eating more healthily and taking more exercise.
Read about complications of type 2 diabetes. Without treatment, it can lead to a number of other health problems. High glucose levels can damage blood vessels, nerves and organs.
Read about living with type 2 diabetes. If you have type 2 diabetes, you'll need to look after your health very carefully.
After his victory at the 2000 Sydney Olympics, Sir Steve Redgrave became the only British athlete ever to win five consecutive Olympic gold medals.
Clare Mehmet, a 58-year-old retired telecommunications interpreter, found out by chance that she had type 2 diabetes 10 years ago.
When Charles Torkington, 54, was diagnosed with diabetes, it gave him the determination to change his diet and his life.