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Healthy Living & Eating with Diabetes

Top signs that show you should be getting tested for Type 2 Diabetes

5/9/2023

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Author: Chantelle van der Merwe

Registered Dietitian (SA) PGDip Diabetes Management (UK).  Nutrition made simple, science made practical. 

As a registered dietitian, I cannot stress enough the importance of early detection of type 2 diabetes. Many of the early warning signs can easily be dismissed as normal everyday occurrences, but these seemingly minor symptoms should not be taken lightly.

The early warning signs of type 2 diabetes include fatigue, increased thirst, and the need to wake up at night to pass urine. These symptoms may seem insignificant, but they could be an indication of an underlying issue. If you or someone you know is experiencing any of these symptoms, it's essential to encourage them to get tested right away, even more so if you have a strong family history of diabetes! 

If left untreated, type 2 diabetes can lead to serious complications. It can cause hyperglycaemic coma, acute renal failure, blindness, high blood pressure, and even limb amputation. The good news is that a simple finger prick test can provide results within seconds. 

If you're wondering whether you should  get tested for type 2 diabetes, consider the following questions:
  • Are you overweight or obese?
  • Are you over the age of 45?
  • Do you have a close family member with diabetes?
  • Have you  previously been diagnosed with high blood pressure, high cholesterol, or polycystic ovarian syndrome?
  • Have you  been feeling unusually tired lately?
  • Have you been drinking a lot more water than usual?
  • Do you need to pass urine more often, especially at night?
  • Is your vision blurred?
  • Have you gained or lost weight without any major change in lifestyle?

​If you answers yes to one or more of these questions, I would encourage you to completing a screening / finger prick test. Early detection of type 2 diabetes is key to managing the condition successfully. Diet and lifestyle changes can help prevent and manage type 2 diabetes, but it's essential to catch it early to avoid irreversible damage. 
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Insulin Resistance Explained: Fight Insulin Resistance with Dietitian-Approved Tips

5/9/2023

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Author: Chantelle van der Merwe

Registered Dietitian (SA). PGDip Diabetes Management (UK). Uncomplicated nutrition, science-backed results.

Insulin resistance is when your cells and muscles become less responsive to insulin. This means that your body needs to produce more insulin to achieve blood glucose control. As you become more insulin resistant, your body will need to produce more and more insulin until your pancreas can't keep up. This can lead to high blood sugar levels, ultimately diabetes, which can cause a range of health issues.

So, what causes insulin resistance? A few factors can contribute to it, including excess body fat (especially around the waist), unhealthy diet, smoking, lack of exercise, and too much alcohol.

While there aren't many symptoms of insulin resistance, it's important to be aware of the risk factors. Age and ethnicity can increase your risk, as can having excess body fat.

But don't worry – there are things you can do to reduce your insulin resistance and improve your health. The most important step is to lose weight, especially around your stomach (visceral body fat). 

In addition to weight loss, making healthy food choices can also help. Strict, ridged & unsustainable diets that only focus on what you can't eat, is not the answer. Instead, your focus needs to shift to understanding what "healthy lifestyle" change really entails. Its about balance, including less processed foods most of the time, whilst enjoying the odd indulgence.  Consistency is key! What you eat 80% of the time is what is going to make a difference. Use an app to track your calories and macros, better yet consult with a registered dietitian to guide you step by step and formulate a plan specifically for you! 

Exercise is also crucial for reducing insulin resistance. Minimum recommendation are 150 minutes moderate intensity exercise per week (30 minutes 5 days a week or almost and hour, 3 days a week). Include a mix of aerobic and resistance training.

By making these lifestyle changes, you can reduce your risk of developing cardiovascular disease, type-2 diabetes, non-alcoholic fatty liver disease, and polycystic ovarian syndrome (PCOS). And yes, it is possible to reverse insulin resistance with these lifestyle changes.
​
Remember, taking care of your health is a journey, and I'm here to support you every step of the way. If you have any questions or concerns, don't hesitate to reach out.
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First steps to managing pre-diabetes: Summarized

4/30/2023

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Author: Chantelle van der Merwe

​Registered Dietician (SA) PG Dip Diabetes Management (UK) . All about simplifying and individualizing nutritional therapy for diabetes management

Pre-diabetes is a critical stage in the progression towards type 2 diabetes. It is a condition that affects millions of people worldwide, and if left untreated, it can lead to serious health complications. However, the good news is that pre-diabetes can often be reversed with early intervention and lifestyle changes. The key to success is to take action as soon as possible. In this blog post, we'll discuss the importance of treating pre-diabetes and provide some essential first steps to help you manage your condition and improve your health.

Here are the first steps to start with for pre-diabetes management:


  1. Manage your portions: Limit carbohydrate portions to no more than 1 cup per meal, and choose low glycemic index (GI) carbs. Low GI carbs release glucose slowly into the bloodstream, which helps to stabilize blood sugar levels.
  2. Fill half your plate with non-starchy vegetables: Eating plenty of non-starchy vegetables such as broccoli, spinach, and carrots can help you feel full and satisfied without consuming too many calories. Try eating your veggies first to feel full sooner and avoid overeating.
  3. Drink plenty of water: Drinking at least 1.5-2 liters of water daily can help keep you hydrated, improve digestion, and flush out toxins from your body. You can also add natural flavors like lemon, cucumber, mint, or ginger to enhance the taste.
  4. Exercise regularly: Aim for at least 150 minutes of moderate-intensity exercise per week, which can include activities like brisk walking, cycling, or swimming. Start slowly and gradually increase the intensity and duration of your exercise over time.
  5. Monitor your blood sugar levels: Check your blood glucose levels regularly and follow up on your blood work in 6 months to ensure that your levels are improving. Remember, you may not always feel the symptoms of pre-diabetes, so monitoring your blood sugar levels is essential.

    ​In conclusion, pre-diabetes is a warning sign that you need to take action to prevent or delay the onset of type 2 diabetes. By making small changes to your diet, exercise, and lifestyle habits, you can improve your health and reduce your risk of developing diabetes. Don't wait until it's too late – start taking action today and be proactive in managing your health!
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    Chantelle vd Merwe RD (SA)
    Post Grad. Diabetes Management (UK)

    Dietitian dedicated to making diabetes management simple,
    ​realistic, and sustainable.

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"So happy and thankful to Chantelle to have had her be part of my journey, without her I would not have been as successful as I was." - Gayle , diagnosed with Gestational Diabetes 

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The sympathy, empathy she works with is phenomenal. It just motivates you to talk to someone that understand your challenge. I am on my path to lose 30kg, it is surely not happening overnight. However, my journey with Chantelle is making every centimeter I lose absolutely worth to take on the next one to shake off." - Sonja, wanted help with weight loss post heart attack 

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