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There’s a secret to keeping your blood sugar in check: Be prepared.

Diabetes on the job

Talk with your doctor about how to manage diabetes at work. Be sure to:

• Eat meals at about the same time every day. Try not to skip meals or snacks.
  
• Take your medicines and test your blood sugar as directed by your doctor.
  
• Describe the signs of low blood sugar to close co-workers. You may need their help if your blood sugar drops.
  
• Keep sugar snacks or glucose pills in your desk, in case your blood sugar gets too low. Carry some with you.
  
• Tell the company nurse that you have diabetes.
  
• Keep tabs on your stress. Try deep breathing, relaxation, or take a short break from the office.
  

Dealing with sick days

A cold or the flu can make it harder to keep your blood sugar in check. It is recommended that people with diabetes get a flu shot every year. Also, you and your healthcare provider should make a “sick-day” plan. When you’re sick:

• Check your blood sugar four times a day. If it’s higher than 300 mg/dL, use a home test to check your urine for ketones.
  
• Keep taking your diabetes medicines.
  
• Drink plenty of water or sugar-free drinks to stay hydrated.
  
• Try to eat as usual. If your stomach can’t handle it, try clear soups or gelatin.
  
• Check any over-the-counter medicines for sugar. Ask your pharmacist for sugar-free options.
  

Call your doctor if your blood sugar is lower than 70 mg/dL several times a week, or if it stays higher than 240 mg/dL. Also, call if you’ve been vomiting or had diarrhea for several hours, or if your urine has high ketone levels.

Diabetes on the road

To prepare for your vacation, follow these steps:

• See your healthcare provider before your trip to go over your plans.
  
• Plan for changes in meal patterns, time zones, and activity levels.
  
• Take along twice as many medicines and supplies as you think you’ll need.
  
• Always carry medicines and snacks with you, and wear a medical ID bracelet or necklace.
  
• Wear comfortable, closed shoes, change them often, and never go barefoot. Check your feet every day for calluses, bunions, sores, or discolored skin.
  
• Find out how to get healthcare where you’re going. Locate the nearest hospital or Red Cross center in advance.
  
• Get any travel shots you need at least one month before you go.
  
• Tell the airline and cruise-ship staff that you have diabetes. They can give you special meals.
  
• If you’re traveling by car, test your blood sugar before you leave. Stick as close to your regular routine as you can.
  
• Learn important phrases in the local language, such as “I need help” or “I have diabetes.” And words, like “sugar” or “orange juice.”

I am a fat cell, and I can just tell that today is going to be a great day. Breakfast today is my favorite, pancakes. Yummy! Oh, pour on that maple syrup. I really love maple syrup. Listen to the sizzle of the bacon on the stove. That bacon fat really snaps. And the orange juice – please, no pulp. I don’t like those funny little bits of pulp in my juice.

Here comes the first bite. That maple syrup taste is so sweet! It sends a signal to the command center of this operation (the brain) that something really good is coming down the old hatch. Time to rev up the system for digesting something sweet. Even before the first bite of pancake hits the stomach, the message goes to the brain: send out the insulin!

Once the pancakes and maple syrup arrive in the stomach, other hormones called GIP and GLP-1 are put out by the body. These hormones increase the release of insulin, affect the rate at which the stomach empties, influence appetite and feeding behavior, and affect the function and size of beta cells (the cells that secrete insulin) in the pancreas.

Insulin is our very best friend as fat cells, because it is the key to filling us up with more and more fat. And we love getting fatter and fatter! Okay, all that sugar has been absorbed by the blood stream now and it’s heading toward the liver. There are sensors in the vein leading to the liver that sends more instructions: Start storing that sugar in the liver and other tissues! Stop, repeat, stop, eating! Insulin, let’s go!

In the liver cells, called hepatocytes, biochemical reactions get started that will convert the sugar into glycogen, which can be used for short-term energy needs. The liver has only a limited capacity for glycogen storage, so once it is filled up, the rest of the sugar is converted into fat. That makes today my lucky day. This breakfast will exceed the glycogen-storage capacity of the liver by several hundred calories of sugar, so we fat cells are going to get pumped up!

Some of the glucose is chemically changed into xylulose-5-phosphate ( a slightly different sugar with a phosphate molecule attached). That guy is really our friend, because it moves into the nucleus of the cell and turns on genes that will ultimately make fatty acids. Fatty acids are the molecules that move into us fat cells and plump us up.

The Cookie Man wishes You a Health breakfast. Eat a low calorie cookie.

How a low calorie cookie saved my life!

Well, this was asked of me. I knew that a hanging waist line and low energy level was not a good sign. I found out later I had Type 2 Diabetes. This means I had more than two health concerns! A big wake up call.

So I said to myself, as so many before me have promised, “I’ll start working on my health tomorrow, I’ll buy a sweat suit, jump into my running shoes, put on a head band with matching wrist bands and make it official. Tomorrow I’ll work on getting in shape. This is my new year resolution.”

Oh no, before I know it, it was October and I haven’t done a thing. I had good intentions. What happened?

I found out that the biggest problem was starting out trying to do too much. It was overwhelming. My failing health didn’t just happen over night. It took years of bad lifestyle habits, poor nutrition and lack of exercise to get me where I am. The task of change seemed so overwhelming. My solution was to start out with things I could do that wasn’t so overwhelming. My first step was to stop eating the wrong types of foods (like processed foods filled with high levels of salt), stop eating between meals, start taking walks and start drinking more water and less sodas.

As I told a friend about my plan, she shared with me about a cookie that can help. “Right,” I laughed. “I thought you were going to help me! How can a cookie help me?” She told me about taking baby steps to lose weight. Ah, her story about this appetizer diet cookie started to make sense. I started eating cookies and I was really enjoying the change. I was loosing weight and had a lot more energy. I enjoyed compliments I got from my wife. I rediscovered the person I use to be. By the way, my A1c came down from 12 to 5.5.

Well, let me tell you about this cookie, and yes it’s diabetic and weight watcher friendly.

Low Calorie Cookie

Medical research links obesity and excess fat to a number of serious physical and psychological concerns—in fact, the obesity problem has become one of the most serious health threats facing us today. Why is this trend on the rise? Why are we gaining weight? There are plenty of theories:

• We don’t get enough exercise.
• We eat too much.
• We eat too much “fast food.”
• We eat the wrong kinds of food.
• We have a malfunctioning metabolism.
• We eat processed foods with chemical additives
  that may impact metabolism.

——– FACT ——–

In spite of the fact that we have been obsessing over diets for more than a decade, Americans are heavier than ever: as many as 60-70% of us are overweight, and as many as 40% are obese (more than 20 pounds overweight).

Whatever the causes, it’s time for a solution—and that’s exactly what the Appetizer Diet® offers.

My story