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The post Why managing sugar intake with a type 2 diabetes diet is ‘more important than ever’ during the pandemic appeared first on Virus Reports.
]]>If you’ve been stress eating and working out less during the pandemic, you’re not alone. But fitness and health expert Harley Pasternak warns that getting into the habit of living that way can put you at risk of developing type 2 diabetes.
“Americans are not supposed to eat more than 30 grams of sugar a day,” Pasternak tells Yahoo Life. “Usually they consume 70 grams of sugar a day and, depending on what you read right now, Americans might be consuming over 100 grams of sugar every single day.”
That can lead to negative consequences, including type 2 diabetes, he says. “That’s why it’s so important we manage our sugar intake,” Pasternak says.
Important side note: Eating a lot of sugar can even tamp down on your immune system. “Research shows that after you have a high sugar meal, your immune system is actually suppressed for two to three hours and does not function as well as it normally should,” Pasternak says. “Other studies have shown that viruses are really happy when they find cells covered in sugar. They say that certain viruses, like a coronavirus, has a sweet tooth and over 80 percent of the cells that it attaches to ourselves covered with sugar. So managing our sugar is more important than ever.”
Pasternak says there are a few things everyone can do to lower their type 2 diabetes risk. And, he adds, these tips can also help if you already have type 2 diabetes.
“Make sure your meals are less than 10 grams of sugar and snacks less than five grams of sugar,” Pasternak says.
Everyone has treats they love, and it can be hard to resist temptation when they’re right in front of you. “Make sure you remove those trigger foods in your house, that late night, sugary cereal in the cupboard or that ice cream in the freezer,” Pasternak says. “Get them out.” He also recommends doing your best to avoid those foods when you’re out too, like bypassing a coffee shop with delicious pastries for one that doesn’t have treats.
“Make sure that you’re filling yourself up with the right foods so that you don’t have a low blood sugar,” Pasternak says. He recommends loading up on healthy fats like nuts, seeds, olives and avocados, high-fiber foods like vegetables, fruits and whole grains, and quality proteins like seafood, chicken and dairy.
“Exercise is a very important tool in managing our blood sugar,” Pasternak says. “Every time we move, we require energy. Sugar is a simple carbohydrate that’s used as a fast form of energy. So walking, jogging, dancing, all of these are forms of aerobic activity that help burn carbohydrates, energy and eventually sugar immediately.”
“Sleep is an important element in making sure that we have stable blood sugars, that we have healthy metabolisms,” Pasternak says. And, he adds, if you don’t get enough sleep, it can lead to poor food choices.
Pasternak recommends removing alcohol from your evening routine. “Alcohol is the most commonly used sleep aid in the United States,” he says. “It also disrupts the quality of our sleep almost more than anything else. So, kick alcohol to the curb.” Caffeine can also disrupt your sleep if you have it too late in the afternoon, he points out.
Ultimately, Pasternak says that making smart lifestyle choices can help your health, whether you have diabetes or not. “All of these combine to help reduce our chances of becoming a type 2 diabetic and to help us manage our diabetes,” he says.
The post Why managing sugar intake with a type 2 diabetes diet is ‘more important than ever’ during the pandemic appeared first on Virus Reports.
]]>The post Managing patients with endocrine dysfunction during COVID-19 appeared first on Virus Reports.
]]>The new article is the result of a collaboration between three experts in endocrine disorders, including diabetes. It begins by stating:
“In our professional lives, we have not witnessed a healthcare crisis of this magnitude and severity.”
The COVID-19 pandemic is unlike anything that most people have ever seen. It presents unique challenges to doctors working to treat high risk groups, such as those with existing respiratory conditions and those whose immune systems are compromised.
Stay informed with live updates on the current COVID-19 outbreak and visit our coronavirus hub for more advice on prevention and treatment.
This article, which appears in The Journal of Clinical Endocrinology & Metabolism, addresses COVID-19’s risks for patients with adrenal insufficiency. It also includes some general advice for people with diabetes.
The adrenal glands sit above the kidneys and produce hormones that, alongside the pituitary gland and hypothalamus, regulate blood pressure, the immune response, and the body’s response to stress.
Healthcare professionals consider people with diabetes at higher risk of severe illness, according to the Centers for Disease Control and Prevention (CDC). The same goes for people with autoimmune conditions that lead to adrenal insufficiency.
More than 10% of the United States population (around 34.2 million people) have diabetes, making it a significant group of at risk individuals.
Though rarer, the consequences for people with primary (otherwise known as Addison’s disease), secondary, and tertiary adrenal insufficiency could be even more serious.
Primary adrenal insufficiency affects around 100–140 people per million. Secondary or tertiary insufficiency affect around 150–280 people per million.
However, the authors of the new article advise that the same caution should extend to the 5% of the population who take long-term steroids for inflammatory conditions — half of whom would have some degree of insufficient adrenal response in a crisis.
Early data from Wuhan, China, where the pandemic originated, show that people with diabetes were more likely to become severely ill from COVID-19.
Senior author Prof. Paul Stewart, a professor of medicine at the University of Leeds in the United Kingdom, explains in the new article:
“There is early evidence from China that those patients who have endocrinological disorders face additional risks from COVID-19. The scientific picture indicates that these people need to self-isolate, to try and reduce the chance of infection in the same way as the background population.”
People with diabetes are no more likely to contract SARS-CoV-2, which is the virus that causes COVID-19, but if they do, the severity of the disease is likely to be greater.
It is therefore important that healthcare providers be vigilant in assessing people with diabetes who show symptoms, the article states.
This is in line with recent information from the American Diabetes Association, who explain that people with diabetes are more likely to experience severe symptoms when they contract any virus. They are therefore likely to face worse outcomes from COVID-19.
They remind people with diabetes to be alert for symptoms of the disease, such as a fever, a dry cough, and shortness of breath.
The authors go on to recommend that people with adrenal insufficiency and those taking long-term glucocorticoids follow their “sick day rules.” This is a series of procedures agreed on with a physician for when they feel unwell, including drinking plenty of fluids and doubling their daily dose in line with the doctor’s recommendations.
Glucocorticoids are steroid hormones that help the body fight infection. They are insufficient in the bodies of people with adrenal gland disorders.
The article also recommends that people taking glucocorticoids who develop symptoms of COVID-19 should immediately double their daily dose. The authors reiterate that health professionals should consider everyone taking corticosteroids in the high risk category for COVID-19.
The authors say that although “glucocorticoid treatment has no role to play in the treatment of COVID-19 per se,” in people who have previously taken glucocorticoids and are deteriorating due to COVID-19, it may be necessary to deliver high doses — perhaps even via an intravenous route.
However, they note that people must take glucocorticoids very carefully, because at large doses, the treatment can actually suppress the immune system and weaken the body’s ability to fight the novel coronavirus.
Importantly, these recommendations apply to specific groups, and it is important that people do not change their medication or other care regimens without first talking to their doctor.
The authors are also keen to provide hope that a treatment will soon be available for COVID-19. The article discusses a number of exciting potential treatments for the disease, all with endocrine-related targets.
One such target is ACE2, a receptor for the new coronavirus. Clinical trials for a treatment that can slow the entry and spread of the virus are currently under way.
Another potential drug is a compound called camostat mesylate, which reduces viral transmission. Recent tests show that the treatment can stop the virus from entering the lungs.
For live updates on the latest developments regarding the novel coronavirus and COVID-19, click here.
The post Managing patients with endocrine dysfunction during COVID-19 appeared first on Virus Reports.
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