Diabetes and Your Mouth

We diabetics have to pay even more attention to our teeth and gums than other people.

We are at greater risk of cavities, gum disease and tooth infections. Not only that, but those infections can cause our blood sugar to rise, so it becomes a vicious cycle.

Here are some mouth problems common in diabetics.

Plaque

Plaque is, of course, a problem for many people, not just diabetics. But it's caused by starches and sugars, and of course we have more than our share of those! So diabetics are highly prone to plaque.

Dry mouth

Sometimes my mouth is so dry in the morning I can hardly speak—I'm sure you know how that feels. But it's more than just inconvenient, it's dangerous to the health of our mouths. You see, saliva washes away many of the bacteria that cause cavities and gum disease. Dry mouth cuts the amount of saliva available for this job, so the result is more cavities and gum disease. Dry mouth sometimes also creates inflammation of the soft tissue in the mouth, making eating difficult and unpleasant.

While there are artificial saliva substitutes, which your dentist can tell you about, you can usually stimulate your own saliva by sucking on a sugar-free hard candy. I like no-sugar-added Ricola for this purpose. And of course, drinking water helps.

Fungal infections

Not only do we diabetics have less saliva than we need, but the saliva we do have is high in sugar content, so it's double trouble for us. This can cause a fungal infection called candiasis, commonly known as thrush. It produces sore red or white spots in the mouth. Medication can help though, so ask your dentist.

As a diabetic, you must pay great attention to oral hygiene. Brush your teeth twice a day, and floss daily. Examine your gums for signs of problems—and always visit your dentist at least twice a year.

eep Your Blood Sugar Level Under Control

Controlling blood sugar (glucose) levels is one of the most important aspects of diabetes management. It will make you feel better in the short-term and it will help you to stay fit and healthy in the long term.

The National Committee on Prevention Detection Evaluation, the chromium and many interesting articles. People who do not have diabetes keep their blood glucose levels within a narrow range for most of the time. The beta cells in the pancreas are able to produce just the right amount of insulin at the right time and they are constantly fine-tuning the blood glucose level. People with diabetes do not have this fine control over their blood glucose levels.

This might be because the beta cells have been destroyed and there is no insulin production at all, as in Type 1 diabetes. Alternatively, it may be that the body does not respond to the insulin and/or not enough insulin is produced when it is needed, as in Type 2 diabetes. The approach to managing Type 1 and Type 2 diabetes is slightly different, but whichever type of diabetes you have, you will still need to step in and take over that fine-tuning of your blood glucose level.

Controlling blood glucose levels is a bit like trying to lasso an unruly animal. Blood glucose is dynamic; it changes constantly and it is influenced by a host of factors including your choice of food, how much you eat, the timing of your medication or insulin, your emotions, illnesses, your weight, and your body's resistance to insulin.

Some of these factors are relatively constant from day to day and are quite easily accounted for; some factors are more variable. No two days are ever exactly the same, or entirely predictable, and this makes it difficult. So, blood glucose is not easily lassoed.

In practical terms, you will need to learn about those things that raise your blood glucose level and those things that lower your blood glucose level. Then you will need to balance these factors on a day-to-day and possibly even hour-by-hour basis. This means coordinating medication, food and activity levels, whilst making appropriate allowances for stress, illness or changes in your daily activities.

You will be aiming to avoid the extreme highs and lows, trying to manipulate your blood glucose toward the normal range. You will be doing regular finger-prick blood glucose tests and using these results to help balance those things that make your blood glucose rise with those that make it fall. When you have evened out your blood glucose level you will still need to keep an eye on it and continue to make adjustments.

Controlling blood glucose is a continuous process and it will require your attention from now on, for the rest of your life. Don’t worry! It may sound daunting to you right now, but it will soon become second nature.

People who do not have diabetes have blood glucose levels between 4 and 8 mmol/l for most of the time. In general, people with diabetes should try to aim for test results between 4 and 10 mmol/l most of the time. Some people – pregnant women, for example – will need to aim for tighter control. Other people – young children, the elderly, or those at risk of severe hypoglycemia, for example – will need to aim for higher levels.

Your diabetes team will give you individual guidance on the blood glucose levels that you should be aiming for.

In the short term, controlling blood glucose levels is important in order to avoid diabetic emergencies – very high or very low blood glucose levels. Both of these conditions are unpleasant and can be dangerous, so they should be avoided if at all possible.

High blood glucose levels in Type 1 diabetes, if caused by a lack of insulin, can lead to a condition known as diabetic ketoacidosis or ‘DKA’ which can be fatal if it is not treated in time.

Walk 10,000 Steps to Improve Health and Fitness

It’s a fact, America is becoming obese at an alarming rate and the rest of the world is following close behind. We are eating more (and more of the wrong stuff) and exercising less or getting no exercise at all. Our health is in steep decline and doctor and hospital visits are at all time highs. Just a brisk 30-minute walk a day can begin to turn that around.

You name it, we have it, and it’s getting worse. Heart and cardiovascular disease, high blood pressure, stroke, out of control blood sugar levels, diabetes, obesity, and more. The U.S. Surgeon General recommends getting at least 20-30 minutes of moderate activity each day and many of us are falling far short of even that.

Studies show the average person takes about 3000 to 5000 steps a day, and some even much less. Let’s face it, we just do not get the exercise our ancestors did a hundred or so years ago and we tend to eat more refined foods. For some of us, most of steps we take are from the easy chair in front of the TV to the fridge so we can fill up on snacks. For others, like me, we sit at a computer all day as part of our jobs.

Many fitness experts recommend we walk 10,000 steps a day to maintain our weight and overall good health. 10,000 steps are approximately 5 miles, give or take depending on the length of your stride. You will need to purchase and wear a pedometer to count how many steps you take each day. Follow the directions that usually come with the pedometer. Do this for a week or two and you will get a good average step count. Your goal is to reach 10,000 or more steps each day. There is nothing magical about 10,000, but it will put you in the right ballpark.

As a general rule, a person will burn about 100 calories walking a mile, depending on age, size, and fitness level. The heavier you are, the more calories you will burn.

Become creative on ways to increase your steps. At work, go for walks at lunchtime. Go for walks with your spouse or children. Walk the dog. Walk to the store instead of driving, or park at the far end of the parking lot. Use the stairs instead of the elevator. For me, I take brisk 2-mile walks around the neighborhood twice a day everyday (aerobic walking). Just do whatever works best for you, but do it! You will need good walking shoes and socks to prevent injury when walking for exercise (like aerobic walking).

Go to your favorite search engine and type in “10,000 steps” to learn more about this life saving, life changing program. The information is abundant.