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Diabetes and the Older Adult

Diabetes is a disease where your body cannot convert the foods you eat into the energy you need to function. After you eat, sugars and starches are changed to a sugar called glucose. Glucose then travels through the bloodstream as the main fuel for your body. Insulin, a hormone produced by the pancreas, allows the glucose to get into your body cells.

Types of Diabetes

In diabetes, the sugar (glucose) cannot get from the bloodstream into the cells. There are two types of diabetes:

  • Type I--The pancreas is not able to make insulin.

  • Type II--The pancreas does not make enough insulin or the cells ignore it.

Diabetes Facts

  • Diabetes is a chronic disease that has no cure.

  • Diabetes is the fourth leading cause of death by disease in the United States.

  • About 16 million Americans have diabetes.

  • An estimated 8 million Americans have diabetes and do not know it.

Risk Factors

Who is most at risk for diabetes?

  • People over 40

  • People who are overweight

  • People who are sedentary

  • People who have a family history of diabetes

Anyone who has these risk factors should see a doctor periodically to be tested for diabetes.

The Warning Signs of Type II Diabetes

  • Frequent urination

  • Excessive thirst

  • Extreme hunger

  • Weight loss

  • Irritability

  • Weakness, fatigue, sleepiness

  • Nausea and vomiting

  • Recurring wounds that do not heal

  • Blurred vision

  • Tingling in hands or feet

  • Itching

Please remember that some people with Type II diabetes have no symptoms.

Complications of Diabetes

  • Cardiovascular disease-heart disease, high blood pressure, stroke

  • Kidney problems--More than half of the people in the United States on dialysis have diabetes

  • Blindness (diabetic retinopathy)

  • Nerve damage--Most common in feet and hands

The Good News

Diabetes can be controlled with your physician's and dietitian's advice through:

  • Medications

  • Checking blood sugars

  • Exercise

  • Good nutrition

Checking blood sugars: Frequent blood sugar testing will help determine if your good habits are working, and will also help your physician and dietitian know if any adjustments need to be made to your medications or lifestyle.

Exercise: If you are overweight, losing even 10 or 20 pounds can help you to better manage your blood sugar. If you have never been at your ideal weight in your adult life, this may be a more realistic weight loss goal for you. In addition to the weight-loss benefits of exercise, it also improves blood sugar control in Type II diabetics. Exercise does not have to be a chore. Some fun activity, 30 to 40 minutes a day, four times a week, will improve your health. Think about all the different activities you enjoy and get moving! Remember, before starting an exercise program, check with your physician.

Good nutrition plans: Diet is very important in managing diabetes. There are many different plans to help you maintain a healthy diet, such as:

  • The Food Exchange List

  • The Food Guide Pyramid

  • U.S. Dietary Guidelines

  • Carbohydrate Counting

All of these plans work, but only if you stick with them! Contact your physician, dietitian, or your local Extension office to obtain this information.

Good nutrition factors: There are some important things to remember with any meal plan:

  • Timing: Eating meals and snacks at regular times will help regulate your blood sugar.

  • Quantity: Watch those serving sizes! Overeating any food can cause problems.

  • Variety: The best diet is one that includes different foods from the Food Guide Pyramid.

Talk to your physician and dietitian to develop a healthy lifestyle plan that is right for you.

Take time for your health. If you have concerns, contact your medical specialist and access your local American Diabetes Association.

An estimated 8 million Americans have diabetes and do not know it. Some people with Type II diabetes have no symptoms.


Reference

American Association of Retired Persons. Living with Diabetes: A Winning Formula, (video, undated)


Ohio State University Extension

Authors: Lisa Marie Gibson, Ohio State University Extension, Franklin County Diana Short Manchester, Dietetic Intern, The Ohio State University

Path: Home>Education>Health Information>Diabetes and the Older Adult

 

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