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Experts agree that individuals living with type 2 diabetes can improve their symptoms with a few simple lifestyle tweaks.

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    Avocado Salad With Ginger-Tamari DressingIngredientsNutrition Facts1. Keep an Eye on Your Carb Intake2. Avoid Eating Large Meals3. Fill Up on FiberWhat to Know About Diabetic Macular Edema4. Get More Quality Shuteye5. Lose a Little Weight6. Drink More Water7. Get a Handle on Stress8. Never Skip Eating Breakfast9. Add More Resistant Starch to Your Plate10. Ramp Up Your Movement Each DaySign up for our Diabetes Newsletter!The Latest in DiabetesHow Eric Adams’s Diabetes Journey Has Influenced His Policy Goals as Mayor of NYCInsulin Pens for Diabetes: A Complete Scientific GuideDiabetes and the Flu: What You Need to KnowA Complete Scientific Guide to DiabetesChemicals in Cosmetics, Cookware, and Clothing Tied to Diabetes in WomenPeople With Diabetes Less Likely to Notice Symptoms of Atrial FibrillationIs There a Cure for Diabetes? A Look the Remission Potential for Each TypeDiabetes Awareness Month: November 2021How Your Genes Can Play a Role in Whether You Develop DiabetesInsulin Resistance Tied to Twofold Risk of DepressionHow does atrial fibrillation exacerbate heart failure?What is the most common form of heart disease in a patient with atrial fibrillation?What is a possible serious complication associated with atrial fibrillation?Is atrial fibrillation an expected complication of HF?

By Moira LawlerMedically Reviewed by Kacy Church, MD

Reviewed: October 27, 2022

Medically Reviewed

You may not need meds to get a better handle on your blood sugar.Getty Images

It’s the Holy Grail for people with diabetes: Checking your blood sugar and seeing the numbers right in line. Can lifestyle changes help? Yes, says Jill Weisenberger, RDN, a diabetes nutrition expert based in Newport News, Virginia.

If you have diabetes, lowering blood sugar isn’t just a short-term goal — according to the Centers for Disease Control and Prevention (CDC), it helps prevent or delay diabetes complications, including heart, kidney, eye, and nerve diseases. It can change the course of the disease entirely.

“It's 100 percent important that [people with type 2 diabetes] try and lower their blood sugars through dietary approaches first,” says Jessica Crandall Snyder, RD, CDCES, with Vital RD in Denver. “For some people, it not only can be preventive, but it can also help with reversal of the actual disease.”

Crandall Snyder says making a few key lifestyle changes can sometimes eliminate the need for medication. “Poking yourself with insulin isn't fun,” she says. “Diabetes is a progressive disease, and you really have to figure out how to take control.”

Here are 10 ways to do it, no prescriptions required.

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Avocado Salad With Ginger-Tamari Dressing

Here's a refreshing salad that you can have ready in a matter of minutes, using San-J Tamari. The recipe has a variety of textures, from the crunchy cucumber to the cool and creamy avocado. San-J Tamari Organic Soy Sauce has a richer and more complex taste than typical soy sauce — and it's non-GMO and gluten-không lấy phí!

contains  Soy

    4.0 out of 40 reviews

    SERVES2

    CALORIES PER SERVING263

    AUTHORTaylor Golub

      PrintDownloadPinterest

    PREP TIME10 min

    COOK TIME5 min

    TOTAL TIME15 min

    Ingredients

    1 tbsp San-J Organic Tamari Soy Sauce

    2 tsp fresh lemon juice

    1 tsp fresh ginger, grated

    1 clove garlic, grated

    Water, as needed

    1 large bunch cilantro, chopped

    2 mini cucumbers, thinly sliced

    2 green onions, thinly sliced

    2 avocados, sliced

    Directions

    1

    Add San-J Organic Tamari Soy Sauce, lemon juice, ginger, garlic, and water to a medium bowl.

    2

    Whisk dressing together and set aside.

    3

    On a large serving plate, scatter cilantro first, followed by the cucumbers, green onions, avocado slices, and finally the dressing.

    4

    Serve immediately.

    Nutrition Facts

    Amount per serving

    calories263

    total fat21g

    saturated fat2.9g

    protein5g

    carbohydrates18g

    fiber10.9g

    sugar3.1g

    added sugar0g

    sodium499mg

    TAGS:Soy, Diabetes-Friendly, Heart-Healthy, Mediterranean, Gluten-không lấy phí, Vegetarian, Vegan, High-Fiber, Quick & Easy, Lunch

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      1. Keep an Eye on Your Carb Intake

      Lumina/Stocksy

      Paying attention to carbohydrates is important for people with type 2 diabetes. “Carbs are what cause your blood sugars to potentially fluctuate,” Crandall Snyder says.

      How many carbs per meal is ideal? “It’s tailored to each individual,” says Weisenberger. How much you exercise, your weight, and your age can all affect how long sugars stay in your system, according to the CDC. A typical starting point for people with diabetes is to limit carb intake to 200 to 245 grams (g) per day, which amounts to about one-half of your daily calories coming from carbs, according to the CDC. From there, make adjustments according to your blood glucose readings or as recommended by a dietitian, Crandall Snyder says.

      And keep in mind that carbs aren’t only found in the usual culprits, like bread, potatoes, and pasta. They are also in fruits, vegetables, sweets, and dairy, so you have to take all of those into consideration as well, Crandall Snyder says.

      RELATED: 8 Fruits That Are Good for People With Diabetes

      2. Avoid Eating Large Meals

      Jess Craven/Stocksy

      One way to keep carbs under control is by eating in moderation. “I always tell my patients to spread their food out over the day,” Weisenberger says. “Don’t eat small meals to save up for a big dinner.” Feeding your body toàn thân throughout the day helps regulate your blood sugar levels and prevents highs and lows, Crandall Snyder says.

      Both Weisenberger and Crandall Snyder say to keep an eye on carbs, even while snacking. “Classically, less than 15 g of carbs per snack is a good standard approach,” Crandall Snyder says. That’s about what’s found in 1 cup of fruit, she says.

      3. Fill Up on Fiber

      iStock

      Fiber is another nutrient you’ll want to keep an eye on for blood sugar management, but in this case, the more the better! It can help stabilize your blood sugars, Crandall Snyder says. It also plays a role in weight management and can lower your risk of cardiovascular disease, according to a review published in September 2022 in Advances in Obesity Weight Management & Control.

      more on Diabetes

      What to Know About Diabetic Macular Edema

      Fiber plays a preventative role, too. Studies have found that high-fiber diets can reduce the incidence of type 2 diabetes by 15 to 19 percent compared to low-fiber diets, according to a March 2022 study published in the Journal of Chiropractic Medicine.

      You’ll find fiber in plant foods such as raspberries, peas, and whole grains, according to the Mayo Clinic. Beans are another good source of fiber. People with type 2 diabetes who ate least a cup of legumes (beans, chickpeas, and lentils) daily for three months had lower blood glucose levels as measured by the A1C test, according to a study published in the Archives of Internal Medicine. (A1C is a way to measure your average blood glucose levels over a three-month period, according to MedlinePlus.) Beans also are an excellent source of folate, which is linked to a lower risk of cardiovascular disease, a common diabetes complication, according to the National Institutes of Health.

      Men should aim for 30 to 38 g of fiber per day, and women should eat 21 to 25 g per day, according to the Mayo Clinic.

      RELATED: 7 Healthy Meal Tips for People With Type 2 Diabetes

      4. Get More Quality Shuteye

      Melissa Ross/Stocksy

      Poor or limited sleep affects body toàn thân chemistry, and getting more slumber helps with blood sugar control, Weisenberger says. Chronic lack of sleep may contribute to the risk of type 2 diabetes, according to a small study published in Diabetologia in February 2015. Healthy volunteers who slept only four hours for three nights in a row had higher levels of fatty acids in their blood, which reduced insulin’s ability to regulate blood sugar by about 23 percent, the researchers found. Lack of sleep is also linked with other health conditions, including obesity, heart disease, and stroke, according to the Division of Sleep Medicine Harvard Medical School.

      The National Sleep Foundation recommends aiming for seven to nine hours of uninterrupted sleep per night.

      Having sleep troubles? Follow these recommendations from the National Sleep Foundation:

        Sleep in a cool, dark room.Avoid consuming alcohol or caffeine in the hours before bed.Go to bed and wake up the same time each day, even on the weekends.Don’t look screens for least a half hour before bedtime, including TV, tablets, cell phones, and computers.

      5. Lose a Little Weight

      Carli Teteris/Stocksy

      Carrying around extra weight is one of the main causes of insulin resistance, keeping the blood sugar-lowering hormone from working properly, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

      Your weight-loss goals don’t have to be enormous either. Some of Weisenberger’s patients have seen improvements in blood glucose readings with only a five-pound loss, she says. Makes sense: A study published in the American Journal of Preventative Medicine found modest weight loss — losing 5 to 10 percent of body toàn thân weight — resulted in improved insulin sensitivity and glucose tolerance. “Small steps in the right direction can yield big results in improvement or prevention,” Crandall Snyder says.

      RELATED: 8 Steps to Weight Loss Success if You’re Managing Type 2 Diabetes

      6. Drink More Water

      Trent Lanz/Stocksy

      Staying hydrated is an easy way to stay in control of your blood sugar levels. A previous study found the more water study participants drank, the less likely they were to develop high blood sugar. More specifically, the study found people who drank less than ½ liter of water per day were increased risk of developing blood sugar issues.

      The idea is that water helps flush glucose out of the body toàn thân. “Having a glass of water can be really helpful in essentially diluting your blood sugar and lowering your blood sugar in a healthy way,” Crandall Snyder says.

      7. Get a Handle on Stress

      Getty Images

      When you’re stressed out, your blood sugar tends to rise, Crandall Snyder says. According to the Diabetes Teaching Center the University of California in San Francisco, when you’re stressed, insulin levels fall, certain hormones rise, and more glucose is released from the liver, which ends up in the blood stream and can cause disruptions for up to eight hours.

      How can you burn off tension? Yoga and meditation can help people lower their blood sugar levels, Weisenberger says. A December 2014 study published in the Journal of Physical Therapy Science involving 27 nursing students and found a combination of yoga and meditation practiced for one hour once a week led to reduced levels of stress and lower blood glucose levels after 12 weeks.

      Crandall Snyder also suggests taking a few deep breaths, going for a walk, playing with your dog for a few minutes, or listening to a fun song. Basically “whatever you can do to distract yourself for a few minutes and just lower your breathing rate” will help, she says. Indeed, the CDC notes that less water in your body toàn thân is liked with a higher blood sugar concentration.

      RELATED: Is Stress the Source of Your Blood Sugar Swings?

      8. Never Skip Eating Breakfast

      Cameron Whitman/Stocksy

      We’ve all heard that breakfast is the day’s most important meal. This is especially true for those who have diabetes. “I think eating breakfast is important, especially with potential risk for hypoglycemia and avoiding potential highs related to fasting for too long a period of time,” Crandall Snyder says.

      A high-protein breakfast has an edge over breakfasts that are high in carbohydrates, according to research from The University of Missouri-Columbia. In the research, women ages 18 to 55 consumed meals with similar calories, fat, and fiber contents — but differing amounts of protein. Researchers monitored the amount of glucose and insulin in the participants’ blood for four hours after they ate breakfast. The best breakfasts contained 39 g of protein and led to lower post-meal glucose spikes than the meals with less protein, the researchers found.

      Besides, eating breakfast may help overweight people with type 2 diabetes shed extra pounds. Of the participants in the National Weight Control Registry who maintained least a 30-pound weight loss for least one year, 78 percent said they eat breakfast daily.

      9. Add More Resistant Starch to Your Plate

      Harald Walker/Stocksy

      Resistant starch — found in some potatoes and beans — bypasses the small intestine and ferments in the large intestine, which means it doesn’t raise glucose levels and promotes the growth of good bacteria in the body toàn thân, according to Johns Hopkins Medicine. “It’s a fiber-filled starch and helps with glycemic control,” says Joelle Malinowski, RD, a certified diabetes care and education specialist with Ellis Medicine in Schenectady, Tp New York. And the effect will last through your next meal, Weisenberger says. “It’s called the ‘second-meal effect,’” she says.

      Interestingly, resistant starch can change with heat, and some foods, like rice, are higher in resistant starch when cooked and cooled than when cooked and served warm, according to Johns Hopkins Medicine.

      Resistant starches are also found in:

        Plantains and unripe bananasBeans, peas, and lentilsWhole grains, including oats and barley

      Just be sure to keep carb count in mind when incorporating foods with resistant starch into your diet.

      10. Ramp Up Your Movement Each Day

      Getty Images

      Exercise helps improve blood glucose in people with type 2 diabetes by increasing insulin sensitivity and the body toàn thân’s ability to use glucose as energy, according to the American Diabetes Association. “In type 2, exercise helps improve insulin resistance,” says James G. Beckerman, MD, a cardiologist in Portland, Oregon. “The end result is lower blood sugars.”

      Crandall Snyder tells patients that exercise is like spring cleaning for the body toàn thân. “It takes the stored form of glucose and uses it for energy so the next time you eat carbohydrates there's a place to put it,” she says.

      Because exercise can immediately reduce blood sugar levels in people with type 2 diabetes, work with your healthcare team to determine the right amount of activity and timing for you. A study published in September 2022 in Frontiers in Endocrinology found exercising 30 minutes after the start of a meal is usually best for maintaining blood sugar controls.

      RELATED: 7 Tips for Staying Motivated to Exercise When Managing Diabetes

      Learn more about managing your blood sugar in Diabetes Daily's article "HbA1C: Everything You Need to Know."

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      How does atrial fibrillation exacerbate heart failure?

      How does AFib lead to heart failure? Heart failure means the heart isn't pumping enough blood to meet the body toàn thân's needs. AFib can lead to heart failure because the heart is beating so fast that it never properly fills up with blood to pump out to the body toàn thân.

      What is the most common form of heart disease in a patient with atrial fibrillation?

      Heart failure, which occurs when the heart can't pump enough blood to the rest of the body toàn thân, is one of the most common complications associated with atrial fibrillation.

      What is a possible serious complication associated with atrial fibrillation?

      Blood clots are a dangerous complication of atrial fibrillation that can lead to stroke. In atrial fibrillation, the chaotic heart rhythm can cause blood to collect in the heart's upper chambers (atria) and form clots.

      Is atrial fibrillation an expected complication of HF?

      Atrial fibrillation is associated with a three-fold increased risk of incident HF. Vice versa, the structural and neurohormonal changes in HF make the development and progression of AF much more likely,11 both in heart failure with reduced ejection fraction (HFrEF) and preserved ejection fraction (HFpEF). Tải thêm tài liệu liên quan đến nội dung bài viết Heart failure with atrial fibrillation case study Quizlet

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