Diabetes Myths
Myth #1 You can catch
diabetes from someone else.
No. Although we don’t know exactly why some people develop
diabetes, we know diabetes is not contagious. It can’t be caught like a
cold or flu. There seems to be some genetic link in diabetes,
particularly type 2 diabetes. Lifestyle factors also play a part.
Myth #2 People with
diabetes can't eat sweets or chocolate.
If eaten as part of a healthy meal plan, or combined with exercise,
sweets and desserts can be eaten by people with diabetes. They are no
more “off limits” to people with diabetes, than they are to people
without diabetes.
Myth #3 Eating too much
sugar causes diabetes.
No. Diabetes is caused by a combination of genetic and lifestyle
factors. However, being overweight does increase your risk for
developing type 2 diabetes. If you have a history of diabetes in your
family, eating a healthy meal plan and regular exercise are recommended
to manage your weight.
Myth #4 People with
diabetes should eat special diabetic foods.
A healthy meal plan for people with diabetes is the same as that for
everyone – low in fat (especially saturated and trans fat), moderate in
salt and sugar, with meals based on whole grain foods, vegetables and
fruit. Diabetic and “dietetic” versions of sugar-containing foods offer
no special benefit. They still raise blood glucose levels, are usually
more expensive and can also have a laxative effect if they contain sugar
alcohols.
Myth #5 If you have
diabetes, you should only eat small amounts of starchy foods, such as
bread, potatoes and pasta.
Starchy foods are part of a healthy meal plan. What is important is the
portion size. Whole grain breads, cereals, pasta, rice and starchy
vegetables like potatoes, yams, peas and corn can be included in your
meals and snacks. The key is portions. For most people with diabetes,
having 3-4 servings of carbohydrate-containing foods is about right.
Whole grain starchy foods are also a good source of fiber, which helps
keep your gut healthy.
Myth #6 People with
diabetes are more likely to get colds and other illnesses.
No. You are no more likely to get a cold or another illness if you
have diabetes. However, people with diabetes are advised to get flu
shots. This is because any infection interferes with your blood glucose
management, putting you at risk of high blood glucose levels and, for
those with type 1 diabetes, an increased risk of ketoacidosis.
Myth #7 Insulin causes
atherosclerosis (hardening of the arteries) and high blood pressure.
No, insulin does not cause atherosclerosis. In the laboratory,
there is evidence that insulin can initiate some of the early processes
associated with atherosclerosis. Therefore, some physicians were
fearful that insulin might aggravate the development of high blood
pressure and hardening of the arteries. But it doesn’t.
Myth #8 Insulin causes
weight gain, and because obesity is bad for you, insulin should not be
taken.
Both the UKPDS (United Kingdom Prospective Diabetes Study) and the
DCCT (Diabetes Control & Complications Trial) have shown that the
benefit of glucose management with insulin far outweighs (no pun
intended) the risk of weight gain.
Myth #9 Fruit is a healthy food. Therefore, it is ok to eat as much
of it as you wish.
Fruit is a healthy food. It contains fiber and lots of vitamins and
minerals. Because fruit contains carbohydrate, it needs to be included
in your meal plan. Talk to your dietitian about the amount, frequency
and types of fruits you should eat.
Myth #10 You don’t need to change your diabetes regimen unless your
A1C is greater than 8 percent.
The better your glucose control, the less likely you are to develop
complications of diabetes. An A1C in the sevens (7s), however, does not
represent good control. The ADA goal is less than 7 percent. The
closer your A1C is to the normal range (less than 6 percent), the lower
your chances of complications. However, you increase your risk of
hypoglycemia, especially if you have type 1 diabetes. Talk with your
health care provider about the best goal for you.
information courtesy of American Diabetes Association
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