Mr. Paul C. Norwood, M.D., F.A.C.P.

There is no bread that is best. Carbohydrate is carbohydrate. There is no way to bundle it in a way that doesn’t stress the pancreas. There is no way to bundle it to Malone lose weight. Use a lettuce wrap. Most of us are overweight, so carbs are a problem for everyone.

Absolutely. About a 50% chance. Matter of face a recent study points out the treatment post pregnancy with metformin lowers the incidence of diabetes by 33%. The best treatment however is keeping in excellent shape and keeping the weight way down, which honestly very few people can do, Best Dr. Norwood

I rarely have patients with diabetic ketoacidosis. It is not common, it is found in Type 1 diabetics usually but can be found in Type 2 diabetics who are insulin deficient, have had diabetes for a long time or have diabetes out of control. Diabetic ketoacidosis comes from insulin deficiency. Sugar cannot enter the cell, thus it is starving. Then fat breaks down quickly and ketones are made. These are acid particles.

It all depends on your post meal glucose and weight. If you are trying to lose weight, cutting out carbs which is normally 50% of calories, is a shortcut however very few can do it completely. The main answer is found by checking your 1 hour post meal glucose, if it is high over 160 (normal 140) THEN that food is not good. It helps to eat slowly and enjoy the meal. Unusual for most of us Americans.

The answer is what does it do to your sugar 1 hour post meal. If your glucose is high then if you are trying to control the diabetes with diet then no you can't enjoy it. Too bad. It is my experience that watermelon increases the sugar. This goes for any food you wonder about.

Online there are many. However: breakfast, 2 eggs with coffee; Lunch chicken salad; Dinner two green vegetables with a protein the size of your palm. 3% will follow this diet so best of luck. Always love yourself and never pressure yourself. Following a diet permanently is the hardest thing to do ever.

There is a thing called the dawn phenomenon. Every morning in all of us the glucose levels increase because other hormones rise (growth hormone, adrenaline, cortisone) but so does the insulin. When the insulin levels are that as high and there is a deficiency the glucose Best Dr. Norwood

No prediabetic is between 5.8-6.4%, ha1C or fasting GLUCOSE from 100-126.

5.2 IS GREAT

Polycystic Ovary Disease is associated with insulin resistance. I have little data here. I am making a presumption that there may be a weight issue which is also associated with PCO. It is really hard to lose weight because the body fights to keep at its set point. But if you’re part of the 3 percent that can lose weight and keep it off, this could solve that problem.

Yes and no. I have seen patients really clamp down on the diet and become very athletic. This is ideal but rare in the long term (3%). When one is diagnosed with diabetes they have significant loss of pancreatic cells (66%) at least. So a medication in particular metformin should take stress off the pancreas. The pancreatic cells might live longer with this medication. Regardless a healthy lifestyle is amazingly important.
Paul Norwood MD
Endocrinologist

Type 1 diabetes is an autoimmune disease in which antibodies destroy the pancreatic cells, Type 2 diabetes, classically is a problem with pancreatic fatigue in which the islet cells in the pancreas cannot keep up with the person's needs and eventually they poop out and make less and less insulin. Both are insulin deficiency problems. Persons who are overweight many times are insulin resistant and their insulin needs are greater and thus the pancreatic cells poop out and just can't keep up and the cells die and are depleted of insulin. There are type 2 diabetics that act like type 1 diabetics. They are volatile in control and are not responsive to diet. Some are thin even. I have noticed that Japanese diabetics are sometimes this way. Also patients who have diabetes 2 for a long time have difficult to control sensitive diabetes who are not overweight. It is moot if there is type 1 or type 2 diabetes. Both are just as problematic. A good diet, lots of monitoring (a continuous monitor is great), exercise, and all the healthy lifestyle choices we all need are necessary. (Don't forget a good night's sleep and keeping the worry and stress down).

Paul Norwood, MD

Life is fatal. However, if one plays it straight, which means keeping track of the dm with monitoring, eating healthfully, exercising, and taking dm controlling medications and staying out of denial, you can live a long and fruitful life (watch the fruits).

Dr Norwood

If you have a weight problem and go on a very low calorie diet, and the diabetes has not persisted for a long time, then it is possible but not probable. It is difficult to be on a very low calorie diet, less than 1000 calories a day. Best Dr. Norwood

If the patient has a problem with weight sometimes a very low calorie diet, less than 1000 calories can control it. It is rare for someone to sustain such a diet. If there is not a weight problem, then no, the patient has probably run out of their own insulin and needs medication or even insulin externally.

I will rephrase the question, can diabetes continue after the baby is born.
Usually not, however the future is not good for 50% of the patients in that that is about the percentage of persons who develop diabetes in the future. So buckle down, get the weight down to normal, exercise and live a healthy lifestyle. Then you will delay or even never get it later.

Well yes and no, Diabetes itself will not raise blood pressure, however, that's the big one however the complications of vascular disease will harder the arteries and increase BP. Also the reason the diabetes exists; be it obesity, genetics, lack of physical activity, poor conditioning can cause the hypertension. Those that excercise viligently, eat healthy meals, don't drink coffee and alcohol to excess, keep the weight normal, and have a supportive family do well. Work is important too. This gives meaning and helps BP if it is appreciated from above and below. Paul Norwood

No. Diabetes does not cause premature evacuation.

Yes and no. Yoga is not better than any exercise however any exercise is great. So as much activity as possible is terrific. I find the atheletes do well with their diabetes if than stay on top of the medications and monitoring.
If he hasn't been a yoga person, it is rare for someone over 35 to join it, but not impossible. So if he has an activity he likes, stick with that .

No, carbohydrates, regardless of the color, are a stress on the pancreatic insulin secreting cells. I believe a low-carb, high green vegetable diet with moderate protein is the best diet.
Breakfast - 2 eggs, lunch - salad with chicken or nuts, tomatoes, carrots radishes, etc. Dinner - small steak and 2 green veggies.

I would start immediately. Anything that decreases the stress on the pancreas, so that less insulin is needed on a daily basis, will preserve the insulin secreting cells. Metformin is a cheap and great choice.