What could cause my unwillingness to eat with type 2 diabetes?
- Q: I am 53 years old, have type 2 diabetes that's uncontrolled. I have lost the willingness to eat. I don't get hungry no matter what time of day it is. I can go all day without eating, but I drink all the time (coffee, tea, frozen popsicles, etc., but not alcohol). What could be the problem? I don't have the money or Insurance to see a doctor. I am currently unemployed.
- A: People with diabetes can be prone to other medical problems such as heart disease, eye problems, skin infections, and ulcers on the feet. In order to keep the blood glucose levels at a healthy level, eat the same amount of food each day, eat at the same time every day, don't skip meals, take medication at the same time every day, and exercise. Eating at the same time every day is important because blood glucose goes up after each meal. So one large meal can cause glucose levels to increase the next day. Following the Diabetes Food Pyramid is a good way to keep glucose levels under control by eating healthy. The Diabetes Food Pyramid includes: Grains, beans, and starchy vegetables: These foods at the base of the pyramid are a good source of B vitamins and fiber; six or more servings/day. Fruits: These contain vitamins C and A, potassium, folate, and fiber ' three to four servings/day. Vegetables: These provide vitamins A and C, folate, and fiber; three to five servings/day. Milk: This is a great source of calcium, protein, and vitamins A and D; two to three servings/day. Meats and meat substitutes: These are a good source of iron, zinc, B vitamins, and protein' two to three servings/day. Fats, sweets, and alcohol: These foods at the tip of the pyramid should be eaten in small amounts. Fats and oils should be limited because they are high in calories. Sweets are high in sugar and should only be eaten once in a while. It is important to never skip meals! All individuals with diabetes must eat three meals a day either with or without snacks. It is beneficial to spread out the calories throughout the day. By eating three small meals throughout the day and snacks in between, it is easier for the pancreas to put out and use insulin. Ideally try to space meals 4 to 6 hours apart. Also check with your local pharmacy for a cheap blood glucose meter. Some store brand meters are inexpensive but just as reliable. Also check the Internet for pharmaceutical companies that sell diabetic machines because sometimes they give out free meters and have programs for individuals that can't afford strips or other diabetic supplies. For more information on diabetes please visit Everyday Health at the link http://www.everydayhealth.com/HealthAZ/Index.aspx. Kimberly Hotz, PharmD.
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