For most people, a bad shoe day means a blistered heel or painful arch that goes away quickly. But for people with diabetes, poor footwear can trigger serious problems, such as foot ulcers, infections, and even amputation.
Foot problems aren't inevitable, though. Ralph Guanci learned the hard way to pick his shoes with care and to stick with wearing them because they're good medicine for his feet.
Guanci, 57, a businessman in Carlisle, Massachusetts, was diagnosed with type 2 diabetes 25 years...
It can help to count your carbs from things you eat or drink, and split them evenly between meals so that it’s in line with how much insulin is available from your body or from medicine. If you get more than your insulin supply can handle, your blood sugar level goes up. If you eat too few carbohydrates, your blood sugar level may fall too low.
With carbohydrate counting, you can pick almost any food product off the shelf, read the label, and use the information about grams of carbohydrates to fit the food into your meal plan.
Counting carbs is most useful for people who use insulin several times a day or wear an insulin pump, or want more flexibility and variety in their food choices. The amount and type of insulin you are prescribed may affect the flexibility of your meal plan.
You don’t have to count carbs. You could use diabetes food exchange lists instead. Ask your doctor or a registered dietitian for their advice on that.
How Fiber Helps
Fiber helps control blood sugar. It also helps you lower your “bad” (LDL) cholesterol.
Most Americans need more fiber in their diets. You get fiber from plant foods, so plan to eat more of these foods: