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Old 03-12-2019, 02:15 PM   #1
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Managing Type 2 Diabetes aboard

I was recently diagnosed (75 yo male) with Type 2 diabetes, that as of now can be regulated with diet and exercise, so no meds at this time. I'd be interested in any suggestions or personal experiences as to how you managed this ailment while aboard. Also, how did you stock your galley and what food choices worked best for you. We have a small pneumatic stair stepper and exercise bands aboard our 42' flybridge cruiser. We'll be traveling down the ICW from the Chesapeake to Florida in a few months, so won't be far from land and groceries. Thanks.

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Old 03-12-2019, 02:58 PM   #2
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I'm 70 plus and diagnosed as borderline diabetes about 10 years ago. I didn't use much sugar and rarely had sugary drinks. I also had no interest in changing much in my eating habits. So I did some research on herbs that combat high blood sugar and now my blood tests in the middle of normal. A maritime buddy, the same age, also got the bad news. I gave him my list and in a month he was borderline diabetes. Now he's approaching my test results. The herbs probably won't work for everybody or poor dietary choices, especially high sugar intake. But if you're interested, pm me and I'll make a list.
I also have an enlarged prostate. I researched it and now have much better results than the prescription drugs using several herbs.
And all this herb taking had a side benefit of lowering somewhat high blood pressure to normal. Probably the cinnamon.
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Old 03-12-2019, 05:22 PM   #3
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I am interested and would appreciate the list when you get a chance
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Old 03-12-2019, 05:37 PM   #4
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Greetings,
I don't see this thread lasting very long so...Be VERY, VERY careful replacing medical treatment with homeopathic remedies. https://www.scientificamerican.com/a...s-do-not-work/


Diet modification and exercise can go a long way to moderating some medical conditions.
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Old 03-12-2019, 09:08 PM   #5
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I'm 72 and also Type 2. I don't have to take insulin, I just control it with some meds and diet.


A couple of things I've mostly given up because of the sugar content are Margaritas, cookies, candies, ice cream and most other sweets. My wife is an excellent cook and does her menu planning around my diabetes.


I get most of my exercise jumping to conclusions and running my mouth off. Other than that I'm not much of an exercise junky. Through GW's menu planning I've managed to drop about 15 pounds in the past year, and it's still coming off.
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Old 03-12-2019, 09:23 PM   #6
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Greetings,
I don't see this thread lasting very long so...Be VERY, VERY careful replacing medical treatment with homeopathic remedies. https://www.scientificamerican.com/a...s-do-not-work/


Diet modification and exercise can go a long way to moderating some medical conditions.
Why won't the thread last long RT? Seems like it could be very beneficial to the senior citizens on here.
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Old 03-12-2019, 09:28 PM   #7
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Learn to complete your metabolic cycle. Deplete your reserves before you replenish. Your cycle has an anabolic phase and a catabolic phase. Complete each phase.

Get a glucose meter and use it after fasting, before eating, and at intervals after eating. Use it to see how different food affects you. Quit eating in time to stabilize your blood sugar before bedtime, fast all night, and exercise before you eat in the morning to deplete your reserves. Your body needs the chemical byproducts of the completed cycle.

Anything your doctor says trumps anything I say.

I'm not a diabetic and not a doctor, or dietician, so take this free advice as worth what it cost you. I'm not recommending anything I haven't done myself.

Sorry if this seems curt. It is short and blunt. You could read several books on blood sugar management and not get this information.
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Old 03-12-2019, 11:32 PM   #8
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Not a diabetic but I'm a nurse. The vast majority of Type 2 diabetes can be adequately managed by lifestyle changes alone. We're talking about diet and exercise. Losing 12-15 lbs alone can make the difference between needing meds and not. Cardio isn't super easy aboard, but it's possible, as is yoga (and some yoga will wear you out!).

It requires close collaboration with the chief mess officer as packaged meals are a no-go. For both diabetes management as well as heart-healthy eating, the latest research keeps pointing to the Mediterranean diet.

Work closely with your provider and closely monitor your blood glucose. Diabetes, like high blood pressure, is a silent killer in that it doesn't hurt, and so is easily ignored.
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Old 03-13-2019, 01:10 AM   #9
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[QUOTE=Boat;748151]

Anything your doctor says trumps anything I say.d

Using this as my starting point as what I type here relates to my personal involvement with Pre-diabetes, I am 81 years old, realized pre-diabetes three years ago. I lost weight, exercise, take Metformin. While the blood level test improved down to around 140 it was still high. My blood pressure was high as well, enough the doctor placed my on a BP medication. On top of this, my arthritis in the shoulders became an issue with finding a position that didn't hurt enough to sleep. Shots worked for a short while. At a point the shoulders were intolerable, my son suggested trying CBD. ( https://duckduckgo.com/?q=cbd+and+di...+2&t=h_&ia=web ) (pick and choose any article)
He knew I am a very conservative sort and that suggestion the use of any part of the marijuana family was a risk of our relationship! He explained that it is NOT marijuana, but hemp. Same family different grow.
Okay, so after finding the correct dose after some experiment, I am able to report that my diabetes blood level runs between 90 and 125. My BP is around 130/65 and I have absolutely no further shoulder pain from the arthritis. I sleep like a log, no stress factor that I am aware of.
My wife has Parkenson's and has had for a recognized full year. She is on her meds but she experienced tremors, nightmares, trouble sleeping and loss of balance. She started CBD and her tremors have stopped during the CBD being active (4-8 hours) she has stopped nightmares, and sleeps like a log.
Too, with Parkinson's there is mental stress, which she demonstrates none. Her Neurologist, on her last visit noted her tremors not being present and we explained the CBD use. He suggested we double the dose to see what other improvements develop or stop. To date, almost a year later, her status remains as I described, which in someways is positive as any decline is not detected.

I say all of this as CBD is really misunderstood. At some point in the future, it will be recognized much as a medical wonder, like penicillin (I would hope)

For what it is worth, I too recommend open conversation with your medical team before you venture into any CBD use.
PS, there is no side effects and no known conflict with normal prescribed medications.
PPSS: CBD is legal in all 50 States and now in Canada
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Old 03-13-2019, 01:15 AM   #10
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Metformin is likely in your diabetic future. Welcome to the club.
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Old 03-13-2019, 01:19 AM   #11
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...
Get a glucose meter and use it after fasting, before eating, and at intervals after eating. Use it to see how different food affects you. Quit eating in time to stabilize your blood sugar before bedtime, fast all night, and exercise before you eat in the morning to deplete your reserves. Your body needs the chemical byproducts of the completed cycle. ...
Death by a thousand cuts.
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Old 03-13-2019, 01:22 AM   #12
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Odd, there was a TV conference program last night, about complementary medicines, vitamins,supplements, etc. The medicos present were unenthusiastic, the pharmacists selling them and making them were very enthusiastic. One consumer needed a liver transplant after "liver cleansing",combined with some other over the counter meds.
Be careful what you use, especially the "herbal" stuff. What is it, what does it do? Just because it`s herbal and "natural" is not enough, hemlock is natural and a poison.
I took glucosamine for 15 years,now I have knee arthritis. The orthopaedic guy I saw described glucosamine as "a placebo at best". Physiotherapy prescribed exercises have worked wonders for me,but not the glucosamine.
Put your faith in a good diet and exercise. Even cruising, it should be possible to maintain a decent diet. You could take kayaks along, that`s good exercise even if you are seated, and add some other exercise, like a good walks when the opportunity is there,say when docked overnight. Basically, as Sabre says, reduce weight by diet and by burning more of the fuel you consume, and you likely get improvement.
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Old 03-13-2019, 07:06 AM   #13
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Why won't the thread last long RT? Seems like it could be very beneficial to the senior citizens on here.
We are getting children with type II diabetes. Seriously, not even ten years old. I'm calling it "junk food diabetes".

Cut out the middleman.

Glucose - blood sugar, insulin and triglyceride are related. When you eat so that your blood sugar elevates, your body produces insulin to lower your blood sugar. Where does the blood sugar go? It is stored as fat. If you can eat so that your body does not need to produce insulin, it's a win-win. Burning it, not storing it.

Blood sugar stores as glycogen and as fat. If you can learn to store the glycogen and burn it, without storing it as fat, you win. Complete the metabolic cycle.


Once again, this is the oversimplified version. It's a good solid start.
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Old 03-13-2019, 09:36 AM   #14
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Another type II here. Retired professional mariner and now a recreational boater.

Ashore many of us type II diabetics can easily manage our diabetes with exercise and diet. Aboard it's a bit more of a challenge. Diabetes is a personal disease, each person is different and each person's management of the disease is different. It's going to take some time for you to learn what and how much to eat.

Your diabetes educator may have lead you to believe it's all about counting carbs. Mine sure did. I have found that is not the case at all. I needed to try different foods and to learn what works for me.

There's no one size fits all answer to what to stock your galley with. Generic advice works as a starting point. Cut out sweets, sweet drinks, prepared foods. Cut back on bread, pastries, carbs for breakfast. Strive for a balanced diet, lean protein, good fats, low carb and lots of fiber.
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Old 03-13-2019, 10:32 AM   #15
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Greetings,
Mr. SoH. Homeopathic "solutions" are very much in the news these days and the immediate response to the OP was just that. I suspected (erroneously) this thread would develop into a conflict of opinions. It seems this is not the case.


My better 3/4 is a health care specialist and I am acutely aware of the relationship between diet/lifestyle and physical well being. The potential harm "traditional" herbal medicines may cause when used in lieu of accepted medical care has been well documented.



Obesity has become an epidemic particularly in North America with one result that more adults AND an increasing number of children are succumbing to diabetes.


As I age and slow down, I've put on a few extra pounds and like others, I'm NOT an exercise kind of person BUT I am being more careful of my diet. I sure miss those OREO cookies though...



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Old 03-13-2019, 11:06 AM   #16
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I have type I diabetes, wear a pump and continuous glucose monitor. I boat in remote areas of BC every summer. But it takes careful planning and management.

There is much to learn about how your body responds to food and exercise. I suggest talking with you MD about using a continuous glucose monitor at least for a few months. You will see exactly how you body responds to different foods and it will show a graph of what your blood glucose level does even when you are not checking.

There are at least two continuous glucose monitor (CGM) systems on the market now. They are simple to insert and display in real time on their own receivers or on your smart phone. One of them must be changed (EZ) each week and the other lasts for two weeks. Mine is nearly completely paid for by Medicare and supplemental insurance.

You may PM me if you have any questions.
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Old 03-13-2019, 11:10 AM   #17
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I have a 85 YO mother in law that was diagnosed with type 2 in her 70’s. She completely controlled it with exercise and diet. In that order. Took up walking and developed better but not great diet habits. She started with walking a mile a day and worked up to 3. Amazing at the transformation in her overall well being and stamina. Not to mention controlling the diabetes. You could find a nice rowing dink and work up to a daily 45 minute “harbor tour” if walking is not an option.
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Old 03-13-2019, 03:07 PM   #18
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Depending on your level of physical conditioning, excercise can be as simple as marching in place. Add some ankle weights and small dumbells if that isn't enough. Fitness watches are pretty cheap and allow you to watch your heart rate. It might be boring, but you could get excercise in a small space that way. If you are up for it, its hard to beat swimming for a full body workout.
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Old 03-13-2019, 04:18 PM   #19
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Greetings,
Regarding diet: Two things I might mention. While it IS important to watch what you eat, also VERY important is how much you eat. Portion control should be a part of one's regime.


Nutrition labels on the side of every foodstuff are a valuable resource that are available to every consumer. Someone mentioned that they watch their sugar intake and that's a good thing but you should also be aware of the "hidden" sugar. For instance, one of the major sources of sugar one gets on a regular basis is bread. Pretty well everyone eats bread, sometimes 3X a day. One doesn't really feel common everyday bread is a sugar source but 1g per slice, on average...



"The American Heart Association, for example, recommends women limit sugar consumption to 6 teaspoons (25 grams) per day and men limit to 9 teaspoons (36 grams) per day." From this article: https://healthyeating.sfgate.com/usd...take-8628.html
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Old 03-13-2019, 06:10 PM   #20
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Depending on your level of physical conditioning, exercise can be as simple as marching in place... If you are up for it, its hard to beat swimming for a full body workout.
I swim 1km plus,3x a week,all year round,began it for back issues on medical advice, and it really helps. Some say you are not bearing your body weight,the water is partly doing that, so output and weight loss is lessened, but the support is a virtue in other ways,eg joints etc are less loaded. I aim to walk the days I don`t swim but agree, swimming is great all over exercise. And for lung capacity,as you force exhale underwater.
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