Ninety percent of all
diabetics suffers from type 2 diabetes, also called age-related diabetes. A different lifestyle and
tablets usually suffice to get the disease out of control. Imagine that you have "only" type 2 diabetes,
however, is a dangerous attitude. 'There is also a great chance of complications among
these people and it is very important to keep the condition under control as
well as possible', according to Prof. Luc Van Gaal, head of diabetology at
the UZA.
Who and what?
About 3.5 to 5 percent of the Belgian
population sooner or later gets type 2 diabetes. The disease usually only develops
after 40 years, hence the name of old age diabetes. In these patients there is
still insulin production, but it is either inadequate or of poorer quality.
Overweight is important cause
While type 1 diabetes
can not be prevented for the time being, the development of type 2 diabetes is
closely related to a person's lifestyle. An unhealthy diet, obesity and too
little exercise stimulate the disease. Eighty percent of the patients are
overweight.
"What does not mean that you get
type 2 diabetes by eating too much sugar," Van Gaal emphasizes. 'That is a persistent
misunderstanding. Obesity
plays a central role, but it does not matter how those kilos have come. "
Therapy
In the treatment,
nutrition and exercise, together with medication, are the big pillars. Getting rid of at least a
portion of the surplus kilos is a must.
'As far as medication is concerned,
it is sufficient for most type 2 diabetics to take tablets daily. They poke the remaining
insulin, so to speak, so that the sugars from our diet still end up in the
cells. The
disadvantage of conventional drugs is that most cause weight gain, which is
extra disadvantage for diabetics. At the moment there are new types of medication in the
pipeline that would not have that side effect. Some would even promote weight loss. '
If the patient does not get his sugar value
under control, he must then proceed to insulin injections.
Most type 2 diabetes patients go to check-ups twice a year in a
specialized center. They
can go to the doctor for interim checks.
"Little" diabetes does not exist
Because patients with
type 2 diabetes usually do not have to inject insulin during the initial phase
of their condition and apparently suffer less from their disease, people
sometimes dare to minimize the condition. Especially with a moderate increase
in blood sugar it soon becomes clear that 'someone has a little bit of his
sugar'. That
is also a misunderstanding.
'Even with blood sugar
values of less than 140 milligrams per deciliter, there is an important risk
of complications and the patient must be treated quickly and with focus. There is no such thing as "having a little diabetes"
Type 2 diabetics risk
the same complications as people with type 1 diabetes. But because the disease is
not acute, it often takes years before the diagnosis is made. This often only happens when
there are serious complications and the patient, for example, has a heart
attack. Hence
the importance of early and active detection.
Nutrition with a low or
average GI is often recommended to people with diabetes, because the blood
sugar level remains more stable. The GI of a food is expressed in a number from 0 to 100. A GI of less than 55 is low,
from 55 to 70 is average, and greater than 70 is high.
Because the glycemic
index does not take into account the amount of carbohydrates in a product, the
glycemic charge (GL) is added to the table. This reflects the effect on
the blood sugar level of a portion of a product. Roughly speaking, a GL is greater
than 20 high, an average value is between 10 and 20 and a GL smaller than 10 is
low.
Product
|
Glycemic index of
50 grams of carbohydrates
|
Number of
carbohydrates in grams per serving
|
A portion is
|
Glycemic load per
usual portion
|
Pastes / grains
|
||||
Quinoa, cooked
|
53
|
18 g Kh per 100 g
|
1 portion
|
10
|
couscous
|
65
|
21 g Kh per 90 g
|
3 serving spoons
|
14
|
Pasta, whole grain
|
48
|
35 g of Kh per 150 g
|
3 serving spoons
|
17
|
Pasta white
|
49
|
39 g of Kh per 150 g
|
3 serving spoons
|
19
|
Cornflakes
|
81
|
23 g Kh per 30 g
|
19
|
|
White rice
|
73
|
29 g Kh per 110 g
|
21
|
|
Potatoes
|
||||
Potato, cooked
|
78
|
19 g Kh per 140 g
|
15
|
|
Mashed potatoes
|
87
|
20 g of Kh per 150 g
|
17
|
|
Potato, baked
|
85
|
30 g of Kh per 150 g
|
3 serving spoons
|
26
|
Potato, fried
|
85
|
30 g of Kh per 150 g
|
3 serving spoons
|
26
|
Vegetables
|
||||
Lettuce
|
10
|
01 g Kh per 45 g
|
1 dish
|
0.1
|
Tomato
|
10
|
01 g Kh per 70 g
|
1 tomato
|
0.1
|
Eggplant
|
10
|
02 g Kh per 60 g
|
1 serving spoon
|
0.2
|
Roots, cooked
|
39
|
04 g Kh per 110 g
|
2 serving spoons
|
2
|
Corn, cooked
|
55
|
20 g of Kh per 173 g
|
1 flask
|
11
|
Legumes
|
||||
Kidney beans
|
24
|
16 g Kh per 120 g
|
2 serving spoons
|
4
|
Lentils
|
32
|
13 g of Kh per 50 g
|
1 scoop
|
4
|
Beans, baked
|
48
|
20 g of Kh per 120 g
|
2 serving spoons
|
10
|
Dairy products
|
||||
Milk, half full
|
38
|
07 g Kh per 150 g
|
1 glass
|
2
|
Milk, lean
|
37
|
08 g Kh per 150 g
|
1 glass
|
3
|
Yoghurt, lean
|
33
|
06 g Kh per 150 g
|
1 dish
|
2
|
Milk, vol
|
39
|
07 g Kh per 150 g
|
1 glass
|
3
|
Ice
|
51
|
13 g of Kh per 50 g
|
1 scoop
|
7
|
Bread
|
||||
Bread, whole wheat
|
74
|
14 g Kh per 35 g
|
1 cut
|
10
|
Rye bread
|
50
|
11 g Kh per 30 g
|
1 cut
|
11
|
Bread, white
|
75
|
18 g Kh per 35 g
|
1 cut
|
14
|
Baguette, white (baguette)
|
95
|
20 g of Kh per 40 g
|
4 slices
|
19
|
Kaiser bun
|
73
|
27 g Kh per 50 g
|
1 roll
|
20
|
Croissant
|
67
|
32 g of Kh per 70 g
|
1 croissant
|
21
|
Bagel
|
69
|
45 g Kh per 85 g
|
1 bagel
|
31
|
Fruit
|
||||
Grapefruit
|
25
|
05 g Kh per 75 g
|
half grapefruit
|
1
|
Pumpkin
|
75
|
04 g Kh per 80 g
|
1 serving spoon
|
3
|
Orange
|
43
|
13 g Kh per 120 g
|
1 orange
|
6
|
Apple
|
36
|
16 g Kh per 135 g
|
1 apple
|
6
|
Papaya
|
60
|
08 g Kh per 120 g
|
1 papaya
|
9
|
Grapes
|
59
|
19 g Kh per 125 g
|
1 bunch
|
11
|
Banana, ripe (completely
yellow)
|
51
|
20 g Kh per 100 g
|
1 banana
|
10
|
Drinks
|
||||
Apple juice
|
41
|
12 g Kh per 150 ml
|
5
|
|
Beer (4.6%)
|
66
|
8 g Kh per 250 ml
|
5
|
|
Orange juice
|
50
|
14 g Kh per 150 ml
|
7
|
|
Gatorade, sports
drink
|
78
|
15 g Kh per 250 ml
|
12
|
|
Coca Cola
|
63
|
26 g Kh per 250 ml
|
16
|
|
Snacks
|
||||
Walnuts
|
15
|
6 g Kh per 70 g
|
20 half
|
1
|
Cashew nuts
|
22
|
4 Kh per 20 g
|
10 pieces
|
1
|
Peanuts
|
14
|
6 g of Kh per 60 g
|
3 tablespoons
|
1
|
Chocolate, pure
|
22
|
9 g of Kh per 15 g
|
3 pieces
|
2
|
Chocolatemilk
|
49
|
9 g of Kh per 15 g
|
3 pieces
|
4
|
Chocolate, white
|
44
|
9 g of Kh per 15 g
|
3 pieces
|
4
|
Potato chips
|
56
|
5 g of Kh per 10 g
|
1 hand
|
3
|
Evergreen with
currants
|
66
|
13 g Kh per 20 g
|
1 cake
|
9
|
Candybar
|
65
|
38 g Kh per 60 g
|
1 bar
|
25
|
Sugars
|
||||
Table sugar
|
65
|
10 g of Kh per 10 g
|
2 lumps
|
7
|
Honey
|
61
|
12 g of Kh per 15 g
|
siege for 1 cut
|
7
|
Glucose (grape
sugar)
|
100
|
15 g of Kh per 15 g
|
5 tablets
|
15
|
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