The Delaware Gazette

A memorable man with an unforgettable disease

There are peo­ple in your life that stand out in your mem­o­ries. A grade school teacher, a for­mer sports coach, a min­is­ter that said the right thing at the right time or per­haps someone’s eyes that haunt your dreams when tragedy strikes; they cre­ate impres­sions that are hard to forget.

Recently I met a young man that will live in my mem­ory bank for a long time. He is more than 20 years younger than me. He is twice my weight although our height is the same. He was in the bed, and I was stand­ing at the foot of the bed. I met him in the hos­pi­tal ear­lier this year and once again our paths crossed.

His diag­no­sis is dia­betes and a mul­ti­tude of unwanted related com­pli­ca­tions. He has a his­tory of admit­tances to the acute care unit. This visit was because of swelling in his body caused by excess fluid and uncon­trolled diabetes.

Novem­ber is National Dia­betes Month. Meet­ing this man again was a sur­prise to me, how apro­pos dur­ing the month that com­mem­o­rates this dis­ease. His admit­tance and the remem­brance of dia­betes are not cel­e­bra­tions but reminders that dia­betes is a life-changing dis­ease that requires a lot of attention.

Heart dis­ease, kid­ney mal­func­tion, vas­cu­lar prob­lem and other dif­fi­cul­ties are related to the imbal­ance of insulin and sugar. Insulin is a hor­mone that the body pro­duces. Its main func­tion is to allow the body to use the food eaten and turn it into energy.

Many peo­ple with dia­betes think that they have a sugar prob­lem. In fact, many refer to this dis­ease as, “hav­ing sugar.” Thoughts imme­di­ately go to cakes, cook­ies, pies, candy and the guilt asso­ci­ated with attempt­ing to avoid these treats.

In real­ity, sugar is not the root of the prob­lem. Peo­ple with dia­betes do not have a sugar prob­lem; they have plenty of it. The issue with dia­betes is the body’s abil­ity to make or use the insulin required to reg­u­late the sugar in the blood stream.

Hyper­ten­sion is the amount of pres­sure in the blood ves­sels. When the insulin is not doing its job of con­trol­ling the amount of sugar in the blood, the blood actu­ally can become thick like pan­cake syrup. Thicker blood requires more pres­sure to move it through the body. The min­eral sodium, found in salt, deter­mines the vol­ume of the blood. Insulin also plays a part in the amount of sodium absorbed by the body.

In short, too much sodium and too much unused sugar in the blood makes for too much fluid. Someone’s legs, arms, belly and face can swell up until the skin feels like its going to burst. Imag­ine a bal­loon blown up to the point before it explodes. That’s what this young man looked like when I saw him again.

Con­trol­ling the amount of foods that are high in car­bo­hy­drates and when they are eaten, as well as lim­it­ing the amount of salt con­sumed can affect the blood sugar and the blood vol­ume. I hope that this young man takes advan­tage of nutri­tion edu­ca­tion and learns how to sup­ply his body with a del­i­cate bal­ance of energy and vital min­er­als. I don’t want to remem­ber him again in his present shape.

Bob­bie Ran­dall is a cer­ti­fied dia­betes edu­ca­tor and a reg­is­tered, licensed dietit­ian. She super­vises a dia­betes self-management train­ing pro­gram at Aultman-Orrville Hos­pi­tal, Orrville. Con­tact her at bobbie.randall@aultmanorrville.org or 330–684-4776.

Bobbie Randall Posted by on Nov 7 2012. You can follow any responses to this entry through the RSS Feed. Comments can be made below.

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