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You are here: Home / Understanding Diabetes / 5 Surprising Facts About Diabetes

5 Surprising Facts About Diabetes

August 4, 2020 By Toby Smithson

To manage diabetes effectively there is a lot to know. And even when you think you know a lot, something about diabetes will still surprise you. Here are five surprising things about diabetes – you’ll probably know some, but I’ll bet you don’t know all five.

Diabetes is a complicated medical condition for sure, but there are some simple things that we all need to understand but often don’t. Here are some things some people find surprising. You will probably know some of these, but maybe you’ll learn something new. The important thing is that knowledge or awareness is the first step. This helps equip you with the skills to manage blood sugar and offer less anxiety about things that can seem confusing. Ready…

#1 It’s Not Just Sugar That Affects Diabetes

Surprise Number 1 …. my client says “I avoid sugar and sweets but my blood sugar still spikes after I eat”- I’ll bet you know this one …..IT’S NOT JUST SUGAR. but all carbohydrates that effect blood sugar, right?

So in addition to sugar or sweets it’s fruit and juice or wine, grains (that includes rice, pasta, bread and beer), beans and lentils, milk and yogurt and starchy vegetables like potatoes, corn and peas. Sugar is part of total carbohydrate. So again, its not just sugar but total carbohydrate. Ok, let’s listen to surprise number 2…

#2 It’s Not Just Food That Affects Blood Sugar

Surprise number 2 – “My blood sugar goes up when I haven’t eaten anything” – clients often say this comparing their bedtime reading to a higher reading in the morning. Do you know why? Please remember that  IT’S NOT JUST FOOD. There are many variables associated with rises and falls of blood sugar readings.

Often the overnight reading is associated with hormones that are excreted as part of our sleeping process. We are a soup of hormones and neurotransmitter chemicals that can affect our diabetes. Some things we can control, like getting enough sleep, some things we can’t, like menstrual cycles. But where there’s a pattern we may be able to adjust.

#3 Type 1 Diabetes Is Easier To Manage Than Type 2

Here’s a controversial one- surprise number 3- Type 1 diabetes is easier to manage than type 2 diabetes.  OK let me explain. It’s true that nobody would choose type1 given the choice – it is often a long, long road- for me it’s almost 52 years.

But when it comes to managing diabetes for the long term risks to health we have two distinct advantages- #1 we cannot possibly just ignore it completely or pretend diabetes isn’t serious…. #2 we have much better tools for monitoring blood sugar levels and for correcting them quickly with insulin. This is my way of saying to those of you who have type 2 diabetes, take it seriously. And that sort of goes with my next surprise

#4 Medication Is Not Enough

Surprise number 4- Medication is not enough – even essential insulin isn’t enough – managing diabetes effectively must include lifestyle. Don’t believe me?

Here’s the giant book I studied before taking the exam for certified diabetes educator….the 2006 volume, in its introduction to type 2 diabetes medications, says straight up “Patients should be reminded that ANY drug treatment for type 2 diabetes is ONLY A SUPPLEMENT to lifestyle changes.”

This is why I spend all of my time with you about lifestyle- medication is not enough. OK…one more

#5 My Blood Sugar Goes Up After I Exercise

Surprise number 5…..”My blood sugar goes up after I exercise”- this is often surprising and it seems counterintuitive – I mean exercise increases insulin sensitivity to better respond to high blood sugar.

But, when you’re exercising you can deplete the glucose stored in your muscle cells, right, so then your muscle cells pull glucose from your blood, right, and when your blood sugar starts going down at that point your liver will release more.

Even when this happens, however, exercise is still worth it with all its beneficial effects with managing blood pressure, weight, mood, and stress.

Bonus Tip

One last piece of advice…..when your head is spinning around some blood glucose thing you can’t explain remember that it’s all about averages. I tend to focus too much myself on surprising out-of-target readings and not enough on the times’ things go exactly as planned. We could all spend a little more energy patting ourselves on the back.

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Toby Smithson dynamically combines her knowledge as a certified diabetes educator and registered dietitian nutritionist with her life experiences successfully managing type 1 diabetes for more than five decades.

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Mar 1

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Happy #NationalNutritionMonth! Loving this list of #dietitiantips for #mealprep  Anything new that you plan on trying?  @christinejbyrne @myfitnesspal @kimyawitz_rdn @weight.loss.dietitian @bethstark.rdn @amydgorin @chefgirl_nutrition @no.waste.nutrition @cheerfulchoices @nutrigirl66 @jsmartnutrition @prettynutritious_ @amandaterillo @eatright_pro #eatrightpro #nnmchat #healthyeating #mealprepping #mealprepideas https://blog.myfitnesspal.com/tips-from-dietitians-for-better-meal-prep/

Happy #NationalNutritionMonth! Loving this list of #dietitiantips for #mealprep Anything new that you plan on trying? @christinejbyrne @myfitnesspal @kimyawitz_rdn @weight.loss.dietitian @bethstark.rdn @amydgorin @chefgirl_nutrition @no.waste.nutrition @cheerfulchoices @nutrigirl66 @jsmartnutrition @prettynutritious_ @amandaterillo @eatright_pro #eatrightpro #nnmchat #healthyeating #mealprepping #mealprepideas https://blog.myfitnesspal.com/tips-from-dietitians-for-better-meal-prep/ ...

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Took the opportunity to #relax at the beach. Our #englishspringerspaniel  loved letting the breeze blow her hair and watching other dogs swim in the ocean ❤️ #relaxationtime #englishspringerrescueamerica #loveourdog @smithsonanthony

Took the opportunity to #relax at the beach. Our #englishspringerspaniel loved letting the breeze blow her hair and watching other dogs swim in the ocean ❤️ #relaxationtime #englishspringerrescueamerica #loveourdog @smithsonanthony ...

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Feb 26

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Took my #englishspringerspaniel for a walk to the #beach to meetup with her sister. I feel like this photo can be straight out of a movie. What’s the caption you’d write for this photo?  #relaxationtime #stressrelief #englishspringerrescueamerica #englishspringerspanielsofinstagram #englishspringerspanielsofig #diabetesmanagement

Took my #englishspringerspaniel for a walk to the #beach to meetup with her sister. I feel like this photo can be straight out of a movie. What’s the caption you’d write for this photo? #relaxationtime #stressrelief #englishspringerrescueamerica #englishspringerspanielsofinstagram #englishspringerspanielsofig #diabetesmanagement ...

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Feb 24

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Nobody asks for this job but if you’ve been diagnosed with #type1diabetes or #type2diabetes, you are a “ #Diabetes Manager”. 
Note: #healthylifestyle is number 1 on the daily task list. #healthyeating #exercise #monitoring #bloodsugar #diabetesmanagement 
#diabetescommunity #diabetesonlinecommunity  #diabeteslife  https://youtu.be/BmV54BJZ0aQ

Nobody asks for this job but if you’ve been diagnosed with #type1diabetes or #type2diabetes, you are a “ #Diabetes Manager”.
Note: #healthylifestyle is number 1 on the daily task list. #healthyeating #exercise #monitoring #bloodsugar #diabetesmanagement
#diabetescommunity #diabetesonlinecommunity #diabeteslife

https://youtu.be/BmV54BJZ0aQ
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Feb 24

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Trying something new this year for our #vegetablegarden by growing #tomatoes and #bellpeppers via a #hydroponicgarden .  Does anyone have any tips for replanting in my garden after last frost date?  #haveaplant #freshtomatoes #healthyeating #stressrelief #freshvegetables #southcarolina

Trying something new this year for our #vegetablegarden by growing #tomatoes and #bellpeppers via a #hydroponicgarden . Does anyone have any tips for replanting in my garden after last frost date? #haveaplant #freshtomatoes #healthyeating #stressrelief #freshvegetables #southcarolina ...

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Feb 21

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#diabetes #diabetestype1 #diabetestype2 #diabetesmanagement #diabetescommunity #diabetessupport #diabeteseducation #type1diabetes #type2diabetes

#diabetes #diabetestype1 #diabetestype2 #diabetesmanagement #diabetescommunity #diabetessupport #diabeteseducation #type1diabetes #type2diabetes ...

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Feb 20

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Best picks from myself and fellow dietitians when driving thru the #fastfood lane.  @huffingtonpost_ https://www.huffpost.com/entry/healthy-fast-food-drive-thru_l_5ff5ce55c5b665581f66efe2

Best picks from myself and fellow dietitians when driving thru the #fastfood lane. @huffingtonpost_ https://www.huffpost.com/entry/healthy-fast-food-drive-thru_l_5ff5ce55c5b665581f66efe2 ...

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Happy #NationalLoveYourDogDay Addie. Rescuing you was one of the best things that happened in 2020! #EnglishSpringer #englishspringerrescueamerica #englishspringerspaniel  #englishspringerspanielsofinstagram #englishspringerspaniels #englishspringerrescue

Happy #NationalLoveYourDogDay Addie. Rescuing you was one of the best things that happened in 2020! #EnglishSpringer #englishspringerrescueamerica #englishspringerspaniel #englishspringerspanielsofinstagram #englishspringerspaniels #englishspringerrescue ...

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Feb 18

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It was a lot of fun watching a movie that our #englishspringerspaniel loved too! She was listening to every chirp from the magpie in the Penguin Bloom movie. #englishspringerspanielsofinstagram #englishspringerspaniels #englishspringerrescueamerica #englishspringerrescue

It was a lot of fun watching a movie that our #englishspringerspaniel loved too! She was listening to every chirp from the magpie in the Penguin Bloom movie. #englishspringerspanielsofinstagram #englishspringerspaniels #englishspringerrescueamerica #englishspringerrescue ...

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Feb 17

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Happy #cannedfoodmonth ! With all the winter storms or heavy rain we’ve experienced, it’s a perfect time to make sure your pantry is well stocked. Video link in YouTube bio. #cannedfoodfan @pacificcoastproducers1971 #cannedfruit #cannedfood #diabetes #cannedtomatoes #diabetesmanagement @cannedfoodfan #healthyeating

Happy #cannedfoodmonth ! With all the winter storms or heavy rain we’ve experienced, it’s a perfect time to make sure your pantry is well stocked. Video link in YouTube bio. #cannedfoodfan @pacificcoastproducers1971 #cannedfruit #cannedfood #diabetes #cannedtomatoes #diabetesmanagement @cannedfoodfan #healthyeating ...

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Very important message for everyone although this #video is directly related to people with #diabetes . Link to video is in bio under #youtube.  Are you hard on yourself? A perfectionist? Do you show yourself #compassion? Thank you @diabetesredefined for sharing your wisdom. #bekind #bekindtoyourself #diabetesmanagement #diabetescommunityonline

Very important message for everyone although this #video is directly related to people with #diabetes . Link to video is in bio under #youtube. Are you hard on yourself? A perfectionist? Do you show yourself #compassion? Thank you @diabetesredefined for sharing your wisdom. #bekind #bekindtoyourself #diabetesmanagement #diabetescommunityonline ...

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Shout out to canned foods during #nationalcannedfoods month. People with #diabetes can choose the option of canned #fruits in natural juice instead of light or heavy syrup. #cannedfoods Pacific Coast Producers Fan Page #cannedfruit #diabetesmanagement #healthyeating #diabetescommunity #diabetesfriendly @pacificcoastproducers1971

Shout out to canned foods during #nationalcannedfoods month. People with #diabetes can choose the option of canned #fruits in natural juice instead of light or heavy syrup. #cannedfoods Pacific Coast Producers Fan Page #cannedfruit #diabetesmanagement #healthyeating #diabetescommunity #diabetesfriendly @pacificcoastproducers1971 ...

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Looking for some new #recipes that are #hearthealthy ? I’m thankful that fellow registered dietitians @cindykleckner and @chewthefacts loaned me one of their #fish recipes to share with you all.  Check out this video link in my bio. #americanheartassociation  #wearredday #diabetesfriendly #lowcarb #diabetescommunity #dashdiet #healthyeating #type1diabetes #type2diabetes

Looking for some new #recipes that are #hearthealthy ? I’m thankful that fellow registered dietitians @cindykleckner and @chewthefacts loaned me one of their #fish recipes to share with you all. Check out this video link in my bio. #americanheartassociation #wearredday #diabetesfriendly #lowcarb #diabetescommunity #dashdiet #healthyeating #type1diabetes #type2diabetes ...

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Thrilled to receive #covidvaccine #2. 
Aside from my happiness of no snow, no freezing temperatures, I’m also glad to live in a small town where it literally took me 10 minutes to drive to the vaccine clinic at the local hospital. #stayingsafe #stayinghealthy

Thrilled to receive #covidvaccine #2.
Aside from my happiness of no snow, no freezing temperatures, I’m also glad to live in a small town where it literally took me 10 minutes to drive to the vaccine clinic at the local hospital. #stayingsafe #stayinghealthy
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I LOVE this topic on #ForestBathing and even more research has emerged about the benefits during uncertain times. #selfcare #stressfreechallenge @usnews  How to Use Nature to Reduce Stress – and More
https://health.usnews.com/health-news/blogs/eat-run/articles/benefits-of-forest-bathing-for-stress
Research shows that forest bathing offers significant benefits for physical and mental health. New studies show it can also help manage blood sugar levels for people with #diabetes.

I LOVE this topic on #ForestBathing and even more research has emerged about the benefits during uncertain times. #selfcare #stressfreechallenge @usnews

How to Use Nature to Reduce Stress – and More
https://health.usnews.com/health-news/blogs/eat-run/articles/benefits-of-forest-bathing-for-stress
Research shows that forest bathing offers significant benefits for physical and mental health. New studies show it can also help manage blood sugar levels for people with #diabetes.
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Jan 27

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This is one of the most asked questions... what’s the best #snack? Here is my response...
#diabetes #diabetesmanagement #diabetescommunity #healthyeating #nuts @californiaalmonds almonds @superseedz #fruit #haveaplant #cheese #yogurt #tea #coffee #vegetables #chiaseeds 
Video link in bio

This is one of the most asked questions... what’s the best #snack? Here is my response...
#diabetes #diabetesmanagement #diabetescommunity #healthyeating #nuts @californiaalmonds almonds @superseedz #fruit #haveaplant #cheese #yogurt #tea #coffee #vegetables #chiaseeds
Video link in bio
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Jan 21

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Celebrating #NationalOatmealMonth with the lowdown on best and favorite choices for people with #diabetes. Info is good for everyone to hear.  P.S .I eat #oats every morning all year long. #oatmealmonth #diabetesonlinecommunity #diabetesmanagement #healthyeating #carbs #carbohydrates #fiber
@bobsredmill @quaker  #oatmeal #steelcutoats #rolledoats #quickoats #hemphearts @manitobaharvest @almondsmx #pistachios #peanuts #eggenthusiast @wonderfulpistachios @peanutrd @peanutinstitute @egg.nutrition 
Video link in bio.

Celebrating #NationalOatmealMonth with the lowdown on best and favorite choices for people with #diabetes. Info is good for everyone to hear. P.S .I eat #oats every morning all year long. #oatmealmonth #diabetesonlinecommunity #diabetesmanagement #healthyeating #carbs #carbohydrates #fiber
@bobsredmill @quaker #oatmeal #steelcutoats #rolledoats #quickoats #hemphearts @manitobaharvest @almondsmx #pistachios #peanuts #eggenthusiast @wonderfulpistachios @peanutrd @peanutinstitute @egg.nutrition
Video link in bio.
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Jan 15

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Have you tried this yet? Most definitely top of my list of things to do lately. This #video is worth viewing for everyone, not just for people with #diabetes. Link to video in bio  #diabetesmanagement #forestbathing #forestbathing🌲🌲🌲 #type1diabetes #type2diabetes  #type1 #type2 #relaxation #stressrelief #stressmanagement #stressreliever

Have you tried this yet? Most definitely top of my list of things to do lately. This #video is worth viewing for everyone, not just for people with #diabetes. Link to video in bio #diabetesmanagement #forestbathing #forestbathing🌲🌲🌲 #type1diabetes #type2diabetes #type1 #type2 #relaxation #stressrelief #stressmanagement #stressreliever ...

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Jan 14

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Double thankful: got my #COVID19 #vaccine today and so glad to be living in a small town because it was quick and easy...no waiting in any line, vaccine didn’t hurt, staff was super friendly and people I knew from my neighborhood! #Igotmyshot

Double thankful: got my #COVID19 #vaccine today and so glad to be living in a small town because it was quick and easy...no waiting in any line, vaccine didn’t hurt, staff was super friendly and people I knew from my neighborhood! #Igotmyshot ...

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