Diabetes Mellitus and Gestational Diabetes

Klachten bij Diabetes Mellitus


What is Diabetes Mellitus?

Diabetes is a chronic metabolic disease with too much glucose in the blood. There are two types: type I and type II. The cause of the occurrence of these types is different. Detailed information can be found at www.diep.info. About 90% of people with diabetes have type II. A hereditary factor may play a role in the development of this disease. Often the cause is overweight and too little exercise. The pancreas (pancreas) makes insulin, to which the body does not respond properly (insulin resistance). The amount of glucose in the blood then becomes too high. Usually this happens very gradually, with few complaints.
The most important advice is a good diet and lifestyle with sufficient exercise. It is regularly possible to improve health with the right diet and exercise plan, to prevent the need for medicines or to reduce the use of medicines. Only a dietitian is trained to advise you on this.
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Did you know that:

  • a dietitian has a higher vocational education and post-higher education for Diabetes Mellitus?
  • Your dietitian is trained at level 4, the highest level?



Zorgmodule voeding bij Diabetes Mellitus


Care module nutrition: dietary treatment

The nutrition care module is used as a starting point for medical diagnosis. General nutritional advice is given by a doctor or practice nurse (profile 1 and 2) and dietary treatment by a (specialised) dietician (profile 3 and 4). Dietary treatment is always part of your treatment after diagnosis. You will be referred by the practice nurse or general practitioner. Over time, if your objectives have been achieved, a practice nurse can also give general advice and signal if there are any problems or questions. Then you can be referred to the dietician again. You will also be referred to a dietitian if you need to inject insulin or want to avoid this.
It is often possible with an adapted diet to use less medication, sometimes even no longer necessary.
Have you had Diabetes Mellitus for some time and have you not or never visited a dietician? Ask your practice nurse for a referral. A lot has changed in the diet and it is nice to know what the possibilities are. Did you know that you no longer have to use only low-fat dairy products? And that you may also be able to use less medication, often stop injecting insulin by adjusting your diet? You are very welcome at this practice with a lot of experience.
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Different food - good food: the dietitian your nutrition specialist!


Chain care, what is that?

Chain care is a collaboration between general practitioners, practice nurses and dieticians. Other care providers, including a podotherapist, optometrist and physiotherapist, are also members of the chain.
Together with you, we work on good care for a chronic illness: Diabetes Mellitus type 2, CVRM (cardiovascular disease) and COPD (lung diseases). This practice works closely with the practice assistants of the general practitioners and has a joint file. This way we can provide the best care. This practice is affiliated with the RZMH (Regio Zorg Midden Holland: Bodegraven, Zwammerdam, Reeuwijk, Gouda, Driebruggen, Waddinxveen etc) and Care Circles Woerden (Woerden, Nieuwerbrug, Zegveld and Kamerik).
The costs for this care are fully reimbursed, without a deductible.
Read more at Compensation.
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Which diet for Diabetes?

For Diabetes Mellitus, customized dietary advice is given. That is different for each person, and depends on your request for help, goal, your wishes, possibilities, your health, use of medication, living situation, etc.
For one person a healthy diet may be sufficient, for the other this does not work and for example a carbohydrate-restricted diet is a good solution. How many carbohydrates are used then also differs per situation. Furthermore, a dietician looks at the amount of fats, which fats, the amount of proteins and how much protein is needed or allowed in case of impaired kidney function. Cholesterol levels can also often be improved with an adapted diet.
With good expert advice, health can be improved and complications can be prevented or postponed.
The dietitian is the only professional who has been specially trained for this: HBO nutrition and dietetics, Post HBO Nutrition and Diabetes, Post HBO complications in Diabetes and additional Post HBO training for cardiovascular diseases, kidney diseases, self-management, guidance, etc. This practice has 30 years of experience!
Don't be fooled by incompetent nutritional advisors, but choose the only professional: the dietician. It is not for nothing that the dietician is reimbursed by the health insurer and is part of the chain care! We work evidence-based, that is to say: based on proven scientific research, according to the official dietary treatment guidelines. Dietitian Mirjam van Egmond is also a member of the Diabetes Mellitus expert group.
Together with you, a tailor-made diet is put together that is easily feasible, practically applicable and, above all, tasty.
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People's reactions:
  • Now it works well to lose weight, thanks to Mirjam's good advice. I now have a good understanding of what is best for me to eat
  • My blood sugars have dropped very nicely, I'm using now no drugs more!
  • Thanks to the clear and good advice, it is now going so well that I
no insulin need to spray more, I am very happy with this
  • At first I thought, when I heard that I low carbohydrate had to eat: I can never do that, I am addicted to sugar. All previous attempts have failed. But thanks to the good tips, I managed to do it and I feel very fit and good! In addition, my sugar levels are very neat.
  • When I heard that I more fat I was allowed to eat, I thought: I don't understand that, before that was never allowed. Mirjam explained to me very clearly what has changed and which fats are very good for me. Now I understand correctly. I eat differently, feel much better, my weight is dropping and I am no longer addicted to sugar.
    • Low-carb diet (decided)

    gestational diabetes

    gestational diabetes

    Some women get gestational diabetes during pregnancy. This can be caused by pregnancy hormones causing a reduced sensitivity of insulin. Normally, the body produces extra insulin, but gestational diabetes disrupts this process.


    When is there an increased risk of gestational diabetes?

    • diabetes runs in your family
    • you had previous children with a high birth weight, more than 4500 grams
    • you had gestational diabetes in a previous pregnancy
    • you have had several miscarriages
    • you are overweight
    • you are of Hindustani, Moroccan or Turkish descent


    Gestational diabetes usually develops after the 24th week. If you suspect this, the obstetrician will have you do a test, the OGTT test. You will receive a very sweet drink, after which blood will be drawn. If the result is too high, you will be diagnosed and referred to a dietician. She will help you with nutrition and making blood glucose curves.

    More info..

    Therapy

    What does the dietician do in case of gestational diabetes?

    • you will be forwarded by the midwife after the diagnosis via care domain. You come to the consultation hour as soon as possible, at the latest within a week.
    • You will receive a starter package with a glucose meter from the dietician (reimbursement from the basic package, they can request it via an authorization for the insurance company).
    • she will teach you how to test and make glucose curves and you will keep a food diary
    • you discuss your diet and receive information about it that you must adhere to. You learn a lot about carbohydrates, which are, which are not, how to distribute them throughout the day. A low-carbohydrate diet is NOT allowed during pregnancy.
    • In the beginning, you send the curve to the dietitian daily with your food diary, if it goes well, you can do it less often, up to 2 times a week.
    • If all goes well, you will stay with the midwife until the birth. You will visit the dietician 2-3 times. Unless more appointments are needed.
    • The dietician works together with your obstetrician
    • if the glucose values are not good, the obstetrician will refer you to the hospital.

    both the dietitian and the glucose meter starter package are covered by the basic insurance and the statutory excess, please bear this in mind.


    More info..