Holidays Are Hard on Diabetics

For many of us, overindulgence in rich, sugary foods during the holidays--and the expanded waistlines that result--won’t need to be dealt with until January. But the excesses of holiday eating have more serious implications for people with diabetes--some 11 million in the United States.

This is especially true for diabetics who control their blood sugar levels through a combination of regular insulin injections or tablets, as well as carefully planned intakes of starchy and sugary foods.

For diabetics, the allure of Christmas puddings, pies and other sugary treats can lead to rising blood sugar levels that may remain well above normal.

While in the long term this increases the risk of heart disease, poor circulation and kidney problems, if severe it may in the short term lead to loss of consciousness.

Drinking more alcohol than usual at holiday gatherings also has health implications for diabetics. If a diabetic skips a meal as a result of drinking, blood sugar may drop dramatically, possibly resulting in shaking, dizziness or fainting.

“The key to successfully navigating the holiday season is to remember that even though you can take a holiday, your diabetes never does,” says Dr. Riccardo Perfetti, director of the outpatient diabetes program at Cedars-Sinai Medical Center in Los Angeles.

“While people with diabetes can enjoy the wonderful foods of Christmastime, they need to do so in moderation.”

The American Dietetic Assn. points out that there is no single right way for someone with diabetes to eat; it depends on a person knowing his or her individual needs, working in consultation with a dietitian or doctor. If a holiday cake is to be served at an office party, for example, a diabetic, rather than forgoing a taste, can plan ahead and restrict intake of other foods earlier in the day.

At holiday buffets, where food is abundant, it’s a good idea for diabetics to pay attention to portion sizes, to seek out vegetables and salads and to look for desserts containing fruit.

At cocktail parties, olives and nuts are better choices than tortilla chips and creamy snack dips. They don’t affect blood sugar levels but do supply “healthy” fats.

If your doctor has given the OK for an occasional drink, one serving a day is usually acceptable. This is equivalent to 5 ounces of wine, 12 ounces of beer or 11/2 ounces of liquor. A small glass of mulled wine--equivalent to one serving--is a great way to celebrate the Christmas spirit without taking a risk with one’s health.

Some overindulgence of holiday sweets can be offset by a moderate increase in exercise to help regulate metabolism, Perfetti says. If time is tight, he suggests a 10- to 15-minute brisk walk between meals during the day and, above all, having a positive outlook. “Remember that you are in control of your diabetes,” he says. “It doesn’t control you at this or any time of the year.”