{"id":1100,"date":"2015-03-29T10:50:10","date_gmt":"2015-03-29T14:50:10","guid":{"rendered":"http:\/\/skidome.org\/skidome2\/?page_id=1100"},"modified":"2015-03-29T10:50:10","modified_gmt":"2015-03-29T14:50:10","slug":"diabetes","status":"publish","type":"page","link":"https:\/\/skidome.org\/Skidome3\/?page_id=1100","title":{"rendered":"Diabetes"},"content":{"rendered":"
This is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read\u00a0here.<\/span><\/pre>\n
I am not a Doctor…<\/span>“But I feel fine, You cannot feel TEST results.” such as… Glucose, Lipids, Metabolic’s, Blood Pressure.<\/h3>\n
Diabetes<\/h1>\n
As of \u00a0November 2015 I have been able to stop Basal Insulin at night. Insulin shot free in 9 months of diet and exercise.\u00a0<\/strong>
\nlost 40 lbs. \u00a0Just stopped SODA and 1\/3 bread. \u00a0avg drop was 3-4 lbs a month.
\n92% of the population have no idea what the two tests<\/strong> \u00a0and their values are. Pretty Shocking considering 30% \u00a0will have diabetes. Diabetes\u00a0can go hand in hand with coronary heart disease. \u00a0Heredity plays a large role and your family medical history is important.<\/strong>
\nWhy care?<\/strong>\u00a0Diabetes \u00a0can effect;<\/p>\n
Kidneys, worst case a transplant.<\/em><\/p>\n
Eyesight, worst case Blindness.<\/em><\/p>\n
Heart, worst case Heart Attack.<\/em><\/p>\n
Amputation, Feet \/ Leg<\/em><\/p>\n
Nerves<\/p>\n
TESTs :<\/strong><\/p>\n
-Do you know your fasting AM glucose reading? \u00a0 (base glucose reading) \u00a0Take at 8 am to avoid\u00a0Dawn phenomenon<\/b>, sometimes called the dawn effect<\/b>, is an early-morning (usually between 2 a.m. and 8 a.m.) increase in blood sugar (glucose) relevant to people with diabetes<\/p>\n
-Do you know your haA1C? (3 months back weighted to the front 3 weeks)<\/p>\n
-How are the Kidneys? eGFR test. \u00a0 (>60)<\/p>\n
-How about Vitamin D? Even with SUN exposure Low Vitamin D can be associated.<\/p>\n
There is no way to manage your health without Baseline Metrics ie Results.\u00a0<\/strong><\/span>
\n <\/p>\n
\n
After TEST Baseline –Comparing_Tests.pdf<\/a><\/strong><\/p>\n
Prediabetes<\/span><\/strong><\/p>\n
1. A1C 5.7 percent\u20136.4 percent or<\/p>\n
2. Fasting plasma glucose (FPG) 100\u2013125 mg\/dL<\/p>\n
Diabetes<\/span><\/strong><\/p>\n
1. A1C \u2265 6.5 percent (type 2) or<\/p>\n
2. FPG \u2265 126 mg\/dL<\/p>\n
For criteria 1\u20132: Repeat test to confirm unless symptoms are present. It is preferable to repeat the same test for confirmation. If two different tests are used (e.g., FPG and A1C), and both indicate diabetes, consider the diagnosis confirmed. If the two different tests are discordant, repeat the test.<\/p>\n
Target blood glucose levels for most people with diabetes. \u00a0 70-180
\nIf prediabetic there are steps to consider first:<\/strong><\/p>\n
DIET<\/strong>– Get rid of unnecessary Sugar \/ Carbohydrates. SODA, Extra deserts, etc. Track Carbos. Portion Size.<\/p>\n
\u00a0 \u00a0 The Rule<\/strong> – Each 15 gm of carbs = 1. No more than 4 per meal. \u00a0BREADS = 2. \u00a04 x 15 gm = 60gm a meal.<\/p>\n
bd.com\/us\/diabetes\/download\/CarbCountWeb2007.pdf\u00a0<\/a><\/p>\n
EXERCISE<\/strong> – If you are not exercising minimum \u00a0of 30 min 3x a week you need to start. Exercise burns sugar.<\/p>\n
If Exercise and diet do not lower your numbers:<\/span><\/p>\n
 Medication is in order.<\/strong> \u00a0(can lower A1C 1 to 2 Points)<\/strong><\/h3>\n
Metformin<\/strong> is the first choice. Helps insulin work better. There are many different \u00a0types of oral medication that should be discussed with your Doctor. This link offers a good introduction<\/a>\u00a0 A single pill daily can lower A1C by 1 Point. Two pill combinations can lower A1C by 2 Points.<\/p>\n
If Diet, Exercise, and Medication do not achieve control. Then Insulin Shots.<\/strong>
\nIf not caught in time a person may have to start with Insulin, then add oral medication, then reduce the insulin and still achieve control.<\/span><\/p>\n
INSULIN<\/strong> – By shot comes in forms of Short\/fast \u00a0and long\/24. \u00a0\"basbolgph\"<\/a><\/p>\n
The Long Acting is called the BASAL<\/span><\/strong>. It releases slowly over time.<\/p>\n
The Short Acting is called BOLUS<\/span><\/strong>. It acts fast and tapers over time. Taken before each of 3 meals. This combination mimics the natural cycle.<\/p>\n
A Doctor will prescribe a UNIT for both types of insulin as a baseline. \u00a0As Meter readings are taken adjustments can be made weekly.<\/p>\n
For BASAL go up one unit till the Morning Fast reads 90-100. \u00a0Adjustment of BOLUS can be done depending on carb load. These topics are discussed in these links. \u00a0diabetesnet.com\/diabetes-control<\/a>\u00a0The Tool section has\u00a0online calculators. Bd-adjustment_workbook<\/a>\u00a0is a great reference.<\/p>\n
Each person is unique the prescribed units will need adjustment. Tracking tools and meter readings 5 times a day until adjusted. You and your Doctor work as a team. \u00a0 My BASAL started at 40, After 3 months now 50. \u00a0The BOLUS started at 5 units now using 7 to 8 Units per meal. I Test and adjust.<\/p>\n
\"SampleReport\"<\/a>
Std Week composite using Bayer Contour Next USB – \u00a0Set for Tight Glucose control 70-140 \u00a0ADA – allows 70-180.<\/p><\/div>\n
I like the Bayer Contour Next USB for ease of data reporting. \u00a0Glucofacts Info Glucofacts Deluxe is free<\/a><\/p>\n
SOURCES:<\/strong><\/p>\n
Bd-adjustment_workbook<\/a><\/p>\n
\u00a0diabetesnet.com<\/a><\/p>\n
diabetes.niddk.nih.gov<\/a><\/p>\n
www.nlm.nih.gov\/medlineplus\/diabetes<\/a><\/p>\n
ndep.nih.gov<\/a><\/p>\n
bd.com CarbCountWeb2007.pdf<\/a><\/p>\n
diabetes.org<\/a><\/p>\n
METERS:<\/strong><\/p>\n
Can be available for free from your medical supply or doctor. Coupons from manufacturer.<\/p>\n
Cheap is just that cheap. Cost of strips is the issue.at 5 x a day. If Insurance does not cover, then go mail order.\u00a0Still figure on 30$ a month. \u00a0Mail order can be<\/p>\n
I can recommend Accu-Chek <\/a>Nano for an accurate small basic devcice,<\/p>\n
Bayer Contour Next,\u00a0Basic device is Accurate<\/p>\n
Bayer Contour Next USB<\/em><\/strong><\/a>. Accurate and allows tracking of insulin and carbs along with notations.<\/p>\n
\u00a0USB version is great for data transfer to Glucofacts software<\/strong><\/span><\/p>\n
To use the most current version of 3.8 Available online, Download and run then connect the Next USB.<\/p>\n
The next USB has version 3.4. To update download the software from the Canada Site.\u00a0<\/em><\/p>\n
\u00a0MEDICARE \/ MEDICAID Insurance<\/strong><\/p>\n
Diabetic supplies Insulin Pens, Pen Needles, Glucose test strips can be available at low cost. The trick is finding out which supply pharmacy is authorized by the Insurance provider.<\/p>\n
Baltimore Metro Area I use Northern Pharmacy \u00a0Northern Pkwy\/ Harford Rd. CSR- Trish James<\/p>\n
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