FDA Approves First 'Artificial Pancreas' for Type 1 Diabetes. Medscape News. September 30, 2016

What is this, 'Artificial Pancreas'? As I do remember so far there is already some devices that work in the same way, and many prefer that they are better then one of company approved by FDA. I do not use any one of them, and I am not intend to use any in nearby future. But anyway,  what is this all about? 

In a statement, the FDA noted that risks associated with use of the system may include hypoglycemia and hyperglycemia, as well as skin irritation or redness around the device's infusion patch. In addition, this version of this device is unsafe for use in children 6 years of age or younger and in patients who require less than eight units of insulin per day.

 You must be kidding! Diabetics type 1 who take less then eight units of insulin per day! And they cannot survive without insulin? They need to carry this artificial pancreas because of they will have so high blood sugar level that they even can develop DKA? You really must be kidding!

During the study, HbA_1c levels dropped from 7.4% at baseline to 6.9%, and the percentage of sensor glucose values within the target range changed from 66.7% at baseline to 72.2%. No serious adverse events, diabetic ketoacidosis, or severe hypoglycemia were reported.

Really? What events you were expected? DKA?  Diabetics type 2 with level of sugar higher then A1c>12.4% do not have DKA. Diabetics type 2 with level of sugar in blood higher then 700 mg/dl do not have DKA because of we type 2 diabetics and no one take care to test our urine for DKA. But they are, type 1 with less then 8 units of insulin daily dose, with A1c between 6.9% and 7.4 will have DKA? And then they will have drops of sugar level down to 32 mg/dl with 8 units of insulin? Really, FDA is very effective to treat American population with fake presentations.

As part of this approval, the FDA is requiring a postmarket study to better understand how the device performs in real-world settings. Medtronic is currently performing clinical studies to evaluate the safety and effectiveness of the device in children 7 to 13 years old with type 1 diabetes.

This is best part I do like. Good Luck mothers! Let your kids to serve as rats for clinical studies! At least, Medical Care need more patients to carry money form one pocket to another. 
     Personally, I will never let my child to be in rat cage. I prefer my child under my protection. I never really trusted in medical care. I can trust in some doctors, we all do, but in all, no thanks.  
     This device I do not need, never will use it. I do have my personal studies.  I am really very good in this. So, I take my glucose meter, check up my blood sugar level, and administer insulin, all the time only one type, Lantus Solo Star. I do not use any other types of insulin. I try many, did not work for me. Lantus Solo Star is best so far. My blood sugar dropped from A1c=9.4% down to 7.2%. Not so bad as I can say. Dose of insulin also dropped. Highest was 400 units a day. Now I no longer inject so high dose. Lantus Solo Star is easy to use, reliable, convenient, and very light to carry. I am old fashioned person. I prefer safety rather then experiments with my own body. No Thanks. Really not for me.
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FDA Approvals > Medscape Medical News

FDA Approves First 'Artificial Pancreas' for Type 1 Diabetes

Miriam E Tucker

| September 28, 2016

via Ravenvoron

FDA Approves 1st 'Artificial Pancreas' for Type 1 Diabetes. September 30, 2016

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- The U.S. Food and Drug Administration on Wednesday approved the first automated insulin delivery system -- a so-called "artificial pancreas" -- for people with type 1 diabetes.

The first question is, why this system for diabetics type 1, but not for diabetics type 2 like myself who take insulin in the same way as it is type 1 diabetics? Really, what is difference between me, type 2 diabetic who takes 300 units of insulin dose daily, and those diabetics type 1 who take less then 25 units daily dose? Do I need this system or not? 
Well, it is interesting to take a look at what this system is about.

 "This first-of-its-kind technology can provide people with type 1 diabetes greater freedom to live their lives without having to consistently and manually monitor baseline glucose levels and administer insulin," Dr. Jeffrey Shuren, director of the FDA's Center for Devices and Radiological Health, said in an agency news release.

Freedom is good, but it is also come with price.

The device -- Medtronic's MiniMed 670G -- is what's known as a hybrid closed-loop system. That means it monitors blood sugar and then delivers necessary background (also known as basal) insulin doses. The device will also shut off when blood sugar levels drop too low. 

So, something would be connected with my blood and hang-on aside of my body to provide constant monitoring and delivery. Do I really need it? I can use this system to monitor my glucose level once a week or month that I would see the pattern how blood sugar rises and drops during day and night with my routine lifestyle. But to administer insulin ?... No, thanks.
     It is presented that device would shut down system when sugar level drops. Really, it is too late for that.  The insulin is already in blood, so, regardless system shut down the blood sugar will go down, and no  one do know very well for how long it will drop and how down it will go.
     As I told many times, all treatment options based on the level of sugar in blood, and it is constantly changing variable.  There are must be different approach in diabetes treatment, regardless of it type. As diabetic type 2 on high dose of insulin I can feel my blood sugar dropping at the time when monitor show perfect level of sugar in blood. I can feel it, and I have to take actions long before sugar drops low. The system does not provide this freedom. At first, it is because of diabetic does not take own actions but relay on device that device will do the job. It never will happen. It did not happen yet. In hospitals many diabetics die because of low blood sugar, result of wrong treatment therapy.

However, this device isn't yet a fully automated artificial pancreas. People with type 1 diabetes will still need to figure out how many carbohydrates are in their food, and enter that information into the system, the agency noted.

Another pretty stubborn understanding. Diabetes  is not about carbs eating but it is the Gap between insulin in demand and insulin available in secretion. Now  man made pancreas would count the dose of insulin according to the amount of carbs one put into system. Then it would be automatically pool my blood with insulin. O, no, this is really not for me. I prefer to relay on my own brain. 

The device does this via a small catheter inserted beneath the skin and attached to a tube that's attached to an insulin pump. This insulin delivery site needs to be changed approximately every three days.

Why site must be changed? Because it would be rash on the spot. Now, after three days the site must be changed, and then another three days, another red spot from constant use of device. It must be taken into consideration that insulin deliveries every day. Many diabetics develop rash on side and scars. It is not one week treatment, it is life long attachment to  our bodies. No, thanks. I better to stay with my trusted Lantus Solo Star.  

And that's where this new technology will help. The device has a continuous glucose monitor that constantly measures blood sugar levels. A sophisticated computer algorithm then figures out if someone's blood sugar levels are too low or too high, and when too high, will give the correct insulin dose to bring the blood sugar level down.

Computer is perfect in counting. But computer does not have ability to provide understanding how to combine together carbs, fats, activities, and brain energy consumption. So far our medical care providers still diagnose dose of insulin as  1 out of 4 part of our weight, in units. Why do not start from the simple task, just find out how level of sugar and dose of insulin can be connected. This is already every difficult task, without adding carbs and calories counting. There is no one formula so far how to dose insulin according to the level of sugar in blood.

In a statement, Aaron Kowalski, chief mission officer for JDRF (formerly the Juvenile Diabetes Research Foundation), said until there's a cure for type 1 diabetes, "I know that the artificial pancreas will change many lives for the better."

Well, if so far for almost 100 years they still not able to find the dose of insulin and how to use it, if diabetes today number 7 cause of Death in America and number 4 cause of Death in NYC, then I will not take it for granted that my life would be changed for better with any Research Foundation. It is simple business law, no ill patient no longer paying patient. They need us, so there is no one reason to trust they are looking for cure. No, They are looking for studies financing, that's all. 

According to the agency, the FDA approval is based on data from a clinical trial of 123 people with type 1 diabetes. The study volunteers wore the device for three months. No serious low blood sugar (hypoglycemia) events occurred. And no one experienced diabetic ketoacidosis, a serious complication that can occur if someone doesn't get enough insulin, according to the American Diabetes Association. 

True or False? 
True. Diabetes is nothing about type of it, type 2, type 1 , LADA, MODY, does not matter. It is all about numbers, the level of sugar in blood. Now, if the level of sugar in blood is higher then normal, it does not mean there are ketoacidosis would be happen. To get this condition diabetic must have over 400 mg/dl level of sugar  in blood. With this so high level of sugar in blood diabetic must be treated in ICU rather then jump around street with artificial pancreas. But when level of sugar is not so high then there is no dangerously low blood sugar drops. No one would take me to studies like that. I am in too poor medical condition. Wrong dose of insulin put me on swings from high to low. They prefer to study diabetics with a little bit abnormal level of sugar and then pretend that it works for everyone diabetic. The same as it is size of our clothing. Take 'S' size, and then cut it and spread aside to get size one need such as 5X. Does it works? of cause it does. This is why we looks so ugly and ridiculous.
       This is basal tricks our ADA WHO and all medical Industry play with population.  Just next dirty trick. I do not play games with my life. I prefer to take Lantus Solo Star every day, and take readings before every shot. At least nothing hang on on site of my body, an rash.
      I will not use this system.

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FDA Approves 1st 'Artificial Pancreas' for Type 1 Diabetes

Automated insulin delivery system will ease some of the burden of living with the condition

Wednesday, September 28, 201

via Ravenvoron

WHO calls for global action. September 29, 2016

6 April 2016 | Geneva - The number of people living with diabetes has almost quadrupled since 1980 to 422 million adults, with most living in developing countries. Factors driving this dramatic rise include overweight and obesity, WHO announced ahead of World Health Day.

These are the numbers, and numbers must be interpreted. One can see numbers in one waym others can see them differently. This is how WHO presented the numbers:

• The number of people living with diabetes and its prevalence are growing in all regions of the world. In 2014, 422 million adults (or 8.5% of the population) had diabetes, compared with 108 million (4.7%) in 1980.
• The epidemic of diabetes has major health and socioeconomic impacts, especially in developing countries.
• In 2014, more than 1 in 3 adults aged over 18 years were overweight and more than one in 10 were obese.
• The complications of diabetes can lead to heart attack, stroke, blindness, kidney failure and lower limb amputation. For example, rates of lower limb amputation are 10 to 20 times higher for people with diabetes.
• Diabetes caused 1.5 million deaths in 2012. Higher-than-optimal blood glucose caused an additional 2.2 million deaths by increasing the risks of cardiovascular and other diseases.
• Many of these deaths (43%) occur prematurely, before the age of 70 years, and are largely preventable through adoption of policies to create supportive environments for healthy lifestyles and better detection and treatment of the disease.
• Good management includes use of a small set of generic medicines; interventions to promote healthy lifestyles; patient education to facilitate self-care; and regular screening for early detection and treatment of complications.

Most important point is that WHO present, diabetes type 2 can be prevented with right life style. Now the question is, why diabetes is so prevalent in low developed countries? Do they have too much food to eat? Not at all. When we take a look at that countries people are skinny, just bones and skin. Do they live watching TV all day long? They do not have car to move around, so they have to walk. Then why starvation, malnutrition, and high activity does not prevent them from developing diabetes, ether type of it? There are only 5% of type 1 diabetics in  all diabetes population. All other type 2 diabetics, preventable medical condition no one ever was able to prevent.

There are three main forms of diabetes: type 1, type 2 and gestational diabetes. The cause of type 1 diabetes is unknown and people living with it require daily insulin administration for survival. Type 2 accounts for the vast majority of people living with diabetes globally, and is largely the result of excess body weight and physical inactivity.

The question is, how diabetes type 2 diagnosed? The diagnose for diabetes, ether type of it, based on the level of sugar, fasting, or random, or average for three month. In any case it is lowest level of sugar in blood. So, after diagnose of diabetes was done, how type of diabetes diagnosed? WHO does not provide answer to this very reasonable and very simple question, how type of diabetes diagnosed? Still, WHO is certain, type 2 diabetes can be prevented with life style changing. Is this WHO humor?
      After diabetes type 2 was detected and diagnosed, what is next? 
small set of generic medicine;
education to facilitate selt-care;
regular screening for early detection and treatment of complications.
      So, why it is detection and treatment for complications rather then monitoring progress in treatment efficiency? Does set of generic medicine work, or it is not effective type of medicine and diabetic type 2 need another medication? Diabetes can be diagnosed with ether number of level of sugar, aas low just above cut line, such high as about fatal. How it is possible to treat any level of sugar in blood with the same small set of generic medicine? 
      WHO does not see the problem in this way. WHO does not look at the cure or effect of any treatment for diabetes type 2. Medical Industry is already good standing. With so high rate in Diabetes type 2 development all what they need just collect $$$$$. 422 millions adults, every one pay for small generic medicine and develops big complications. More and more healthy eating plans are needed. More and more tests would be provided. By 2030 WHO planned to double the amount of diabetics type 2. Every one love American Apple Pie, it is so sweet.  We are great MEAT for Medical Industry and Political Power.

“Around 100 years after the insulin hormone was discovered, the “Global report on diabetes” shows that essential diabetes medicines and technologies, including insulin, needed for treatment are generally available in only 1 in 3 of the world’s poorest countries,” says Dr Etienne Krug, Director of WHO’s Department for the Management of NCDs, Disability, Violence and Injury Prevention. “Access to insulin is a matter of life or death for many people with diabetes. Improving access to insulin and NCD medicines in general should be a priority.”

Insulin is not available in America for middle class. Medicaid will pay for insulin, so low income diabetics have it. Middle class is not low income. Even when we do lost our jobs we still not qualified for Medicaid. We do have unemployment check, and it is most time higher then $1138 for family of two, the cut point for to be eligible for Medicaid and have insulin for free. Insulin I need cost $2000 monthly. Not so many families can afford it. 
   America, NYC, diabetes is number 4 cause of Death. It is not number of diabetics who lost lives timelessly. It is number of Death resulted by high blood sugar level, 100% preventable Death with insulin therapy. There is no insulin for American Middle Class. Disable person, diabetic on 300 units of insulin daily dose, critical condition, was cut off life support, insulin, and put on slow Death, long and painful suffering, day after day, month after month.... . Perfect way to modify life style.

Global efforts are underway to make medicines, including for NCDs, more available and affordable. Commitments from world leaders, including the SDGs, the 2011 “UN Political Declaration on the Prevention and Control of Noncommunicable Diseases”, the 2014 UN General Assembly “Outcome Document on Noncommunicable Diseases”, and the work of the UN Secretary-General’s high-level panel on access to essential medicines are aimed at improving affordability and availability of essential drugs for people living with diabetes. 

Metformin never was a problem. It is really affordable and low cost, just $4 for month supply. Death is cheaper then life. This is commitment. Thanks. I better to stay by my own. Even when I do not have insulin I do not take metformin. It is better to stay without medicine then take wrong medicine. Even it is very cost effective. Does someone able to get what does it mean that medicine is cost effective? I think it can be low cost and high cost still if it is effective then why take costly medicine with the same effect?  If medicine with low effect or it is not effective then why take this medicine anyway? 

Global commitments to reduce diabetes

“Many cases of diabetes can be prevented, and measures exist to detect and manage the condition, improving the odds that people with diabetes live long and healthy lives,” says Dr Oleg Chestnov, WHO’s Assistant Director-General for NCDs and Mental Health. “But change greatly depends on governments doing more, including by implementing global commitments to address diabetes and other NCDs.”

In 1980 WHO presented a new type of diabetes, type 2, which WHO still not able to describe how to diagnose this medical condition. Since that diabetics Death  rate dramatically go up.

Diabetes caused 1.5 million deaths in 2012. Higher-than-optimal blood glucose caused an additional 2.2 million deaths by increasing the risks of cardiovascular and other diseases.

Now more and more committees developed to reduce diabetics population. Still, we stand, and after developing very wide middle area, still alive. Also more and more doctors reduce to be serial killer and Rx insulin rather then small dose of generic medicine and life style modifications. The rate of Metformin drops, and rate of insulin sells go up. Big Pharma develop new and very effective types of insulin, and put it on the market. It is our choice what to take and how to see ourselves and others.

via Ravenvoron

Exciting.

My twitter account exploded this afternoon.

People were sharing the news of the FDA approval of  Medtronic’s MiniMed 670G System, the first hybrid closed loop insulin delivery system.

Their shares of (mostly) JDRF's tweet were accompanied by phrases including:

OMG I may start crying

This might be the best news I've ever heard

I'm over the moon

And I don't think it's possible to count the exclamation points in my twitter feed over the past few hours.

I tweeted too:

 

It is, indeed, big news.  Somehow it's not hitting me, though, as BIG NEWS!!! 

 

I'm generally pretty even-keeled, so to be fair, my twitter feed will never feature countless exclamation points or party-themed emojis.  But I began to wonder what else was feeding my cautious optimism about this news.

 

Perhaps it hasn't sunk in properly yet. Perhaps it's because while approval came faster than some suspected it would, I knew it was on the way so was not completely surprised.  Perhaps it's because while it's a huge advancement, it's not the end goal as far as artificial pancreas products go.  Perhaps I'm considering the insurance environment we're currently in, making me worry that access is a potentially huge issue.  Perhaps I'm wondering how well it actually works. 

 

Don't get me wrong, I'm happy this has happened.  I'm happy that it looks like my kid will be wearing some kind of artificial pancreas system to college.  That's been my hope since it began to seem like a faint possibility. 

 

I'm happy that people will be acquiring these devices and living safer and healthier lives. 

 

I'm particularly happy that this product's approval will pave the way for greater innovation so that eventually my kid will be wearing a system that's mindless and completely foolproof. 

 

I'm just more excited than I am SUPER EXCITED!!!

 

 

via Adventures in Diabetes Parenting

Reducing Diagnostic Errors, is this possible? September 28, 2016

New Study Joins Chorus of Calls for Reducing Diagnostic Errors 

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A new AHRQ-funded study echoes calls to reduce diagnostic errors by suggesting that the World Health Organization bring together experts to address the global challenge. The study recommended collaboration among primary care leaders, practicing clinicians, safety experts, policymakers and health information technology experts to prioritize needed practice changes and set research priorities that would lead to error reductions. 

      My Goodness, see WHO is talking! The WHO, the organizations, the leader of diagnostic recommendations, now suppose to run studies how to reduce diagnostic errors they put in Protocol of Diagnose! This is Medical Industry Humor! Millions humans died as a result of diagnostic protocols WHO recommends, and now let them study to find to whom to blame. Really very Logical next step to lead humanity to the high reduction. And it is very safe. No one war takes so lives as it is War with patients WHO recommend how to treat.
      In 1980 WHO introduced to diagnose diabetics by types, type 1 when diabetic child or teen, and type 2 when diabetic is adult. New cool way to use diagnose according to age and body weight. They introduced that diabetes type 2 can be treated with weight loss and life style changing. Since then mullions of diabetics lost lives in combat with Medical Care who became 'insulin resistant' and stopped to Rx insulin therapy as only one way to address to the potentially fatal medical condition their patients can develop if left untreated.   Now every one Medical Provider or Media Adviser teach people how to lead 'healthy life style'. Millions of us die as a result of mocking, bulling and barking therapy. Diabetes became one of the leading cause of death and stepped proudly on number 7 spot in line to early grave.
      Life style modification attracted all medical care industry and media as well. It is easy money, and no any responsibility for providers actions. There is no one way to Rx 'wrong treatment'. How it is possible be wrong if Rx given to 'healthy life style'? Not possible.  So, now every medical provider Rx life style changing and basic therapy which still safe for provider to Rx such as diuretics, or Metformin, or  painkillers. Because of there are many people who still healthy, they presented that they are not sick because of they eat right and workout right amount of time. The rest of us who are ill did it for themselves because we lead inactive life style and eat too much. 
     People do believe in doctors. Healthy Diet industry in full bloom present that they are only one who provide 'right and healthy ' meal plan. "How We Are Different Form Others?" is best presenting effect how all of them work. No one of them is 'healthy' in any way. People do realized it now  and industry in deep financial break down. Now Medical Industry present  how wine is 'healthy' for their victims. One of the reason, it takes time for human to develop addiction, and there is no one medical provider whom to blame. It is victim of trust who put wine into own mouth. 
     Still, all of them,World Health Organization, primary care leaders, practicing clinicians, safety experts, policymakers and health information technology experts, are safe and keep High Chair. Does anyone really trust they will reduce diagnostic errors we lost our lives to? We better to remember, we are profit for them, MEAL! They never will give up the fish out of hook!

via Ravenvoron

TYPE 2 DIABETES TREATMENT

The Muffin Chronicles: Episode 1

My daughter has taken the same basic lunch to school since first grade:

A sandwich (usually sunflower seed butter and jelly)

Fruit (grapes, berries, a clementine, apple slices)

A salty snack (pretzels, goldfish crackers, sunchips)

This year, she needed a lunchbox addition.  With a 7 a.m. start to her school day because of a period 0 choir class, breakfast and lunch are a long time apart.  The previous lunch wasn't filling her up anymore, even with a larger serving of fruit and a heartier sandwich.

She needed something else nutritious which could be eaten quickly, wouldn't spike her blood sugar, and wouldn't rip out her braces.  The braces part eliminated the obvious granola bar choice, especially when paired with eating quickly.  We tried a couple of brands of soft cereal bars, but there was a definite blood sugar spike just in time for important classes like biology and geometry.  Her lactose issue eliminated cheese or yogurt options.  So we went with:

Corn muffins are her favorite but they're even better with blueberries.

Homemade mini muffins.  It sounds ambitious but hear me out.  If once every couple of weeks I make a batch of mini muffins and freeze them, I can take two out every morning, put them in a little container in her lunch box and she has a decent 20-ish gram snack.  Some recipes are good 'as is,' and for others I substitute whole wheat flour or decrease the sugar to make them a little easier on the blood sugar. 

Corn muffin recipes are plentiful so I won't bore you with that one, but I do plan to share a couple of (hopefully successful) muffin experiments in future editions of 'The Muffin Chronicles' this fall!







via Adventures in Diabetes Parenting

Day-by-Day. September 27, 2016

Blood sugar is 74 mg/dl.
Yesterday it was low blood sugar episode. I did not take readings, did not have energy to go to table and check up level of sugar. I took my fresh made soup, went to bed and fall asleep instantly. Of cause I took my insulin shot  too. I try to take insulin before every meal. It is long acting insulin, it does not require meal after injecting, but when sugar is low I prefer to take shot before starting to eat. This work for me well, so I use this regime.

It is all the tame medical industry present that diabetes type 2 when pancreas secret insulin in big quantity but body system does not use it properly. Of cause if it was church we do not ask questions, just accept what man from High Stand preaches us. In medical clinic we prefer to know what is going on, and how can I be healthy and pain-free. So, I tried many times to ask very different doctors what is diabetes type 2 they diagnose me with? Regardless who was a doctor the answer was all the time only one: diabetes type 2 when body system does not use insulin but produce it in big quantities.  I all the time accepted it. Now I do not bite it. And I no longer ask this question. I do know the answer. 

Last night I was not able to fall asleep too long. As I said, I took long sleep at day time, so I could not fall asleep on my regular time. I took a look at the internet how to deal with my kidney which fail to work right now. I do have many water sacks on my body. So, what our medical industry suggests? I have to reduce blood pressure, and this is treatment for chronic kidney disease. Also it is diuretics in wide use. Diuretics will reduce potassium level, our heart needs. So, what is all these about? I was almost in shock. There is no one medicine to address to the kidney or heart failure! All medicine is just weight loss, diuretics, calcium canal blockers, and painkillers. No one of these medicine I can use. The side effect of these treatments is stroke, heart attack, blood clotting. The only one icon for any wide spread medical conditions is weight loss. Nothing else. 

Probably it is OK and all what I need just try to lose weight, little by little, and I will kill all what I do have in my basket by one stone. There is only one question, I was not obese all my life, so shy do I have diabetes in first place? Why do I have high blood pressure and heart and lung complications in first place? As I said, I no longer ask questions. I just do my homework, and take my life into my hands. As I see there is no one reason to go to urologist and listen another abuse that I have to take weight lost surgery, I never will take it. There is no one need to go to cardiologist, and be abused and mocked as I was many times in many hospitals and many clinics. They simple cannot say me anything new. Or they created a new recipe? LOL! I do not cook with passion. My cousin is simple, and natural. I am old fashioned housewife.

Now about diabetes type 2, how it can be that my pancreas secret more insulin then non diabetic's pancreas? Where extra insulin go? When I inject dose of insulin which today is too high for my eating or activities then I do have low blood sugar. The same as any diabetics type 1, I do have low blood sugar regardless it is insulin in injections or insulin secreted by my ill pancreas forced by SU medicine. Then say me, how it is possible to have high blood sugar level and have high level of insulin in blood stream? As it is all the time presented by medical industry, diabetics type 2 body system secret insulin in higher level then our body system demand it. How to put together two these ends? 
    
There is another point, if body system does not use insulin properly, then it is the same as there is no insulin for our body system to be used, right? There is only one difference between type 2 and type 1, type 1 diabetics simple do not have insulin in blood stream, and we do have it, but there is another medical condition present. So, in type 2 diabetics there are two conditions at the same time, absence of insulin needed for body system to function, and another problem why body system does not use it correctly. Now it is clear why diabetics type 2 death is higher then diabetics type 1, and why diabetes type 2 progressive medical condition in contrary with diabetes type 1 when diabetics can stay without insulin injections for many years. Diabetics type 2 die withing ten years after being diagnosed with diabetes type 2 and treatment with junk therapy started.

via Ravenvoron

Diabetes Brain - 2016 Fall Edition~

Diabetes always has a way of creeping into other areas of my life in strange and not so strange ways. Diabetes Brain is real. Also, I'm weird. 
######

1. Went to check the daily totals on my insulin pump this morning, instead I reached for my iPhone and punched in my security code, then sat here looking at the screen for 10 seconds before I realized I’d picked up the wrong device. TRUE STORY.
Sidebar: THE MACHINES ARE TAKING OVER.

2. Whenever I look at food posts on Instagram and Pinterest, I immediately wonder the carb count, then I start calculating the carbs. Then I start to wonder about the fiber count and I go down the diabetes food rabbit hole.

3.Speaking of food. I recently realized I haven’t bought orange juice in years. 
Yep, totally D related and having to do with hitting the Orange Juice Wall when it comes to treating lows.

4. When I check into hotel rooms I automatically put my diabetes low stash on the nightstand. 

5. Sometimes when I’m in the middle of a conversation and fiddling with my insulin pump near a table or a counter, I check my pump, place it on said table or counter, and then go back to the conversation. 
And 9 times out of 10, when the conversation is over or I need to grab something from another room, I walk away and bungipumping ensues. 

6. Random but true: I kid you not, I cannot remember the last time I drank beer. 
Beer requires too much math so I stick to wine or vodka with club.

7. Lately I’ve started to throw out my used test strip as soon as I’m done with it. WEIRD. 

8. Sherlocking diabetes on the TV. 
Watched a rerun of Rizzoli & Isles a few weeks ago, even though I’d seen it before.
 It was an interesting episode because the murder victim had diabetes. 
D was not the COD, but the murder had an intimate knowledge of D. 
And even though I’d watched it before, I still felt let down when it became clear that the writers of R&I tried, but don’t quite succeed re: diabetes reality as a plot line. 
Still, it was a good attempt. The episode didn't spread D myths or falsehoods, but they were off off the actualities of living with diabetes. 
Seriously, what 30 something D adult female carries a log book and takes copious notes re: food and blood sugars every time she pricks her finger?  OR am I projecting? 
Also and spoiler alert: If someone secretly replaced insulin in my pump with something other than insulin, I would have known something was up because I would have felt like shit because of high blood sugars and all that goes with them. 
I would have tossed out the insulin in my pump - and I would have been correcting with injections after I switched out my reservoir. 
UNLESS....  what if hypothetically, R&I's victim ( a PWD, even though she's completely made up fictional character in a fictional television show, I'm still compelled to get into her head,) was worried about throwing out the insulin because it's so f*v$ing expensive? 
That's a very true reality for many.

9. Speaking of insulin, the price of insulin and diabetes related supplies and costs keeps me up at night. This is nothing new nor is it even slightly amusing. 
It’s scary and it’s real and I know I’m not the only one who feels this way. 

10. Re: Smart insulins , (aka insulin with a brain) is on the horizon for those us who require insulin to live - and that's great - I'm all for having access, using and utilizing smarter, faster, insulin. 
But I struggle to pay for the "dumb insulins" that available to us now, so how the hell will I be able to afford the smart ones? 

via Diabetesaliciousness

Intensifying From Oral Therapy to GLP-1 Agonist/Basal Insulin Combinations. Post 2. September 29, 2016

From Medscape Education Family Medicine

Intensifying From Oral Therapy to GLP-1 Agonist/Basal Insulin Combinations CME / ABIM MOC

John B. Buse, MD, PhD; Carol Wysham, MD

Faculty and Disclosures

CME / ABIM MOC Released: 9/20/2016; Valid for credit through 9/20/2017

 http://ift.tt/2cuiMwX

 Dr Wysham: Clinically speaking, when and why would it be more appropriate to initiate fixed-dose combination therapy?

Clinically speaking .... Ok let us speak clinically.

Dr Buse: The rationale for the use of fixed-dose combination therapy is 3-fold. The first, and most common, is that in patients who are already taking 1 drug of the combination, you can simply add the other.

Why to add another drug and do not try to increase dose the medicine which already works well? Every medicine has its own side effects, and interaction one medicine with another can be dangerous. So, why at first do not increasing the dose of medicine which already works but do not provide effect needed to control disease? What if first medicine did not work, then there is no one reason to add any other medicine. Just stop to Rx one which does not work effectively and Rx another one which provide effect needed for recovery of patient. It can be increased dose if it is needed, but still it is not add-on medicine but solo. 

Dr Buse:  Second, in general, the simultaneous use of 2 drugs provides greater power to reduce glucose and achieve the treatment target goal more quickly than with sequential therapy, which may be a particularly useful strategy in cases where the glucose level is significantly out of control.

 Personally, I would not take it for granted that two is better then one. But still, I prefer to take into consideration another part of statement, " 2 drugs provides greater power to reduce glucose". We are talking about treatment at home, not about Intensive Care Unit therapy, right? Fast blood glucose level reduction is short time effect but very dangerous. It can be fatal if it left out of control. There is nothing too fast with diabetes. To reduce blood sugar level fast is effective in only one case when blood sugar is high and it must be reduced to safety level. Safely level is not blood sugar control level. It is level of sugar in blood when it is not fatally high. In all other cases medicine must work slow and it is all the time long shot. 
    In case of presentation there is actress who present patient. As I see, there is another actor who present 'doctor Buse'.  I do not see any reason to refer to the actor as 'doctor' so he is simple Mr. Buse.

Dr Buse: Third, the use of 2 agents together minimizes the risk of adverse events associated with the use of either agent alone because, in general, the doses of each agent are lower.

How this point is clinical? As doctor Mr. Buse must do know very well, it is active ingredient which provide heeling effect, so it does not matter two types of medicine taken in one shot or in two solo shots the effect will be the same if active dose is the same. Now, if dose of every one agent is less then it is needed then there is no effect, does not matter if medicine taken in one shot or two separate shots.
      Now, there is conflict in the statement. So, if two medicine taken in one shot work more effective then one, then say me why negative  effect of two would be less then negative effect of two in one shot?  To say it, Mr. Buse must provide the prove rather then statement that it will be in this way.

Dr Buse:  Specifically, for a patient who is currently at an HbA_1c of 8.4%, using insulin and a GLP-1 receptor agonist in combination reduces the nausea and other GI adverse events seen with GLP-1 receptor agonist use and the weight gain and hypoglycemia seen with insulin.

     There is question to Mr. Buse, why insulin therapy did not provide blood sugar control? We do have patient who takes two types of medicine, insulin and GLP-1 in two separate forms. Now two medicine combined, and so in one shot two would be better then two in solo shots? Is this Clinical Humor? It is diabetes. In diabetes level of sugar different day out of day, hour out of hour, every hour. Two different families of medicine were not able to provide blood sugar control even two are very flexible in dosing and now Mr. Buse pretends that two in one fixed shot are better then two in solo shots? Fixed dose is not flexible. It is not possible to increase or decrease one without effecting another, difference with solo dose of two. 
      There is another question for Mr. Buse, why insulin did not reduce level of sugar in blood stream that diabetic type 2 moved to HbA1c >8.4%? All what provider needed just add some units of insulin, and do not add any other medicine ether in solo  shot nether in  combination shot. How it sound 'clinical, that reducing dose of insulin will lead to blood sugar control if two medicine would be taken in combined shot? 

Dr Wysham: Thank you, John, this is very practical advice and clarifies a lot. But, returning to our example case, do patients who are taking metformin, even when it is clearly not controlling their HbA_1c, resist starting injectable therapy, precisely because it does involve an injection? Do you have any tips for clinicians on how to transition patients from oral therapies to an injectable drug?
Dr Buse: No patient ever says, “What I want is something that I can inject instead of taking as a tablet.” There is always some resistance.

      It is blue dream that diabetics type 2 afraid injections, so this is why medical providers so resistant to Rx insulin therapy. It is presented that to swallow tablet is easy then inject insulin into own belly. Is this really true that tablet is easy then injection? Two doctors have no one idea they are taking about medicine, not about some pleasant food. So, little children take insulin in injections, do they like it or not. With time they understand, it is what they have to do, regardless they do like it or not, so they no longer run away from mammy or doctor. In contrary, adults prefer medicine which does not work such as metformin and reject insulin because they do not like injections? Clinical Humor, not less then that.
      Another point about medicine in tablet vs injections. 
When I take insulin soon I feel better and functional. Step by step one after another I stop to take some other medicine because there is no longer need in them. When I take tablets such as Metformin soon I am so dizzy, like I drunk full glass of strong Spirit, vomiting. The same effect with Glipizide. Soon after I take this medicine I am weak, sweat, shaken, and all side effects of low blood sugar.  I do not have energy to take any move. My heart rate is high. 
      At least, but not last, the pain from insulin injection is not the needle how it is small and easy enter into body, but the short pain of medicine injected under skin. This pain can be so sharp, it is almost unbearable. In this case I stop to inject medicine, still keep needle into body, wait till pain eased, and finish the shot. Looks like Mr. Buse have no one idea how painful medicine can be, oral in tablet or in injection. In stead he show to patient that needle is small, and it does not hurt when there is no medicine enter into body. Clinical Baby Talk.

Dr Buse: There is always some resistance. But, as clinicians, we can educate our patients from the time they begin therapy about the progressive nature of type 2 diabetes and how, eventually, most patients will need intensification with additional therapy.

Sorry, Mr. Buse. Diabetes type 2 is not progressive by nature. Diabetes type 2 is the same as any other medical conditions, it is treatable and can be cured the same way as we cure the infections or tooth. When left untreated diabetes, the same as infections, flu, bacteria such as TB, can lead to Death.  With treatment it can be cured, even it can return after time, the same as flu.
      Insulin can treat and cure diabetes, any type of it, in any stage of it. Someone would need insulin injections for the rest one's life, many other would not need it after awhile. The treatment and effect of insulin therapy depends from the dose of it. If dose of insulin right, and type of insulin right, then Diabetes type 2 regressive. With time dose of insulin decreases. It is prove that diabetes type 2 treatable, and our Deaths are 100% preventable. The point is not only about Death, but the rest of our lives we live in misery, in constant pain, disable. This is preventable 100%. But it is insulin in present time, and insulin only which can do the job. No one fixed dose of any combination insulin with Junk Medicine can safe our lives and prevent our disability and misery.

via Ravenvoron

"The End of Diabetes?" by Joel Fuhrman, M.D.. September 24, 2016

It is very high promising statement and way too ambitious. So, I wish to ask Dr.J. Fuhrman a few questions. Very simple, and very important for me to understand how can I be diabetes type 2 free.

Dr. J. Fuhrman: "We are talking here right now about adult onset or type 2 diabetes which is mostly caused by people becoming overweight and the extra stress being overweight places on the pancreas." 

The question is, what if it did not caused by overweight in first place? As Dr. just said, it is 'mostly' but not always, right? So, if diabetes type 2 caused long time before it was diagnosed (remember, millions of diabetics live with diabetes type 2 and do not know about it because of pour doctors do not diagnose diabetes timely) then would this plan work for us or not? We are far away form the point when diabetes just started and could be treated more effectively then now. 

Dr. J. Fuhrman: " The main thing is that fat on the body blocks the uptake of insulin.  Because your cells can’t utilize the insulin and the uptake is blocked, the beta cells in the pancreas then respond to that by producing extra insulin. "

The question is, what is the normal level of insulin in our bodies? What is the level of insulin in diabetics type 1? In diabetics type 2? It is very easy to say that fat blocked insulin uptake, still, there is no one publications what is the level of insulin normal, abnormally high? abnormally low?

Dr. J. Fuhrman:" So maybe you have an extra 10 pounds of body weight, and your body produces 1- 1/2 times as much insulin as a person of normal weight; whereas, if you have 30-40 pounds of extra body weight, your body would produce 4-5 times as much insulin."

The statement is naked. There is no one connection between level of insulin and body weight. Need prove? If so then level of sugar in obese people would be high according to the bathroom scale readings. It is not the case. The level of sugar in our blood depend from level of insulin secretion, normal or abnormal, but has no one connection with body weight. Many obese people do not have diabetes , and lean and perfectly fit people have high blood sugar level. 

   Dr. J. Fuhrman: "Now, as you were suggesting, some people who are overweight can keep secreting abnormally high amounts of insulin their whole life and never become diabetic and with other people the beta cell reserve and the capacity of the beta cells to produce so much insulin, genetically, is somewhat limited."

The question is, why those overweight people do not have high blood sugar level, and those who has less amount of pounds do have?  So, someone have high body weight full life, secret high amount of insulin, and do not have ether high blood sugar level or low blood sugar level? Then why Dr. J. Fuhrman talking about those people? Some one have one medical condition, others do have another, and someone live over 100 years, still we are talking about end of diabetes, right? Or I missed the point, what author really talking about? 

Dr. J. Fuhrman: "  So in all cases all overweight people have more circulating insulin, and the beta cells are being overworked to reduce this insulin."

Sorry, did not get the point. Why beta cells overworking to reduce insulin? As I do remember so far beta cells secret insulin. Now my question is to the author of article and one who asked Dr. J. Fohrman questions, does this person has any idea what is diabetes type 2 they discuss so proudly? 

Dr. J. Fuhrman: " Insulin, itself, promotes cancer.  Insulin, itself, is a fat storage hormone and has pro-angiogenesis properties which means, “fat, go ahead and grow, cells reproduce, I’m going to feed you with fuel and bring oxygen nutrients to you, and my angiogenesis promoting effects are going to help the blood vessels grow into you to be travel networks, the roadway, to bring you food and oxygen.” 

They are DOCTORS! 
Just take a look at Who IS Talking!

With this type of Medical Care The End of DIABETICS  is not far away! 

 http://ift.tt/2cRv2rh

Joel Fuhrman, MD, The End Of Diabetes

via Ravenvoron

These low carb orang

These low carb orange creamsicles are smooth, creamy, and dreamy! They remind me of the frozen treats I remember from childhood, but are even better. The orange and vanilla flavors combine with rich cream to make addictive frozen delicacies. Trust me–you won’t miss a single carb.

via Taylor

Rocco DiSpirito's Sp

Rocco DiSpirito's Spinach Pizza Crust | The Dr. Oz Show

via Taylor

Type 2 Diabetes Treatmenet

Sharing is Caring

Back in October of 2014 I wrote a post entitled,  'Why We're Not in the Cloud.'  My reasoning centered around allowing my daughter to problem-solve her own diabetes issues as independently as possible.  I did not want to be hovering over her metaphorical shoulder, texting ' You're 68- did you go to the nurse?' Or 'Why are you still 250, didn't you correct that yet?'

Fast forward 2 years and we've just received and activated a Dexcom G4 Share receiver and downloaded the app on our phones.

 

Why, one might ask, the change of heart?

1.   My daughter wanted to be able to see her numbers on her phone.  She's a 14 year old high school freshman and that's the kind of stuff they're into. She thought it would be both 'cool' and convenient to be able to use her phone as her primary source of dexcom information.

2. Our family recognized that having a virtual diabetes care team was increasingly important. Gone are the days of a parent, nurse or other diabetes-aware individual being within shouting distance at all times. My daughter is doing more and more of her care and troubleshooting on her own, which is great.  But especially during the transition, it's comforting to know someone else has an eye on her numbers in case problems arise.

3. This one's all about me.  Being able to see her blood sugar on my phone will, I think, give me a little peace of mind when she's traveling on a school bus with the marching band, out late with friends, home alone, or when the school days are followed by long theater rehearsals.  I'm already not sure how I survived the first birthday parties and sleepovers without it.

4.  Because my daughter is busier, we'd rather spend the moments we have together talking about something more interesting than how her blood sugar went all day: was she low in gym, did she spike again after lunch, did the breakfast correction work okay? If there's an issue, then we can get straight to fixing it, otherwise we can talk about other, more interesting, news of the day.

For now the constant stream of information is addictive.  We're entertained, and occasionally alarmed. Only time will tell how this will end up working for us. I look forward to sharing the plusses and minuses in the weeks to come.






via Adventures in Diabetes Parenting

#TBT: Diabetes Life And Calling All Midvale Alum ~

Originally posted the following on 2.14.08, back when the blog was all sorts of new. 

As of late my life has been a series of occurrences right out of The Far Side cartoons and captions in real life, so I thought I'd revisit this post - Hope you dig.

#### 

OK - favorite"Far Side" pic ever!

The above carton reminds of me of this life of mine. 

While I'm an excellent dancer when the music is on, I'm a bit clumsy in real life...on occasion. Sometimes the blatantly obvious, is not so very for those of us who are Midvale alum.

For instance.....I've actually put my my pump battery in backwards and then wondered why "the damn thing wouldn't work!"

I've walked into, and almost through a screen door - with coffee in hand. No damage to the screen, but I ended up wearing my coffee.

I've put my test strip in the machine upside down and then wondered where the area was to place my drop of blood.

Once, in High School when I was deep in conversation with my 3 best buds, I actually walked smack into Stop sign because I was enthralled over my friends latest escapades, I looked at them instead of looking ahead. I don't know which hurt more, my head or my pride.

I used to give my insulin shots through my clothes to save time - andto secretly impress my friends. Of course, only when I was wearing white or some other light color, would a drop of blood decide to appear. Ironically it never once happened when I was wearing black, purple, or blue.

We all know about pump tubing and doorknobs. It's a global issue, nuff said.

I won't even tell you how I broke my arm a few years ago. Let's just say it involved preventing a cordless phone from falling down a flight of 16 steps - by blocking its descent at the top of the stairs,
I inadvertently caused myself to fall and ended up at the bottom.

We all push when we should pull at times, but we learn and move forward just the same.
It's very similar to dealing with our Diabetes. Just when we think we know it all about this disease, it throws us curve ball or two, forcing us to learn yet another set of rules regarding the Big D.
And we do, because we can....And because we must.

via Diabetesaliciousness

Intensifying From Oral Therapy to GLP-1 Agonist/Basal Insulin Combinations . September 21, 2016

From Medscape Education Family Medicine

Intensifying From Oral Therapy to GLP-1 Agonist/Basal Insulin Combinations CME / ABIM MOC

John B. Buse, MD, PhD; Carol Wysham, MD

Faculty and Disclosures

CME / ABIM MOC Released: 9/20/2016; Valid for credit through 9/20/2017

http://ift.tt/2cuiMwX

 This is education program. Next month there would be another episode, so I hope I will watch it and give my attention to the clinical education program. 

For patients, diabetes can be a difficult disease to control, and treatment, once it begins, is generally a lifelong process. A 1-size-fits-all treatment approach does not work. To achieve and maintain optimal glycemic control, clinicians must individualize and intensify treatment plans based on combining drugs with complementary mechanisms of action -- ideally, as early in the disease course as possible.

Now the question is, what about all time medical statement how to delay diabetes type 2 diagnose? It is all time said by medical publishers that diabetes type 2 can be delayed. Really, what is the meaning of this statement? Millions of diabetics type 2 live with already full bloom diabetes, and still medical practitioners delay to diagnose the potentially fatal medical condition their patients do live today. Why the level of sugar is not vital? if it is vital then there would not be diabetics who live with diabetes and do not know about it.

There is second statement that: " once it begins, is generally a lifelong process". What about Dr. Oz and professor R.Taylor who cure diabetes withing 8 weeks with Starvation diet and shakes? It was ADA who proudly presented that diabetes type 2 can be cured with starvation diet. Now ADA participate in another studies and the educational program suggest to trust in the statements they present? I better to trust in my own studies then in any Medical presentations.

 To achieve and maintain optimal glycemic control, clinicians must individualize and intensify treatment plans based on combining drugs with complementary mechanisms of action -- ideally, as early in the disease course as possible.

      Really? No, thanks. I use another mechanisms. I do not base dose of insulin I take every day on any plans. I base it on the meter reading I take every day a few times. Regarding of that readings I inject basal insulin a few times daily depending on the glucose meter readings.
      I do not take any intensification in my treatment with basal insulin therapy.  Diabetes is very complicated medical condition. Our medical condition get worse even with weather changes deep in space. Personally I feel it when rain will come or rainy days would be stopped and sunshine would above in the sky. I cannot prove it, but I feel it. It is all the time in my bog book. I take more Excedrin in these days.
     The dose of insulin also would be different. I already posted that level of sugar is seasonal. No one Medical publishers ever stated it. Why, really? It is so easy to see with good observation to many patients in medical settings. There are flu season, why? Because of many healthy individuals would get flu in this particular time. There are possible to get flu in any other time, but still, in Fall there are more people get sick then in any other seasons. Then why in no one medical publications it is mentioned that level of sugar very sensitive to seasonal changing? Did someone medical pro studied combination of wind and cold and Sunshine on the level of sugar in blood?
     Recently it was published that Glycemic Index cannot be reliable. Is the  possible that Health plans and diets are not reliable as blood sugar control plans? I do think so, so I do not relay on any plans medical care suggest. I relay on insulin injections day after day. No any combination.

Consensus statements from the American Association of Clinical Endocrinologists and the American College of Endocrinology and from the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) recommend adding 1 of 6 choices to metformin in a dual therapy approach.

Well, how Metformin effective to the blood sugar control? It is easy to see by own blood sugar level. Just take Metformin and see how it effect the level of sugar in your own blood. If one is not diabetic then one would have low blood sugar then normal. If one is diabetic then high numbers would go down. It is if Metformin works. If it does not then there is no effect on the level of sugar in any blood, diabetic or not. To compare, take insulin and see if level of sugar would drop. It drops in every blood, diabetic or not. This means that insulin works, and it effect blood sugar level.
      Now, if Metformin did not work in first place then why it is still be taken and another medicine must be added as add-on? Probably it is better do not take Metformin and take another type of medicine which control blood sugar level?

 The oral drugs recommended are the sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors, thiazolidinediones (TZD), and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Or you could add an injectable agent -- basal insulin or a glucagon-like peptide-1 (GLP-1) receptor agonist.

      Sulfonylureas (SU) is type of medicine to force ill pancreas to work harder and secret more insulin. Reason? Pancreas is already in critical condition. SU added to treatment plan with combination with Metformin will lead to fatally high or fatally low level of sugar in blood, but never to blood sugar control.
    Dipeptidyl peptidase-4 (DPP-4) Junuvia, Junumet, Ongliza.

Current oral treatment modalities for type-2 diabetes are aimed at suppressing hepatic glucose output, stimulating insulin release, mitigating glucose absorption, and increasing peripheral glucose utilization.     

 So, the action of medicine is to suppress glucose release by liver which human body uses between meals. So, there is why diabetics type 2 do have wide middle area, and no one work out work for us to lose weight. In all those actions there is only one, stimulating insulin secretion to solve the problem. It is easy to see why diabetics type 2 die withing ten years after being diagnosed with diabetes and started treatment with all these Junk Medicine.

Clinical data have revealed that these therapies improve glycemic control while reducing body weight (GLP-1 receptor agonists, specifically) and systolic blood pressure (SBP) in patients with type 2 diabetes.

It is article in ADA and it is first paragraph. So, why it is so important to lose weight and systolic blood pressure but not anything about blood sugar level reduction?

At present, many available treatments for type 2 diabetes fail to maintain glycemic control in the longer term because of gradual disease progression as β-cell function declines. 

If so, then why all these treatments are still on market and our doctors still Rx them one year after another? Probably it is ADA guidance how to treat diabetes type 2, first line, second line, dual therapy and so on.... . Probably it is time to put ADA on Starvation diet and let them try to survive on it.

Dr Wysham: Clinically speaking, when and why would it be more appropriate to initiate fixed-dose combination therapy? 

 My Goodness! This doctor pretend to speak 'clinically'? How any fixed dose can be appropriate in constantly changing blood sugar readings? At least try do not ask questions which show how unprofessional you are. Still, another doctor happily to answer to this question. Does he understand the subject he pretend to discuss? Not at all. If he does then he must answer to the question in different way. Still, he discuss that fixed dose of injections can be initiated.

Dr Buse: ....  Specifically, for a patient who is currently at an HbA_1c of 8.4%, using insulin and a GLP-1 receptor agonist in combination reduces the nausea and other GI adverse events seen with GLP-1 receptor agonist use and the weight gain and hypoglycemia seen with insulin.

     I was going to take one step after another to show how all this discussion looks from diabetic type 2 open mined perspective. But when I read this part of discussion I realized, there is nothing better what I can say. Diabetics type 2 on medicine to treat diabetes type 2 do have A1c=8.4% and now they discuss combination therapy basal insulin + DPP-4? You must be kidding!
(Victoza, Saxenda), approved 2010
(Byetta/Bydureon), approved in 2005/2012
(Trulicity), approved in 2014—manufactured by Eli Lily K
      Now it is 2016. Why medical providers did not use Victosa or Byetta to treat those diabetics type 2 and led them to develop A1c>8.4%?  Did providers were looking when combination medicine would be developed? Or this medicine simple did not work, so now it in combined with basal long actin insulin Lantus Solo Star and presented that combination of two will provide better result then any one of them separately? 
       No, thanks. I really cannot trust in doctors. Insulin works without any add-ons. It is dose of insulin which can be increased to reduce level of sugar. But no one combination therapy when really good medicine combined with Junk Medicine can be better then any one of this medicine separately.
      How it was possible that diabetic got to 8.4%? This is why diabetes type 2 progressive. With proper therapy there is no progression. I take Lantus Solo Star now. I started with insulin Detrermir in 2011. No progression in my diabetes and blood sugar readings. All progression boost right away when insulin supply terminated, and I cannot afford to pay for medical care.
     My A1c dropped from 9.4% down to 7.1%  with basal insulin only. No combination therapy, just Lantus Solo Star. I already lost 20 pounds in weight, no any diet at all, no any work outs. Just my regular healthy life style. My dose of insulin dropped form highest dose 400 units daily down to 160 units some days. So, do not say, diabetes is progressive. Do not say diabetes can be treated with life style modifications or any combination therapy. Do not say, there is diabetes type 2 which resulted by obesity. There is no 'insulin resistant body'. It is only 'Insulin Resistant Medical Care Providers' who aggressively push diabetics to the treatment which kills millions of us year after year. Diabetes type 2 is number 7 cause of Death in America, and it is number 4 cause of Death in NYC.

      Dr Buse:..... Further, the tolerability and titratability provide patients with the ability to increase or decrease their dose as their blood glucose control waxes and wanes with changes in diet, activity, stress, or just aging. It puts the patient in control, which is really the key to enhancing adherence and long-term control.

Sorry Dr. Buse. You better to stop to put finger to patients that it is our diet or low activity that leads to increase level of sugar in blood. Your duty to provide treatment that no stress or aging result early timeless Death or disability. Your patients develop high progressive disease, and it is only result of wrong treatment. Try to use this type of treatment on those who get pneumonia and patients would die. With right treatment they recovery and live long. The same as diabetics type 1. They take insulin in injections and live full lives, over 80 years after being diagnosed as children. In contrary we are, diabetics type 2, die withing ten years after being diagnosed with diabetes, why? 
       Just say me, why I am insulin resistant diabetic? Why I am 'insulin independent diabetic'? I cannot live without insulin. Even one dose skipped rise my level of sugar dramatically. And providers resist to Rx insulin to me because of my diagnose, diabetes type 2, insulin resistant (Hell do know what does it mean) and insulin-independent. Providers insist, I do not need insulin. Really,what do I need according to Medical Care? Grave? Crematorium? Recycling Center in my local Coney Island Hospital? 

via Ravenvoron

JDRF Sneaker Campaign

 

 

My photo of this sign is not as clear as I'd like it to be.  It reads:

 

A cure for Amanda means.... "A cure means no more finger pricks and shots.  I don't have to tell anyone I have type 1 diabetes anymore."

 

Each register at my local Marshalls had a sign like this, featuring a different kid, ranging in ages from 3 to 18, talking about what a cure would mean. 

 

What a great way to personalize the ask. It's eye-catching, with just enough text to read while waiting for the cashier to ring up purchases.  It's effective in explaining why, and for whom, a donation matters.

 

As it happened, I'd already spent several minutes of my Marshalls trip on the phone with my own person who needs a cure. I'd had already promised to purchase a paper sneaker on her behalf so that maybe someday she wouldn't have to call me from school with a blood sugar problem, because those problems would no longer exist. By the time I got to the register I needed no further motivation to put my name on a paper sneaker.

 

For people who don't receive personal phone calls from people with diabetes while they're shopping at Marshalls, I think this is a great addition to the annual sneaker campaign.

 

 

via Adventures in Diabetes Parenting

'Glycemic Index' to Manage Diabetes. September 20, 2016

'Glycemic Index' May Be Too Unreliable to Manage Diabetes: Study

Wide variability seen after eating same food at different times

By Robert Preidt

Wednesday, September 7, 2016
http://ift.tt/2d5hjeO;
"If someone eats the same amount of the same food three times, their blood glucose response should be similar each time, but that was not observed in our study. A food that is low glycemic index for you one time you eat it could be high the next time, and it may have no impact on blood sugar for me," she explained in a university news release.

Very interesting. And what about all that diets which our doctors highly recommend? Just take a look at any one of them, what the difference and what is the same? They all ship frozen pizza for morning meal, and they all suggest a few choices that victim can take different pizza during one week of diet plan. Are pizzas really different? Not at all. For next meal it is different canned soup or pasta. WOW! When I took a look at all that healthy plans I made my choice, it is not for me. I simple cannot see any healthy eating in any one of the diets.

Right now it is publication about 'Glycemic Index' and it is presented this index is not reliable, and cannot be used as healthy eating food choice. Time will come the same will be published about calorie intake, sugary drinks, and so on.   Time will come and no one with medical degree will publish that diabetes type 2 can be reversed with healthy eating. Still, it is not this time yet. 

All the time I pushed to take weight loss surgery that with this treatment I will lose weight and will be diabetes type 2 free. Say me, how the size of my stomach can improve my ill pancreas? It is only one way, no one doctor ever look at my pancreas, how ill it is. They all the time confirm diabetes type 2 according the level of sugar in my blood and bathroom scale reading. There is only one problem, my level of sugar was very high long before bathroom scale passed 300 Lbs point. So, should I trust in doctors, all of them, or it is better to relay on own brain? 

 The glycemic index was created to show how fast blood sugar rises after eating a specific type of food, the study authors said. It's considered a tool to help people with diabetes control their blood sugar levels.

     Pay attention to the studies. It is not the study to help diabetics type 2 to control blood sugar level, but to All Diabetics, type 1 including. The line between type 2 and type 1 is not reliable, if any types of diabetes can be clearly identified. 
     Now there is another point, how fast blood sugar rises after eating any type of food depend from the ability of pancreas to secret insulin. Then highly advanced diabetes condition then faster blood sugar rises.  It does not mean that the food diabetic ate but because of we all do have different ability to secret insulin. This is why non diabetics do not have level of sugar above 599 mg/dl, the limit of glucose meter. Diabetics type 2 in contrary do have this level, and with time diabetes type 2 progress to more and more complications, and finally, to Death.
     Why it is so important to study how blood sugar rises after eating any food? It is only the point to put finger to the victim of medical care. If we do not eat this or that then we will be diabetes type 2 free. Best suggestion presented by professor R.Taylor, Starvation diet withing 8 weeks. Only 600 or even 400 calories, and after 8 weeks diabetic do not have diabetes. Well, it is only the level of sugar in blood. When there is no blood then there is no level of sugar in it. Still, authopcy will show, one was diabetic at the present time of Death. So, Starvation Diet does not solve the problem with illness. Diabetic still diabetic.
      Why there are so many studies how blood sugar rises after eating, and there is no studies how blood sugar drops with medicine or eating, or time, or any other medical conditions? Why it is suggested that eating right food with right glycemic index will control blood sugar level? Why do not take studies, how blood sugar controlled or not with all that medical statements and treatments they suggest? 

An important part of managing diabetes — as well as your overall health — is maintaining a healthy weight through a healthy diet and exercise plan:....

     Sorry, there is no overall health. Diabetes is chronicle disease potentially fatal without proper treatment with healthy eating or not. Still healthy eating and health plans provide high income for medical industry. Also there is most important factor, we live long to provide high income for providers who treat us with barking therapy that we have to lose weight and eat healthy. And finally, we carry all our burden on our shoulders. No one can get diabetes when one live next on me. We are safe for others to live with. So, what society have to lose? Nothing. 

via Ravenvoron