Cucumber salad typic

Cucumber salad typically has sugar added to offset the vinegar. This low carb apple cider vinegar cucumber salad recipe uses stevia as the sweetener. | LowCarbYum.com

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How to Make: Sugar F

How to Make: Sugar Free Powder Sugar

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27 Indulgent Keto De

27 Indulgent Keto Desserts By The Nourished Caveman

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Low Carb Fudge Brown

Low Carb Fudge Brownies - 2 carbs each

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Best foods for diabe

Best foods for diabetes

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B.Obama Back on Market. January 31, 2017

Former president Barack Obama rejected the idea Monday that President Trump based his immigration executive order on a policy adopted by his own administration, and he endorsed the protests that have been taking place across the country in response to the new restrictions.

      Sorry, Mr. Obama. You time is up. You better to go to Kenya, visit your relatives. You do have time now. And please, let Americans to be Obama-free. Really, what is your proposal? To set up revolution in America that you will asked to return to Whit House? It will never work in this way. We trusted in you in 2009. You let us down. You promised Medical Coverage for all Americans, and many of us lost what we did have. Personally I lost my Medicaid. Disable person, 260 units of insulin daily dose was dropped at once, no more insulin delivery. Monthly cost for insulin is $2000 for me. My man lost job, income $1348 a month for two old people. Rent in NYC is pretty high. He was able to pay rent when he worked. Now there is no money. I was in Medical office when I was notified, there is no Medicaid for me. I have to pay for visit, cardiologist. I left office without seeing a doctor. Happy, I had Nitrostat. I survived.
       I do not have pink glasses. I do not have hope I will have any help. It does not matter. But I support the Immigration Ban. Why should not I? This people would be all around me. No one will around you. My once very safe housing already dirty and not safe for live. When I look at that aggressive crowd,  all shooting, all pretend they do have rights, I think about my rights. How many rights do we have, Americans with disabilities? How many of us anyone can see marching to W.D.? No one. Personally, I even not able to get out of home without help. There are millions of us, Americans Diabetics type 2. What do we have? Demand to change life style. Why they do not adapt healthy life style? Starvation diet is most healthy way to live, perfect diabetes type 2 prevention, So, let them be healthy and do not overload our obese population.  Stop to fight, start to work in own countries, and prosper!
      It is not so easy. So, what did you do all those 8 years? Was American Politic really American way to live? Not at all. We are hard workers. But does not matter how hard we work we cannot provide health care and prosperity to all outsiders. Or it is way how Americans must live? Starvation as Healthy Life Style for Americans and Medicaid for all who never worked in America? Of cause, they do have rights. They are poor, and we are not. No one American qualified for Medicaid. We are not low income families.
       With your so proud Obama Care my man have to buy health coverage for two of us. No one health care  company will pay medicine and medical visits for disable person. So, I will have the same with health plan as without it, nothing. But my man will pay or would be punished. You did not promise it. You promised life, you delivered Death.
     Mr. Obama, why did not you see, Suicide in your Kingdom was number 10 cause of Death.  Diabetes type 2 number 3 cause of death. 76,000 diabetics lost lives every year to diabetes, high blood sugar only.
76,000 * 8 = 608,000 lives only Diabetes, high blood sugar level, 100% preventable death with proper insulin treatment regime.
12% of all Death in America is Diabetes and as complications of diabetes type 2, very well treatable medical condition with insulin. You set up starvation as prime treatment for us.
       Mr. Obama, you better to get to hide somewhere and be quiet. You let down not only Americans, but your party as well. You lost. Your candidate not welcome in Wight house. So do you. Do not hope that We will ask you to come back. We keep special boot for you.

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ype 2 Diabetic Weigh

ype 2 Diabetic Weight Loss Plan Food List:

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Sugar Free Jello Cre

Sugar Free Jello Cream Cheese Fluff - low carb, light Recipe by CLYNNTHOMAS via @SparkPeople

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Low Carb & Sugar Fre

Low Carb & Sugar Free Chocolate Chip Cheesecake Cookies (soft)

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...How to Substitute

...How to Substitute Sugar with Healthy Sugar Alternatives

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Murky

My twitter feed has been weird for the past couple of weeks.

I use Twitter to follow diabetes-related accounts and current events.

The tweets from the news accounts and politicians are usually easily distinguishable from those from diabetes organizations and bloggers. 'Earthquake rocks Italy' and 'Mayor jailed' fall into an obviously different bucket from 'Drowsy from a 3 juicebox night' and 'Just passed the 30 minute mark on hold with insurance co.'

I now have to take a closer look. Was the tweet about the cost of insulin a Bernie Sanders quote or was it from the American Diabetes Association? Will the link to the article on repealing the affordable care act take me to the New York Times or to a Blogger site? Is the anxious political tweet from a political commentator or from a person with diabetes afraid of losing her health insurance ?

It's getting very murky.




via Adventures in Diabetes Parenting

Clustering of Five Health-Related Behaviors for Chronic Disease Prevention Among Adults, United States, 2013. CDC Reserch.

Five key health-related behaviors for chronic disease prevention are never smoking, getting regular physical activity, consuming no alcohol or only moderate amounts, maintaining a normal body weight, and obtaining daily sufficient sleep. The objective of this study was to estimate the clustering of these 5 health-related behaviors among adults aged 21 or older in each state and the District of Columbia and to assess geographic variation in clustering.
http://ift.tt/2kI1bUa

 Now show me please anyone who live healthy life style? Show me anyone who has sufficient daily sleep? Students? they work full time, and they study full time. They are happy they do have some reasonable time to sleep. Adults? How many adults work just 8 hours, and the rest of the day they are free to do what they want, including to get right amount of sleep? Be reasonable and take a look around. Bus drivers? Subway workers? Nurses? Supermarket workers? Walmart staff? UPS? Say me, who has that luxury to sleep full time?
      Now about physical activity, what is this? Staff in Walmart, are they active or not? Nurse in hospital, are they lead sedative life style? Or don't they have Diabetes type 2? Do they immune to high blood pressure?
      Smoking. It is not the case that smoking now. It is 'never smoked'. What is the problem with this? If one smoke and now does not smoke then what? What now suppose to be done? Do it is right to  deny patient medicine and medical therapy? Of cause not. Any person with any type of addiction has rights to treatment. So, what is this studies about in first place?
      Finally, maintain normal body weight, what is this about? This is proportion between longlivity, the distance from Earth to the top of the head, and gravity of the Earth to the human body. In other words, take distance between NYC and Paris, and divide it on the patient blood pressure, so the weight will be in right proportion. Does anyone every took a look at the formula, how it suppose to work? Still, regardless of any common reason, the health of population determined by the measurements which have no one meaning. If one ever was familiar with math, then what is the meaning when we divide amount of gas in our car tank to the weight of driver, how long it would take to get from Florida to NYC? So, the same with BMI. When it is proportion the it must be done correctly. Math is high disciplin. So, kg : M2= ? It is math. Math never fake. BMI formula fake. If so, then how millions of human can be treated to foolw this absurd?
     This sound absurd. But the demand we get medicine according to the BMI it is real. Say me, why I am diabetic type 2, insulin independent diabetic? Because of when I was diagnosed with diabetes I was 50 years old. If I was 9 years old, then what? I would not be diagnosed with diabetes type 1. Why? Because there is no sugar in blood. Why there is no sugar in blood? Because of I was not diagnosed with diabetes, so no one checked up the level of sugar in my blood, or urine. So, I was not diabetic.
      For any reasonable mind this logic sound pure absurd. But it is not about reason, it is all about money. At the early time after insulin discovery Medical Organization understood the danger of insulin. If we will have insulin, we will not be ill. We would be able to control our health and we .... will not go to clinic. So simple. Now we pay the price.
       What about prevention? Simple. Does not matter how hard CDC try to prevent diabetes with life style modifications, we will not survive without insulin. So, the mortality of human population will grow, and Medical Organization ready to carry of weight of Big Money Flow.

The highest crude percentage of individual health-related behaviors was current nonsmoking (81.6%), followed by sufficient sleep (63.9%), nondrinking or moderate drinking (63.1%), meeting recommendations for aerobic physical activity (50.4%), and maintaining a normal BMI (32.5%). A small proportion of respondents (1.4%) reported none of the 5 health-related behaviors; 8.4% reported one behavior, 24.3% reported 2 behaviors, 35.4% reported 3 behaviors, 24.3% reported 4 behaviors, and only 6.3% reported all 5 behaviors

And what does it mean? How it is going to prevent diabetes type 2 with account 12% of all death? Really, they studied what and what what reason other then get High Money?

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Insulin and level of sugar from January 11 to 30. Juanuary 30, 2017

      10.12.2027.
107 mg/dl at 9:30 am
300 units Lantus Lolo Star  day total
     01.13.2017
122 mg/dl at 9;48 am
280 units Lantus solo star
     01.14.2017
101 mg/dl at 12;00 pm
260 units Lantus Solo star
     01/15.2017
154 mg/dl at 9;53 am
172 mg/dl at 4;49 pm
80 units Toujeo Solo Star
200 units Lantus Solo Star
     01.16.2017
111 mg/dl at 9;42 am
246 mg/dl at 4;10 pm
252 mg/dl at 7;14 pm
271 mg/dl at 8;33 pm
80 units Toujeo Solo Star
240 units Lantus Solo Star
2 nitrostats Pain heart. Was not able to take Nitrostat  without outside help
      01.17.2017
173 mg/dl at 9;23 am
311 mg/dl at 12;30 pm
160 mg/dl at 5;04 pm
120 mg/dl at 9;11 pm
280 units Lantus Solo Star. severe edema. Face, legs, all body.
      01.18.2017
108 mg/dl at 10;03 am
217 mg/dl at 2;22 pm
201 mg/dl at 8;28 pm
10 units Toujeo Solo Star
280 units Lantus Solo Star
      01.19.2017
117 mg/dl at 6;48 am
220 mg/dl at 10;17 am
79 mg/dl at 5;07 pm
2261 units Lantus Solo Star
      01.20.2017
122 mg/dl at 12;42 pm
251 mg/dl at 5;29 pm
217 mg/dl at 1;50 pm
 260 units Lantus solo Star
      01.21.2017
109 mg/dl at 9;36 am
171 mg/dl at 8;19 pm
180 units Lantus Solo star.
     01.21.2017
245 mg/dl at 9;19 am
300 units Lantus Solo Star
01.23.2017
73 mg/dl at 8;26 am
76 mg/dl at 9;10 am
170 mg /dl t 9;50 am
224 mg/dl at 10;32 am
273 mg/dl at 11;35 am
257 mg/dl at 12;54 pm
204 mg/dl at 8;10 pm
260 units Lantus solo Star 2 + 2 Nitrostat. Pain
      01.24.2017
72 mg/dl at 8;24 am
209 mg/dl at 11;53 am
208 mg/dl at 1;20 pm
260 units Lantus solo Star Nitrostat 2+ 2
      01.25. 2017
89 mg/dl at 10;57 am
252 mg/dl at 9;10 pm
220 units Lantus solo Star
      01.26.2017
98 mg/dl at 8;37 am
198 mg/dl at 7;52 pm
185 mg/dl at 10;26 pm
190 mg/dl at 1;26 am
240 units of Lantus Solo Star
       01.27.2017
141 mg/dl at 10;23 am
300 units Lantus solo Star
       01.28.2017
218 mg/dl at 8;56 am
243 mg/dl at 1;26 pm
225 mg/dl at 9;49 pm
300 units Lantus Solo Star
      01.29.2017
133 mg/dl at 11;37 am
219 mg/dl at 2;15 pm
110 mg/dl at 8;33 pm
240 units Lantus Solo star
      01.30.2017
246 mg/dl at 5;04 am
185 mg/dl at 8;16 am
119 mg/dl at 11;38 am


      
     






     

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President Trump’s Refugee Ban and American Diabetic type 2. January 30, 2017

In interviews, analysts and former counterterrorism officials said the proposed immigration restrictions would reinforce the jihadists’ binary worldview in which a monolithic West conspires to oppress Muslims across the planet.
 Experts Warn President Trump’s Refugee Ban Could Backfire: ISIS 'Rubbing Their Hands With Glee'

Jared Malsin

Jan 28, 2017

http://ift.tt/2kBAOPL

Say me really, what is the point? If America ban some Muslims, then they will go to ISIS to make terror attacks on American land? So, what is the point to open hands for them right now? How we can be sure they will not do it if they are in NY? Every time I go to Lincoln Center I worry, what if there are terrorists planned to attend the same concert as I'm going to do? Of cause it is just rhetoric. But let see it in real scenario.
       Times present that if refugee would denied access to American land, then they will reinforce the Jihadists, right? So, to prevent this from being happened Americans have to take all population from all that countries, that ISIS would not have reinforcement, right?I really just lost, what experts suggest to do about this situation? When this population is out of my land then I feel safe. They cannot commit terror attack in America if they cannot be here. So, as it is easy to see from the experts analyze President D.Trump is right. America is for Americans, and we better to be without Muslims on next door.

The executive order targets citizens of those countries almost indiscriminately, a policy that experts say fuels a narrative of American victimization of Muslims, in which jihadist groups market themselves as the resistance to that domination.

Sorry Mr. Expert, what about victimization of Diabetics type 2 in America? Are not we terrorized by Medical Treatment with cost effective therapy such as life style modifications?
What about veterans who cannot get health therapy or housing? Where all those money gone? I think all gone to support former president Obama. Outsiders have Medicaid, Americans pay from every check we do have. Today there are a lot of discussions that Americans will lost health care if Obama Care would be banned. Why do not provide health care for every American? Every refugee will have Medicaid, right? Say me, why? Why they do have right for Medicaid  and I do not have any rights for Medicaid? I cannot work. I am disable person. In every country there are SSI and medical policy to provide medical care for people like myself. There are no such policy for Americans. I left ob the full support of my family, no penny, no any medical assistance for disable person in critical condition, in condition when I fight every day and night for every breath I take.
     Sorry, Mr.Expert, I am not nice person. I am very selfish. I do have my rights to live. Unfortunately, there is no one expert or advocate to protect my rights  to live. Diabetes type 2 count 12% of all deaths in America. IN NYC where I do live, diabetes, not diabetics in total but diabetes, high blood sugar level, 100% preventable, in number 4 cause of Death. No one advocate ever come to Courthouse to protect lives NYC Diabetics type 2. Millions in funds rising for Muslim refugee.

“There is no doubt in my mind that, wherever they are, propagandists for groups of the likes of the Islamic State will be looking at what’s happening and rubbing their hands with glee. Because this is exactly the kind of world they want to inhabit. It’s a world that reifies their ideology,” says Charlie Winter, a senior research fellow at the International Centre for the Study of Radicalisation and Political Violence in London.      

     And what is your suggest? What you try to say that those propagandists groups would not come to London to recruit refugee to blow up your bridges  and schools? I do not study political violence, but really I do not see logic to open door when I see some danger outsider try to enter into my house. Don't you have lack on your door? If you do then take it off and you will see what will happen. Probably this experience will help you with your studies and ideology.

 Groups like ISIS and al-Qaeda could use the new restrictions to sway new followers around the world, says Clint Watts, a former FBI counterterrorism special agent and U.S. Army infantry officer.

Well, you tried to prevent violence and terrorism, and what? Was it stopped with your experitize? No, it did not. If so then let us give a new President room to do the job. Maybe he will do what you were nit able to accomplish?

 Trump’s proposals come at a moment when the world’s deadliest terror group, ISIS, is steadily losing ground on battlefields in Iraq, Syria and Libya. As its self-proclaimed “caliphate” collapses, the group is expected to return increasingly to the tactics of insurgency and traditional terrorism, and rely on a diffuse network of operatives and acolytes around the world. Experts argue that over the long term, defeating ISIS and groups like it requires an effort to discredit jihadist militancy as an ideology. Trump’s immigration plan undermines that effort, says Watts.

     I am sorry, Mr. Expert. I lost, who is fighting on battlefields? Also, if there are some outsiders come to American Land would we fight? Or we have to run to Syria? In Syria would we have rights above the rights of Syrians? If no, then why we have to lost our land to them? They do not want to protect own ground, we have to protect our homes. Anyway, let former president Mr. Obama  help Muslims to survive. Why it is Americans have to pay for his legacy? I do have my fight, and this fight is pretty too much for me.

“It’s exactly al-Qaeda’s original narrative from the 90s, when they said that, ‘They don’t want you beyond oil. They are not open to Islam. They don’t respect it. It’s a Christian country that has a bias toward Christianity,’” he tells TIME. “We’re talking about winning the war on ideas. How do we win the war on ideas when we just confirmed their idea is correct?”

There was war to bring Democracy to Iraqi People. Now it is War on Ideas. How many other wars will come? Every president has own war. No one demonstration to stop Syrian was. Millions went to Obama inauguration.  We do not want war. That's it. Let Peace come to America. I do not want to live in war between Americans and Muslims in NYC. Let keep JFK clean and safe.

Separately, a Brookings Institution report found that the variable that most reliably predicts which countries produce the most jihadist recruits was whether the country’s population spoke French. The profile of potential recruits varies wildly. ISIS seeks to recruit followers in the West who may be Muslim or non-Muslim.

So, there is nothing to say. All already said above. Keep them out of our land. Ban!

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Sugar Free Brown But

Sugar Free Brown Butter Pound Cake | a low carb pound cake made using coconut flour as the base. This tastes great topped with some heavy cream and strawberries, just like a shortcake. A delicious low carb dessert idea for the upcoming holidays. Pin now to make later!

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American Citizen Night Thinking. January 29, 2017

Blood sugar today in the morning was 218 mg/dl.
       It is high even for random. This is how ADA recommend to diagnose diabetes. If any time reading higher then 200 mg/dl diabetes confirmed. But it is today, and Yesterday I took 300 units of Lantus Solo Star. It is more reasonable to expect low blood sugar, but it is not the case. Sugar in high. All day long blood sugar was above 200 mg/dl, even I took one shot insulin after another, 80 units each shot, 300 units total dose insulin for today. Say me, why. Just Why it is so? No answer to this question.
      I do not have low sugar not today, nether Yesterday. I am hardly able to stay awake, very very sleepy. Edema increased. Water stay, and there is nothing what I can do. I do not take water pills, diuretics. This medicine increases my blood sugar level, and also it is lead me to gain weight. Big surprise for any medical; pro when I said so. But regardless any odds, it is fact in mu case and I take medicine very carefully. So, I do not take any diuretics, even natural diuretics such as watermelon or any mineral water with this effect.
       President Tramp already in office, and now politics is very interesting to watch. Really, it is very very interesting. I was in my room, and in next room TV was loud. Protestors, immigrants, shooting loud they do have rights. It is really very interesting. Women March to WD. Illegal immigrants rights advocate. And so on. Every one has advocates. We do not have advocates. We do not march to WD. We really have no one right to be. Just think about, 12% of all deaths we are, diabetics type 2. Diabetes type 2 is number 3 cause of death in America,, according to the last investigations. No one demonstration, or advocacy to protect our lives. All what we do have, just Barking Therapy, lose weight or die!
      Show me, money for Medicate come from where?  From every check we are, Americans do have. Does illegal immigrants pay tax? No, they do not. Those new comers, what they will have? Medicaid. They do not have income, so they are low income families with little children. What about us, Americans, those who are disable, old, not capable to work anymore? What will happen with us?
      No one of us ever will have medicaid. we have higher income then any one illegal immigrant. No one new comer will have income, and will spoon from pool we created. There is no spoon for us to take any bite from this pool. Disable person, American, must live on support of family, it is law. Just take a look at how apply to Medicaid.  It is all the time income, and we are above the poverty line, $1100 for two elderly person. No SSI. No Medicaid. No one private company keep elderly worker. No one company will take disable person to work. Show me way, how to pay bills, rent?
      Now show me or just say where I can find any march or demonstration how old disable Americans protect rights? What rights do we have? Do we have any rights?
      Silent minority. No voice from us. No advocates for us. No medicine for us. Starvation Diet is the best way to address to American Diabetics type 2 needs.
      It is 2:13 am, January 29, 2017, and I cannot fall asleep. These loud shooting still in my mind. With noise from behind the wall where Muslim family live. No high rent for them. Medical transportation, home aid, SSI, Medicaid with free medicine for all of them. My man pay for my insulin. Happily, it is only co-pay right now. The rest of bill, over $6000 for three month Lantus Solo Star supply, paid by health plan his company provide for our family. I stopped many medicine, brand, and there is no generic for this medicine, Symbicort, Nitrostat, Lipitor, and some more. I have to pay co-pay for every needle I use to inject insulin, and this is not generic, it is brand all the time. I cannot dress, take shower. I do not have home aid to help me with daily needs. Nether do I have medical transport to get to the clinic. So, I do not go in clinic, only to doctor who Rx insulin, and all other medicine I need. Simple, I am American I do not have rights. I am diabetic type 2, stand in spot number 3 now in line to grave.
   Try to get good sleep with this expressions in your mind. I cannot.

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Diabetes and Mortality in America. January 28, 2017

Diabetes accounts for 12 percent of deaths in the United States, a significantly higher percentage than previous research revealed, making it the third-leading cause of death after heart disease and cancer, according to findings from the University of Pennsylvania and Boston University published in PLOS ONE.
 Diabetes accounts for more US deaths than previously thought, study shows

Date: January 25, 2017

Source: University of Pennsylvania

 http://ift.tt/2jBGF9f

So simple, just count all diabetics who lost lives and see, how many of us survive life style modifications, most cost effective diabetes type 2 therapy. Did I already tell, what is this modifications about? To decrease American population, so flood of refugee and terrorists will fill live free on our motherland.

"What our results point to," Stokes (Andrew Stokes, a demographer at Boston University who earned a master's degree and a Ph.D. from Penn) said, "is the need for strategies at the population level to combat the epidemics of obesity and diabetes. We need something on a population scale because it's a major issue. It's not an issue that's confined to certain subsets of the population."

Yesterday I read that different groups have different goals to treat diabetes type 2. Today it is strategy needs to combat epidemic of obesity we all diabetic type 2 in this category. As I said, add arsenic to the Barking Therapy, and you will develop  Black Diabetics type 2 Plague of 21 Century. Just keep in mind, arsenic need to be added in big dose. If dose is small we will survive it, like rats in our subway system or like crouches in our homes.
       This strategy already bring high profit for Medical Organization. If doctor treat obesity, it does not do malpractice, not possible to Rx wrong dose of work out. Also it is not possible to kill patient with diet, even this diet is starvation. It is different to treat diabetes without first line treatment, without  life style modifications. Doctor simple has no one idea how to start to do the job. Doctor never was trained to Rx insulin, only life style modifications. So, now 95% out of 21.95 million people with diabetes type 2 try very hard to survive this highly profitable medical treatment. We fail. We die. Mocked, bulled, abused and discriminated. This are modifications in our  lives we carry on one day after another, month, years, lives.
      Does not it sound so dreamy that disease, epidemic, pandemic, still misdiagnosed in present time? That today there are so many talking about cost of screening for diabetes, but the level of sugar in blood still not vital? Simple, take blood sugar as vital, and there would not be under diagnosed diabetics type 2. The cost is only $1 glucose strip cost. Why in country which welcome with open arms all terrorists and flood of refugee, there are millions of own citizens who do not have any medical assistance? Why people with disabilities must go to Market Place to buy Obama Care when all outsiders spoon from our SS pool we flooded with tax we pay from every check we do have?  People with drug addiction have the treatment, free for them. They did not developed the condition they do have, addiction to the illegal drugs. We are, diabetics type 2, DEVELOPED diabetes because of our wide middle area.

The data showed that people with diabetes have about 90 percent higher death rates than people without diabetes. The researchers also found that diabetes as the "underlying cause of death" had been grossly underreported, giving the disease itself less weight as a major contributor to mortality patterns in the U.S.

Another interesting statement. It is people with diabetes, but there is no one note that it is diabetics type 2 who are on the 90 % of Death. It is not diabetics type 1, but it is we are, diabetics type 2. Interesting point, is not it? Type 1 diabetics are aggressive and active. They post about how they suffer with insulin injections day after day. There is no one mention, how do we suffer, diabetics type 2 without insulin injections we desperately need to survive. There is no one mention that insulin repair damage pancreas do have, and insulin secretion can be re-stored, or dose of insulin can be dropped.

The number of Americans with diabetes rose nearly 300 percent between 1980 and 2014, from 5.5 million in 1980 to almost 22 million, according to U.S. Centers for Disease Control and Prevention data.

At the same time, obesity hit nation. Why two this mark come at the same time? If they are connected, then how, which is cause and what is consequence? To investigate the issue I can present my log book. So simple. If I was diabetic in 1980 then there is no one evidence that I got my diabetes because of my obesity. I was not obese in 1980. I was diabetic. Now I still diabetic but I am obese person. Then there is another mark in my log book. If my blood sugar was higher when I started to take insulin then it is insulin which to blame for diabetes type 2 development. If insulin decreases the level of sugar in my blood then say me why I am diabetic type 2 who must be treated with all types of Junk Medicine but not with insulin? Insulin is perfect for me. I never comply on insulin, never pretend how do I suffer with insulin dose 300 units day after day. I am not. I ma happy every time when I do have delivery of insulin.
    If in  1980  I had insulin I do have right now, then today I would not be disable person, not capable to dress myself. Insulin come to me way too late, still it done great job, and I am alive today, thanks to Dr. Banting and his team in Toronto. Of cause thanks to company my man work for right now and health plan pay for insulin around  $7,000 every three month. Of cause thanks to my man who still working, so I can live on insulin injections day after day.

via Ravenvoron

My Library Books. Diabetes, Health, Medicine

 Diabetes, Health, Medicine

       Aretæus, consisting of eight books, on the causes, symptoms and cure of acute and chronic diseases; translated from the original Greek. 

By John Moffat, M.D.
Aretaeus, of Cappadocia
Sold by: Amazon.com LLC
$19.99
    The Discovery of Insulin
Bliss, Michael
Sold by: Better World Books
$14.83
     Encyclopedia of Endocrine Diseases and Disorders (Facts on File Library of Health & Living)
Petit Jr., William
Sold by: Better World Books
$0.01
     Joslin's Diabetes Deskbook: A Guide for Primary Care Providers
Beaser M D, Richard S
Sold by: McKenzieBooks
$14.86
      Diabetes Management in Primary Care
Unger MD, Jeff
Sold by: glenthebookseller
$12.35
       Pathology
Rubin, Emanuel
Sold by: Better World Books: South
$1.19
       International Textbook of Obesity
Björntorp, Per
Sold by: Better World Books
$9.48
        Diabetes in America 2ND Edition
National Institutes
Sold by: TimPaul
$10.00
       Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle
Cooper, Thea
Sold by: Better World Books: West
$0.01
        Diabetes: A Medical Odyssey
Sold by: Nados Nook
$14.50
          Indigenous Peoples and Diabetes: Community Empowerment and Wellness    (Ethnographic Studies in Medical Anthropology)
Mariana Leal Ferreira
Sold by: Country Club Corner Books
$4.00
       Diabetes: Hospital Management Protocols
Lean, M.E.J.
Sold by: Phatpocket Bookstore
$3.74
       Diabetes Mellitus: Its History, Chemistry, Anatomy, Pathology, Physiology, and Treatment
Morgan, William
Sold by: Amazon.com LLC
$24.95

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The Goal of Diabetes type 2 treatment. January 27, 2017

"So what should be the goals of therapy? Many groups have their own perspectives on this question"

Joslin's Diabetes Deskbook: A Guide for Primary Care Providers

by Beaser M D, Richard S

Well, what is the goal for open heart surgery? To improve heart health and make it work as well as it is possible.  What is the goal of antibiotic therapy? To kill virus coursed inflammation, so human can live. What is the goal when we go to dental office? To fix our teeth and be pain-free. So, what is the goal for Diabetes type 2 treatment? Interesting, is not it? Why so many groups have so different goals how I have be treated? Ask me, and I will answer:  My goal is to have blood sugar level as close to the normal healthy level of non-diabetic as I can. Simple. This is goal of every one who is ill, just get as healthy as we can. Do I wish to be diabetic type 2? Do I like to swing on high - low blood sugar swings? Do I like to carry on all water I collected in my heart, lungs, liver, to walk on watered legs, or I do like pain in my hands, that I am not capable even open a door? What is goal of therapy for me?
      It is really very shameless to even ask the question like that. But it is a guide for primary care providers by Richard S. Beaser, MD,  Joslin Diabetes Center. They ask this question seriously, and they answer to this question with all professional knowledge.  ADA published recommendations different for over the time. Why there are so many variations? Why do not make it much easy?  In stead to set up the goal according to the individual needs, absurd in first place of the nature of this expression, why do not set up the goal to have blood sugar level just normal as every one non diabetic do have? Just to be diabetes type 2 free? Why not?
      It is easy to set up goal. It is ADA who recommend how to treat diabetics type 2 with life style modifications, but it is diabetic type 2 who must control blood sugar level, and reach  the goal ADA and primary care set up for us.  In all book, and in any ADA recommendations there is no one instructions how to get from A1c>12.2 %  back to A1c < 7%. So easy to print on paper, the goal is .....  . But is is very different to get from 599 mg/dl blood sugar level down to the 120 mg/dl. No one guidance in what direction to go.
       Now after goal was set up, what is the next? Lose weight. But there is no one evidence that weight effect blood sugar level. There is only Medical Organization Bathroom Scale Bulling Therapy that it is obesity caused diabetes. Diabetes is elevated level of sugar, according to ADA.  So, if obesity leads to diabetes then every one obese person would be diabetic type 2. It is not the case. And as it is mentioned by Beaser M D, Richard S. the amount of meal, or size of portion do not lead to diabetes. This is right in the book I read right now, professional very well done book published as reference for primary care providers. Then why it is life style modifications, diet, carbs and calories counting taken as prime goal to treat diabetes type 2, cost effective therapy? Diet cannot reduce level of sugar in long term.
       It is another very interesting statement that diabetes type 2 which, according to ADA and Medical Organization statements caused by obesity, can be treated with starvation, simple to avoiding  eating, but flu cannot be treated with therapy to put on worm jacket? Not at all. Flu will be treated with antibiotic therapy. In contrary, diabetes type 2 treatment based on food restrictions, most cost effective type of medical care. The consequences of this therapy, mortality of diabetics type 2 is number one in America, if taken into account all diabetics type 2 deaths. 
       Stroke and heart attacks, the cloths in blood, very high syrupy blood with is highly coagulated. 
Low respiratory complications, show me one diabetic type 2 who is Operatic Soprano of high level. Just take a look at Operatic Sopranos, they have very huge frame. But no one of them is diabetic type 2. We simple cannot hold our breath, we cannot sing on high stage. Diabetics type 1 can be athletes. Diabetics type 2 cannot, why? Because of insulin give energy to be good athlete. Metformin and diet, most cost effective treatment for diabetics type 2, lead to death just withing less then 10 years.
        Really, what is the goal for diabetics type 2 treatment? Do the goal is to speed up gap between diagnose of diabetes type 2 and funeral? This is only one way to go. Without insulin no one of us survive. We all collect pounds, and finally became highly obese. But no one type of diet ever lead to diabetes type 2 cure or reverse, or resolution, so many baby toys in dictionary Medical Care Providers, colorful and loud, still no one of this toy can be used as cure.
      Why Medical Organization or ADA or WHO do not set up the goal to reduce mortality of diabetics type 2? Not good for business. In contrary, Medical Organization promises that in incoming future they will increase diabetic type 2 population up to the level when every one out of three would be diabetic type 2.

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Good Snacks Before Bed for Diabetics

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No Carbs.

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Just one morning thinking. January 27, 2017

Fasting sugar 141 mg/dl
       It is too high for today.Yesterday I injected 240 units Lantus Solo Star. I was going to take one more shot at bed time, but sugar was under 200, and I worried that I will have low blood sugar in the morning. So, I skipped last, forth shot. Today fasting is high. It is very interesting with high - low blood sugar readings. Day before Yesterday dose of insulin for day was 220 units, and fasting sugar nest day was 98 mg/dl.  Then dose of insulin 240 units, and next day fasting sugar is 141 mg/dl, say me, why?
        ADA recommend to keep blood sugar under .... but how to do it? With life style modifications it is not possible to accomplish any blood sugar control. Nether it possible with fixed dose of any oral agents such as Metformin, SU, or Invokana, any one fixed dose of medicine cannot provide blood sugar control. So, all control for level of sugar in blood must be done with something which easy and very flexible to dose.  As I see so far, even insulin, which is very easy to control, to dose, to adjust dose, it is not possible to predict what level of sugar will be next morning, or even next hour. If it is practically not possible to control with very easy to adjust dose of insulin, then say me, how it is possible to control with diet? With work out? Very easy to see, it is in no one way possible.
        All primary care recommendations are clear like crystal, keep it under control. No one recommendations, how to do so. The important and most difficult part in treatment left for ill, disable person, diabetic type 2, who even not able to control own emotions. Person who live in everyday pain, must control all that carbs, fats, initiate high intensity work outs, keep water from making inside of body that it does not close airways so diabetic will stop to breath, and so so on. We have to do it every day, day after day, year after year .... . Is this really way to treat diabetics type 2? Never forget what most widely applied practice in diabetic type 2 treatment, Barking Therapy. All treatment options  for us, Bathroom Scale Therapy. Why?
       Never forget, diabetics type 2 have very high level of Edema, water retention. All our organs enlarged because of every one cell keep water, do not let water to go out.  Our brains also enlarged with water. Legs are so watered that it is not possible to stand, to keep all this watered body on the watered foot, and walk on the own legs. Water, water, more water every day.
       Tonight I was not able to breath, and sounded too loud all night long. It is nice I do have Bi-Pop right now that it help me to breath. Otherwise I am not sure I would wake up every next morning. My eyes also heavy with water, too difficult to hold them open. Interesting, what diet I have to use to keep my eyes open? Just kidding.
         

via Ravenvoron

Does high fat diet leads to high blood sugar? No. January 27, 2017

"In people who do not have diabetes, it is almost impossible to rise the blood sugar level above normal, regardless of what is eaten, because the insulin reserve is plentiful and it secreted inexactly the correct amount." (Joslin's Diabetes Deskbook by Richard S.Beaser, MD and Staff of Joslin Diabetes Center.  Second edition. Williams & Wilkins. Boston. MI. 2010)

        Now the question is, how all that treatments with life style modifications, Starvation diets, and bulling diabetics that we eat too much carbs, can be supported by medical providers? Do not they know, diabetics are ill people, very ill. When left untreated we die timelessly. Then less sufficient insulin secretion, then faster blood sugar going up, and then speedy our lives come to the end. No one types of diet, Barking Therapy, of Junk medicine improved medical condition we in. In contrary, insulin, which medical providers refuse to Rx to diabetics type 2, can restore b-cells, and improve insulin secretion. It is if not cure then it is treatment we are, diabetics type 2, can use and live, work, and rise our children. 100 years soon to be after insulin discovery, and our medical providers put us on starvation diet, and lead to the our early graves in most painful way. It takes years of suffering and living in dramatic pain before our path is over. Why?
       Profit. High profit for Medical Organization. All medical providers in every primary  care  facility use to educate diabetics how to eat.

Dr Apovian: I used to do that all by myself when I was in primary care. Now I direct a subspecialty practice, and we have a team of five doctors, five dietitians, and three nurse practitioners. Just like cardiovascular disease, we need a team approach.

Obesity Is a Disease That Needs to Be Taken Seriously

Charles P. Vega, MD; Caroline M. Apovian, MD

http://ift.tt/2k8pddd

       What all those team specialists talking about? They present that high cholesterol I used to  have, and high TG, over 900, the result of my eating disorder, which I never had. That  my severe headaches, high blood pressure,  skin infections, and severe tiredness, all result of wrong diet. It is not. It is result of I am diabetic type 2, who never had chance to get treatment I needed. Only at age of 60 I injected my first dose f insulin, and started to go back to life. So what? My man lost job. There is no health plan, no insulin for me. 260 units of insulin were dropped at once. Medicaid was terminated for disable person in critical condition battling back to life after stroke and heart attack. All what is left for me with Obama Care  just $11,000 debt to SSA.
        There are a lot of media publications, how Obama was popular, and how woman do not happy with President Trump. If we were so happy with former president Obama then President Trump did not have chance to win.  Diabetes, epidemic, pandemic, and all what is possible to present, is nothing about eating, diets, or sedative life style. Diabetes today is social issue. We die, because of we denied medicine we need, and we cannot live without insulin, no one can. If our body system cannot secrete insulin, then insulin must be added in blood in injections, so we can live and be functional.

 Also on our team are the bariatric surgeons, because bariatric surgery should be the treatment of choice for patients with BMI over 40 kg/m² or over 35 kg/m² in patients with a comorbidity that is very serious if they have failed diet, exercise, and a medication.

Why they do not say that after surgery blood sugar rising? They publish this in text books, but foe public they present that it is best choice to get diabetes-free. Of cause if one would die. But they prefer do not educate us in this direction.
       When I come to clinic it is all the time Mefformin which provider happy to Rx. It is cost effective way to treat diabetes type 2. Really? five doctors, five dietitians, and three nurse practitioners, the team of medical clinic to feed up. The Wight loss surgery, another great  demand for money. Then complications after WLS, also money flow. Or, never forget, after WLS there is another WLS because of weight return, and it is another surgery need. Go-Big-Money-Go!!!!!!!!!!!!!
       And finally, there are a lot of medicine to treat obesity. There is no effective medicine no one doctor ever Rx to me to treat severe headache I live with all my life. There is no effective medicine to reduce high blood pressure, leading cause of stroke. What is effective ingredient to treat obesity? Diuretic. Fast way to develop heart and kidney failure. Say me, why should I fight obesity? Really, I have bigger fish to fry.

Obesity is caused by high insulin. This can quietly go on due to lack of checking and faulty dependency in HgA1c and fasting glucose ...which doesn't show up until insulin has been bouncing around for a while and cells have 'tired' of insulin's presence.

It is comment of one who is not Medical Pro. Very highly educated person. I name them all, Old Wife. They do know all about and all the time every where around. It is they are who marched to W.D. to knit pink pussy hats next day after President Trump took office. 

ROCHESTER, Minnesota (CNN) -- Fen-Phen, a powerful diet drug taken by 18 million Americans each year, can cause heart disease in otherwise healthy patients, Mayo Clinic researchers said Tuesday.

 Sadly dieting doesn't ever work in the long run, it just becomes demoralizing.  There is a 12 Step program, modeled after Alcoholics Anonymous, called Overeaters Anonymous.  It has helped thousands of Americans lose weight, keep it off, and find themselves living a life that is "happy, joyous and free" of the tension of wanting to eat (or not eat to an extreme) all the time.

Interesting, where 12 steps program for diabetics type 2? Should it be anonymous, right?
       Most fascinating, how many comments on this article!  Looks it is most popular subject, diet, all of them and every one is Expert! Does not it looks like all of you have eating disorder? Really, I am not able even to read it. Tooooooo bore.
      Still, the point is the same, No one eating habit can lead to diabetes. The diagnose of diabetes based on elevated level of sugar in blood, and if one is not diabetic then one cannot rise blood sugar level with eating any meal, sugar including, and soda, and any sweets. All diabetics type 2 obese, why? Eating not healthy diet? No. Water retention. Water has no calories, no fat, no carbs. But water still have very high weight, and it leads body to swell.
       Diabetics type 2 do not need 12 steps program. we need insulin, long acting insulin, and doctors who are educated to be able to Rx it.

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Cold drinks are a we

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Now with bonus groce

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Amazing. This marinade has no salt but she says you will never miss it. I think it would work on chicken or pork.

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This easy Diabetic L

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Possible Cures for Type-1 in the News (January)

Trial of Intranasal Insulin To Prevent Type 1 Diabetes (INITII) Is Fully Enrolled

The official title is "Trial of Intranasal Insulin in Children and Young Adults at Risk of Type 1 Diabetes (INITII)" and it is now fully enrolled.  Since people will be followed for a total of 10 years, results will be ready in 2026.  However, the primary end point is after 5 years, so it's possible that those results would be published sometime after 2021.

Previous blogging is here: http://ift.tt/2kmkK4j (but it's not much).  The important information is this:

Several different groups are experimenting with using insulin to prevent or cure type-1 diabetes.  This is similar to giving people with food allergies the food they are allergic to in tiny doses, gradually building up the dose over years until they are no longer allergic.  (Although the truth is a little more complex than that: type-1 diabetes is not a simple allergy to insulin.)  Because insulin is basically a protein, it gets digested, so you can't take pills of insulin.  These researchers are experimenting with inhaled insulin, given to people who are at risk of developing type-1, but have not yet developed the disease.

Clinical Trial Record: http://ift.tt/2k2MAou

Results from IL-2 (the DLIT1D study)
Several groups of researchers are trying to cure type-1 diabetes by using IL-2 (Aldesleukin).  I've blogged on this before:
http://ift.tt/2km1GmI
The basic idea is that giving Aldesleukin raises the level of T-reg cells, and those cells kill off the bad T-killer cells, and that's good for people with type-1 diabetes.

This particular trial was aimed at finding the dose of Aldesleukin which would cause a 10%-20% increase in T-reg cells.  The technique was to give a dose of Aldesleukin to a small number of people, monitor them closely, and then based on those results, give a different dose to another small group, and so on.  After a couple of repetitions, they narrow in on the perfect dose.  This is not as easy as it sounds because Aldesleukin causes T-reg numbers to drop in the short term (which is bad), but go up in the longer term (which is good), so you need to evaluate these two effects by dose and frequency.

The researchers are happy with their results: they now know what Aldesleukin dose to use in future research, and they understand why some previous IL-2 research was unsuccessful.  Unfortunately, from my point of view, there was no improvement in C-peptide numbers or A1c numbers.  As an optimist, I'm hopeful that was because they were only testing a single dose in this trial, and improved numbers will be seen in studies with more doses over a longer period of time.

This research should lay the foundation for future clinical trials of Aldesleukin.

Abstract and Paper: http://ift.tt/2dT73aK
European Trial Registry: http://ift.tt/2klRlHs
American Trial Registry: http://ift.tt/2k37mVl

Combining Diamyd Data
(My summary: "if you combine several smaller failures, you end up with one larger failure".)

This study is a testament to the optimism of researchers.  Diamyd ("GAD Vaccine") has been tested for over 10 years.  None of these trials has been particularly successful.  They culminated in an unsuccessful Phase-III trial years ago.  You can read my previous blogging on Diamyd here:
http://ift.tt/2klYwzs

However, researchers are natural optimists.  And it is important that they are.  Society needs optimistic researchers so that they will repeatedly attack problems, and not give up, even in the face of adversity.  In October, researchers published this paper, which basically pooled all the Diamyd data from several previous studies, and reported that it had a very small effect.  The researchers present this as a success, but the effect is so small that I consider it confirmation of failure.

People with type-1 diabetes are expected to lose insulin production during their honeymoon phase. This summary found that those given Diamyd lost 80% as much as those who were not treated.  In the last few years, several treatments have shown better results in clinical trials, and none of those have progressed to a cure, or even a treatment, so I'm not expecting this news to push Diamyd forward.  (By "better results" I mean that, when given during the honeymoon, they end up slowing beta cell destruction more than Diamyd slowed this destruction.)

Abstract: http://ift.tt/2k2Zvaf


Polio Virus Trial Finished
The researchers finished gathering data in Nov-2016 so they should publish results in the next year (if successful) or two (if not).  This is an unusual trial.

The trial started in 1999, and was run by Dr. Hanna Viskari out of the University of Tampere in Finland.  These researchers believe that infection with an enterovirus would have an impact in later development of type-1 diabetes.  (It is unclear to me if they thought it would raise or lower the chance of getting type-1.)  To study this, they are following a group of 315 children who are at heightened risk of getting type-1 diabetes, because they are genetically predisposed to it.  Some of these children were given the OPV polio vaccine, which contained weakened, but still live, polio virus, while others got the IPV polio vaccine, which contains dead polio virus.  These children will be followed for 10 years to see if one group has a lower type-1 diabetes rate than the other group.

This trial is a "natural history" type trial, not an intervention trial.  Finland changed it's method of Polio vaccination, so these researchers followed children who got the "old" vaccination (OPV) to children who got the "new" vaccination (IPV).  The researchers did not randomize children to get one or the other vaccine, they merely tracked children who were already getting one or the other vaccine.

Polio is the most famous  (infamous?) enterovirus, but the family contains about 70 viruses including the Coxsackie viruses and the virus that causes Hand, Foot, and Mouth Disease.  More modern viruses in the family get numbers, rather than names, so viruses called EV-71 and EV-D68 are recently discovered enteroviruses.

Discussion
I think this study might provide general information on the relationship between enteroviruses and type-1 diabetes, but I don't think it will change people's behavior.   If the IPV polio vaccine group has a lower type-1 rate: that is already the polio vaccine that people in the US get normally.   On the other hand, if the OPV polio vaccine group has the lower type-1 rate, that vaccine has a tiny (but non-zero) chance of causing paralysis, so I don't see people switching to it in order to prevent type-1 diabetes.

Clinical trial record: http://ift.tt/2km7cGg
Discussion of OPV vs. IPV: http://ift.tt/1Ns8Ml3


Joshua Levy
http://ift.tt/29DuN3o
publicjoshualevy at gmail dot com
All the views expressed here are those of Joshua Levy, and nothing here is official JDRF or JDCA news, views, policies or opinions. My daughter has type-1 diabetes and participates in clinical trials, which might be discussed here. My blog contains a more complete non-conflict of interest statement. Thanks to everyone who helps with the blog.


via Cure Research

Lasso'd By My Insulin Pump Tubing - AGAIN

So this happened the other night.

Just spent 2minutes tethered 2stove b/c my #insulinpump 's tubing inexplicably wrapped around a burner knob that refused 2 loosen! #diabetes

— Kelly / Diabetes (@diabetesalish) January 23, 2017

And lucky for me, DOCers on the twitter related and laughed with me. 

Basically, yours truly walked into her kitchen, turned the corner and was literally lasso’d by one of her stove's gas burner knobs. 
The knobs (dials?) rest on the front of the stove and directly above the oven door, not on tap, which keeps things interesting

The more I tried to untangle myself, the more tangled up I became. 

And of course I reached for my phone to document, but it was in the other room... on the couch. 

I tried the stove's knob/dial, but that sucker was on there tight and having hand surgery didn’t help the situation.

I finally disconnected from my pump infusion site and was able to pry the knob off with my hands, then I slowly untangled form the 1/2 an inch metal part thingy that the dial/knob fit on. 

Crisis averted and I laughed out loud because:
A. It was funny
B. Nothing terrible happened, being mad would have been wasted energy.

It’s not the first time my pump tubing has been lasso’d by my stove’s burner knobs, or the second, or third. 

Thanks to my pump tubing, I’ve also been lasso’d by doorknobs, ledges, edges, my car’s emergency break, seat belts, the occasional belt loop (mine and others,) body parts, (mine and others,) and everything in-between. 

It’s part of the living with the “job” that is diabetes, and wearing an insulin pump with tubing. 

And yes, I know that I can tape the tubing to my abdomen, but my belly real-estate is limited.  

BUT I may try taping the tubing, thus making it look like an actual lasso.... Also,  

Squad Goals

I think we can all agree that if we didn't laugh at the D craziness, we'd go nuts. 
And personally, I need more laughs as of late. 

So if you’ve been lasso’d with your pump’s tubing or some other D accessory, feel free to share ... or not. 

Either way, I hope this post made you smile! 

via Diabetesaliciousness

Diabetes Type 2 in Primary care. January 25, 2017

Type 2 diabetes(T2D) is a metabolic disorder characterized by abnormalities at multiple organ target sites, including B-cell, skeletal muscles, adipose tissue, kidney, brain, gut, and liver. The hyperglycemia characteristic of T2D develops slowly, over time as pancreatic B-cells fail to produce insulin to a glucose stimulus. The resulting elevated plasma glucose levels became cytotoxic, leading to the lose of B-cell function and mass." Jeff Unger, MD, Diabetes Management in Primary Care. Second Eddition. 2013.

       Now the question is, how to treat T2D?  Well, before start treatment disease must be diagnosed. Because of there are a few types of diabetes, they must be diagnosed and separated. If they do not then treatment must be the same, just diabetes and treatment for diabetes regardless what type it is.
        Looks very logical, still it is not the case in primary care. Diagnose of any type of diabetes based on the level of sugar in blood, only blood test.There is no one test to check up any abnormalities in any  organ pancreas including. There is no test to check up if B-cells mass is sufficient or not, or b-cells functional or not. There even no target to check up if insulin secretion sufficient or not. The test for insulin level can be run approximately, the level of C-Peptides in blood. Still, it is not accurate because of  insulin hormone secreted in very tiny amount and secretion is different in accordance to body needs. If this secretion of insulin is not sufficient then there is no energy. So, C-Peptide level, taken in one specific moment, cannot show how insulin secretion sufficient of not.
       Another point with diagnose is, that the level of sugar can be normal in specific moment, such as fasting, but still, the secretion of insulin can fail in the other moment such as trauma, illness, even flu, or stress, such as work out, or any emotional stress. This is why in past diabetes presented was divided as 'temporary' or 'persistent'. Diabetes did not go anywhere, it still in patient's body. But insulin secretion was sufficient to cover daily needs, and fail to cover extra needs.
       In present time there are a lot of publications such as Dr.Oz or Professor Taylor, who claim that diabetes type 2 can be cured naturally, with diet and work outs. They simple use to present that temporary  sufficiency in insulin secretion is cure for diabetes. It is not. It is only the way to delay diabetes treatment and effect of recovery. There is no one diet or work out which can reverse diabetes type 2. Still, insulin can do the job. Even according to the present medical care publications and presentations, it is recorded that b-cells can recovery, and diabetes can be cured.
          The same way as it is with flu.  We do have flu season one year after another, but it is not fatal mostly. We reverse flu till next season. Every other season the disease, once devastated and which swept up millions of lives in all continents, now is mild, not dangerous as it used to be.  The same with diabetes. If blood sugar normalized temporary, insulin in injections in no need, or need in just small dose. Any delay in treatment as it is in case of any medical situation, leads to spread of disease and effect all otherwise healthy tissue and organs.  

via Ravenvoron

Sneaky No Bake Low C

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This homemade sugar

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Wheat isn_t just a s

Wheat isn_t just a staple of the American diet, it_s an integral part of traditional cuisines worldwide.

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Share This: The rece

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My Fit Diabetic Meal

My Fit Diabetic Meal Plan – This is an actual day’s meals and very typical for how I eat. It’s about 1,500-1,600 calories, consisting of 135 g carbs, 175 g protein and 35 g fat. Perfect for a diabetic and fitness nut like me 

via Taylor

Language Barrier May Keep Some Hispanics from Good Diabetes Care

Studies found poor doctor-patient communication hampered medication use, proper blood sugar control

Source: HealthDay


via Diabetes

Insulin Therapy for Diabetics type 2 in Primary Care. January 24, 2017

"Despite being the most powerful and complex therapeutic option for T2D, the FDA has approved all insulin formulations without providing guidance for specific regiments. Instead, the FDA recommends that the prescribe be familiar with the patient's metabolic needs, including eating habits and life style variables prior to dosing insulin. Insulin use is more complicated than swallowing a pill or even injecting a glucagon-like peptide (GLP-1) agonist." - Diabetes Management in Primary Care by Jeff Unger, MD. Second edition. copyright 2013. Page 454.

      It is really very interesting that FDA approved insulin to treat diabetics type 2. What Primary Care suppose to do now? Recently I read publication in medical journal, how nurse practitioner educated doctors how she treat diabetics type 2 with insulin injections. It was very nice to read all the comments, such as 'thank you' and 'nice info', and so on in this way. How nurse do know how to use insulin? She asks patient, diabetic, how one count dose of insulin every day, day after day. After she was educated by patient how to use insulin therapy, she educated doctors how to Rx insulin, and then doctors will educate patients how to use insulin. Magical word of Medical Circle.
      Well, it is better to late then never. I am here to help anyone and happy to share my experience how to use insulin. I am on insulin since 2011. I take 300 units of insulin daily, with variations, of cause. When someone said that one have fasting blood sugar 101 every morning, one day after another, I trust not to this person. There is no one reading such as 101 if one is diabetic. It can be 101 one day, and another day, but day-by-day, not possible. As soon as blood sugar get stable, it starts drop, and insulin dose must be evaluated.
      This is why I do not see any reason to connect dose of insulin with eating habits, of any life style. The dose of insulin is different for every one diabetic type 2. So, in stead of trying to count dose of insulin according to life style it is better simple find the dose of insulin needed for every day, one day after another, regardless if today is work out in fitness club, or flu, or Winter, or any other stress or activity. Yes, all this will effect level of sugar in blood, but dose of insulin must be effected by the number on the glucose meter rather then counted by calculator.
        There is another interesting point. Since 2011 when at first time I injected insulin, I wonder, how to count dose of injections, what dose of insulin is max. after wich medicine must be adjusted, and many other questions. Now I no longer ask any of these questions.
        The interesting point is that there are formulas how to count insulin dose, and every one doctor should know this formula.
http://ift.tt/2jkXfdw
If this link does not work then simple type 'formula insulin dose counting' and the link and many other links will be opened. Why doctor, who published book, so surprised that FDA does not set up any recommendations how to use insulin to every one diabetic patient? It is simple not possible. It is duty of primary care provider to know how to educate diabetic and how to calculate dose of insulin.
       So sad, after almost 100 years after discovery of insulin our primary care and endo specialists have no one idea how to treat diabetes type 2. All what they do know very well how to use bathroom scale to treat diabetics. If diabetic still do not get the point of discussion, then Barking Therapy will be applied. And finally, if nothing still work, then Junk Medicine such as all but insulin developed in huge abundance for medical organization needs.
        Why do not use simple strategy, observation? In this way it is very simple, start with small dose, add three units every three days, and then continue to do so till target achieved. So simple, and it was recommended at the time insulin was discovered by insulin developed, Dr. Banting. This is almost 100 years old recommendations, and still nothing more was discovered yet, nothing what works better then insulin, or the recommendations Dr. Banting provided for every one doctor.
       There are many types of insulin, and this can confuse every one who never Rx it or ever used it. I tried many types, and now I take only one type, long acting insulin Lantus Solo Star. Solo Star mean it is premixed insulin in pen, very convenient to use, easy to store, very light to carry in any handbag. Lantus is the same family as Levemir Determir, but different manufacture. I think they work the same. I use Levemir and did not feel any difference. Toujeo is another type of insulin. I do not think it is about concentration that I do not can use it. It is in formula something very different between Lantus and Levemir and Toujeo. I can easy take Lantus Solo Star and Levemir, old fashioned, not probably one wich is new for me. But in no one way I can use Toujeo. For providers it must be kept in mind that diabetics are different, so we react differently on medicine.
       Another point with type of insulin, I do not take any combination of insulin such as pre-mixed long acting and short acting insulin in one pen such as Humalin. Nether do I take short acting type of insulin, such as Novolog, or Humalog or Apidra. Sure right now there may be other types of insulin, and because of I no longer take any other type of insulin but Lantus Solo Star, I simple not familiar with new types of them.
      I do not take short acting insulin which recommend to cover meal. I tried, it did not work for me, and probably do not work well for many other diabetics type 2. After insulin injection  I have to take meal. Blood sugar drops. But insulin works only two hours or something about this time, and after there is no insulin.  There is no sugar also. So, I got hungry, and have to eat. Now I have to take another shot to cover meal, and the ... return to pint number 1. Does not matter how many times I tried this regime, I still not able to control blood sugar level. I take high dose of insulin, so it is looks like I take too much meal I have to cover with insulin. It is not true. I used to take 400 units of insulin, now it is 300 units. So, my b-cells started to recovery, but the process goes slow, too slow, and this is why I need 300 units of insulin. Probably later I will need less insulin in injection, but right now it is how it is. My b-cells almost gone.
       With Lantus Solo Star the level of sugar in blood going much smoother. There is no high spikes, or too low drops, and this is very important. When for any reason I need to inject more units then100 at one injection, I will take more shots, and cover my needs in multiple shots. But if the dose is less then 300 I take only three shots, or four, 80 units each and less then 80 last one before bed.
       I try do not take high dose at bed time. Usually sugar drops during the night, so if I take high dose I can wake up with low blood sugar. Also I have difficulty to fall asleep if I took insulin shot at bed time. So, I try to finish all injections before 6 pm.

via Ravenvoron