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Tuesday, 28 February 2017
Baked Enchilada Chic
Baked Enchilada Chicken recipe. I’m telling you, this dinner recipe is delicious and I know your family will love it. Try it tonight.via Taylor
Initiation Insulin Treatment by R.S.Seaser. February 28, 2017
The popularity of physiologic and intensified conventional insulin replacement therapies is increasing. Numerous recent studies have demonstrated that physiologic therapy does reduce the risk of the chronic complications of diabetes. Therefore, for people with type 1 diabetes, as well as many with type 2 diabetes requiring insulin, designing physiologic insulin replacement programs is becoming increasingly popular. Yet, physiologic insulin replacement therapy is not appropriate for everyone." Joslin's Insulin Deskbook by R.S. Beaser, MD and Staff of Joslin Diabetes Center. 2008. ISBN: 1-879091-30-5 punished by Joslin Diabetes Center.It is clear that more and more diabetics type 2 no longer trust in doctors that we afraid of needles and in no way will take insulin. No longer this propaganda works and insulin Rx going up and up. Joslin Diabetes Center no longer able to keep diabetics on short lush Starvation Diet. Dr. Banting's discovery takes its path, finally. By diabetic's educators try to keep its power and pretend, they can effect and shape our mind. No longer this work. Now we do have info which in past was available only to professionals.
I got a lot of books, text books and other publications from the past, 1934, 1941, 1952, and so on. My interest is, when and how insulin was replaced by life style modifications programs, by whom? Who was in the first row of these discoveries, diabetes type 2, insulin resistance, and so so on? These books already out of print, but still they are on market, and we can get them on Amazon. I am attracted to the First Edition. In next editions there are ghost writers can effect publication. So, what is the reason to buy old revised books? It is not novels, it is medicine. So, I keep my eyes on the market when and where book show up, and the price, if it still affordable?
I proud by my Amazon Library. Many books are in very good shape and very neat, like a new. Some of them is not so good. Usually I pay just reasonable price. Some books cost just $0.01. Beautiful book, with colorful illustrations on the expensive papers in hardcover, just $0.01! This is book for my opera collection. Yes, there are shipping, $3.99 flat rate of any size or any weight of shipping.
So, back to the MD and his book how to initiate insulin replacement therapy. Very simple, do not take insulin replacement therapy at all. Just take insulin, and replace it by nothing such as Invokana or Starvation diet. Insulin in injections will do almost the same job as our natural insulin. Just be patient, and keep good track of all your life. Do your log book.
I put in my log book all what I need to remember: blood sugar readings and insulin dose and time of injections, headache or bad mood, dreams or stress or sick days, all what effect my numbers, what I better to remember if I need to recall it. I keep in my log book insulin delivery time and price and number of boxes; medical app. and my expression of it was this good or it was not so, how doctor was polite, how nurse was aggressive, and so on; I put all medicine I take in this book so I do have this info in case I need to recall it in future. I keep all my log books, do not discharge any one of them. These log books are not one in meter box. It is too small and inconvenient. I use common notebook, I love to use.
Next step in insulin therapy, find the doctor who Rx insulin, not Insulin Resistant doctor. Best way to say if you try to get first insulin box is, " I am insulin dependent diabetic. I run out of insulin," Just do know what type of insulin you use and how do you do it. It is very easy. Just open any book, and there are all info you need.
Next step, do not take high dose on first shot. Just a few units. Also it will work very well to get first insulin box. If one as myself need 300 units daily, it is difficult to get. My doctor asked CVS if I really take this dose. But to start with 11 units, I did started with 11 units in 2011, it is much easy. Doctor would not have hard time to Rx so small dose of insulin.
Start with low dose, such as 11 units, and add 3 more units if sugar still higher then normal every third day. It is not good idea to add units every day. Some med pro suggest this way. I do prefer three days at least to get idea how to deal with a new medicine.
I very worried when I just started to take insulin. I did not know how to deal with it, and I did not have medical insurance, so no doctors visits. I was on my own. I worried if I take high then limit dose of insulin. Now I do know, there is no limit what dose of insulin is high or low. It is only how insulin control blood sugar level.
I do not try to bring down high numbers in speedy way. It is absurd when Dr.Oz pretend he can cure diabetes type 2 within 21 days, or even 11 days. I don't stand the goal that type. My goal is to survive, be able to live as well as I can, be as independent as I can, and try to get better with time, does not matter how long it will take.
Personally, I do not take different types of insulin. I tried, it did not work for me well. I take only one type of insulin, long acting insulin Lantus Solo Star. So, insulin is all the time in my blood, and I do not need to take injections with every bite I take. The result of this treatment, I am no longer hungry. I eat as everyone non-diabetic. When sugar was high but not so high as it is around fatal level I was hungry and trusty. I started to eat and got more hungry then before my first bite. Now I do not have this condition. I can take meal at home, go to Metropolitan Opera, return home, and have another meal. Not possible when one on constant diet or on oral medicine. Still, protein bar and OJ all the time in my handbag.
"Next, the practitioner must decide to what degree his or her practice can initiate and manage physiologic insulin replacement program itself versus how much should be referred out."It is not someone who should decide what diabetic need or do not need. It is the matter of blood sugar control. If high numbers out of control, do not play with carbs and calories. Just take another doctor who will know how to treat diabetic type 2 and keep diabetic alive and sound. We should not be dependent upon practitioner needs. we already do have high dependency. It is our moral duty to protect our rights to live healthy and well. Do I really need to go out to provide another medical business and to spread money net? I do not think so. So, it is better to find the doctor who does not work as SpiderMed, but as a practitioner who do know the job he or she paid for.
"The primary care provider must be comfortable, at minimum, recognizing when problems arise with the treatment program."So, finally I got the point for whom the book addressed. If it is to the primary care providers then why there are so many pages how to take insulin shot, how to put needle on the insulin pen, and so on. Why doctors still not able to know it after so many years of studying in medical schools and resident programs? If still the book is for us, diabetics, then why I have to care if provider comfortable with therapy he or she Rx for me?
Personally, I do not come to medical clinic to comfort health care provider. This is out of any mind! Still, MD is so comfortable to conclude his book with advises like this one. I haddone with this book. It started from nothing it finished with the same, nothing valid.
via Ravenvoron
How many of us eat a
How many of us eat a healthy diet but still run by a coffee shop to pick up a latte on the way to work or reward ourselves with a mocha in the afternoon? Of course we know these coffee drinks contain sugar – but do we really think about how much and how that sugar is affecting our bodies? We might think twice about all the sugar in a donut or a candy bar, but what about what’s in your coffee? #coffee #sugardetoxvia Taylor
Monday, 27 February 2017
Insulin Replacement Therapy. February 27, 2017
What is Physiologic Insulin Replacement Therapy? Please, do not be hard to me. I read it and still not able to get what is it? The meaning 'replacement' is that we take off something and put on something different, right? if today is sunny day I replace work jacket by spring jacket, right? So, what is, insulin replacement? what is replace and by what it replaced?
Ok, let take a look at the principle points of this book and reading material.
Why there are basal insulin such as long acting peakless types of insulin and regular or rapid acting insulin must be taken? Why do not take just one type of insulin, long acting insulin Lantus, Lantus Solo Star, Toujeo Solo Star, or Levemir? Why take rapid acting insulin?
I tried many times to take Novolog, Apidra, or Humalog, and no one work for me. I take shot of insulin, get hungry right away, and I have to eat. Soon after shot low blood sugar, and I am hungry, I have to eat to deal with low blood sugar. Sugar getting high, I need another shot of insulin to bring sugar down. I have to eat after each shot. Sugar getting down, low blood sugar, I have to eat, .... . My blood sugar run from 400 down to 40 , and then back to 400, just withing two or three hours.
Now I no longer use this regime. I take only long acting Lantus Solo Star, three or four shots daily because of high dose of it, 300 units daily. So I take never more then 100 units in one shot, usually 80 units. Lantus Solo Star is peakless, no need to combine it with food. Usually I take insulin , even it does not need to e taken with food at the time of meal. But if I do have low blood sugar, before I go to take something to eat, I take insulin shot. It works for me in best and very surprising way.
Now about self - initiating of insulin therapy. Who suppose to initiate this type of treatment? Doctors? They are really very Insulin Resistant. 95% of American Diabetics are insulin - independent, and mortality due to diabetes on spot number 7. It took me years to get insulin, a lot of fighting with many doctors. Many times they try to push me out of insulin, pretend that because of I am diabetic type 2 I do not need insulin. Of cause, with insulin my glucose level under tight control, so diabetes would not be confirmed. If it is higher then normal then the most stupid questing every med pro ask, "Did you eat?" I did, I do, I will do it every day, a few times daily, don't you?
There are so many pages how to inject insulin, why do start insulin, and so so on... . Any box with insulin has this info. All this info diabetic must have at first day when insulin was Rx. Otherwise, how we suppose to start it? So, the book is for whom? Med pro? LOLOLOL! For diabetic? Of cause not. For money and recognition. MD will publish in its resume that he published book. Also because of he is char of education department people will forced to buy it. They even will discuss it. Do not ask question, these educators do not know answers. Just take a look at who is teaching.
I am really very serious. Better to go to someone who post blogs and share info and own experience how they are dealing with high numbers. There are many good bloggers on Google. At least it is free and it is honest.
It must consist of multiple >3 daily dose of insulin administration;And what? it still do not replace insulin but take it in another pattern, right? If the point that insulin replace something, then what insulin replace? Nothing. There is no insulin in diabetic blood, so it is 'add-on' rather then 'replacement'
It must provide for the basal insulin effect (peakless insulin such as Lantus or Levemir, or constant infusion of rapid acting insulin from an insulin pump);The type of insulin regardless what type is it, does not mean 'replacement therapy'. It is simple choice of therapy rather then any 'replacement ' of it.
It must provide incremental insulin bolus doses covering food consumption by utilizing regular or rapid acting insulin.The doses of insulin vary.So what????? It is nothing about any 'replacement' just different regimes of therapy.So, what really Dr. Richard S. Beaser, MD, talking about? In his book he ignorantly present:
" Under no circumstances should patient attempt to self-initiate treatment, particularly using using info obtained from reading material such as this book...... ."Really, do not do it. There is no valid info in this book, and safe money, do not buy it. You better to read my blog, and you will find it more useful then all the book by MD.
Ok, let take a look at the principle points of this book and reading material.
Why there are basal insulin such as long acting peakless types of insulin and regular or rapid acting insulin must be taken? Why do not take just one type of insulin, long acting insulin Lantus, Lantus Solo Star, Toujeo Solo Star, or Levemir? Why take rapid acting insulin?
I tried many times to take Novolog, Apidra, or Humalog, and no one work for me. I take shot of insulin, get hungry right away, and I have to eat. Soon after shot low blood sugar, and I am hungry, I have to eat to deal with low blood sugar. Sugar getting high, I need another shot of insulin to bring sugar down. I have to eat after each shot. Sugar getting down, low blood sugar, I have to eat, .... . My blood sugar run from 400 down to 40 , and then back to 400, just withing two or three hours.
Now I no longer use this regime. I take only long acting Lantus Solo Star, three or four shots daily because of high dose of it, 300 units daily. So I take never more then 100 units in one shot, usually 80 units. Lantus Solo Star is peakless, no need to combine it with food. Usually I take insulin , even it does not need to e taken with food at the time of meal. But if I do have low blood sugar, before I go to take something to eat, I take insulin shot. It works for me in best and very surprising way.
Now about self - initiating of insulin therapy. Who suppose to initiate this type of treatment? Doctors? They are really very Insulin Resistant. 95% of American Diabetics are insulin - independent, and mortality due to diabetes on spot number 7. It took me years to get insulin, a lot of fighting with many doctors. Many times they try to push me out of insulin, pretend that because of I am diabetic type 2 I do not need insulin. Of cause, with insulin my glucose level under tight control, so diabetes would not be confirmed. If it is higher then normal then the most stupid questing every med pro ask, "Did you eat?" I did, I do, I will do it every day, a few times daily, don't you?
There are so many pages how to inject insulin, why do start insulin, and so so on... . Any box with insulin has this info. All this info diabetic must have at first day when insulin was Rx. Otherwise, how we suppose to start it? So, the book is for whom? Med pro? LOLOLOL! For diabetic? Of cause not. For money and recognition. MD will publish in its resume that he published book. Also because of he is char of education department people will forced to buy it. They even will discuss it. Do not ask question, these educators do not know answers. Just take a look at who is teaching.
I am really very serious. Better to go to someone who post blogs and share info and own experience how they are dealing with high numbers. There are many good bloggers on Google. At least it is free and it is honest.
via Ravenvoron
Cardiology Clinic. February 27, 2017
I do not have great expectations from any medical visits. I do need visits to my endo, She provide me with all what I need, medicine, tests, or answers to any my questions. I do keep all appointments, and there are not too many of them. Also I do have primary doctor, and I do try to keep visits to his clinic. He cover other issues with my health. Cardiologist I do not ssee how beneficial visit can be. Yes, my heart is not good, but what really doctor can do right now? Practically nothing. Still, my endo said I have to see a doctor, so I did go to clinic.
I used to go to many cardio clinics. usually no one diagnosed any problems with my heart. They usually insist, my heart is OK, and there is nothing wrong with it, just weight, too many pounds, too big body to care for. I used to go from one testing room to another, and ... nothing. So, for now I do not see big reason to go to cardiologist in first place. But I do follow doctor's odred, and I made appointment to clinic. Was be better if I did not.
In clinic my sugar was over 200 mg/dl. "Did you eat?" - asked nurse. Most stupid question to ask diabetic. I have to answer to this question every time I am in clinic. Really, what is the question about? It was pass 4 pm. Did I eat? I did. But really, what is the question about? That my high blood sugar resulted by my eating. True? False. I am diabetic. I do have very low insulin secretion ability. This is why blood sugar is high, not because of I ate today, and day before today, and many many other days. I do eat every day, not once. So, what is the question nurse asked?
This is routine question every time I am in clinic I asked. No one in any clinic never asked, did I take medicine today? I was naive in the past when I went to clinic fasting and just taking SU. So, my blood sugar all the time was under 200 mg/dl. Doctor insisted I have to work it lower then it was. He wished it is under 100 mg/dl. Now with every visist level of sugar higher then 200 mg/dl my diabetes high numbers under better control then it was in past when fasting was about 120 mg/dl or 130 mg/dl.
Then doctor come. He is nice, polite, nice talking. He took a loot at my medicine and .... started to insist there is the problem with it. Well, I take medicine in many names but in small dose. Metoprolo and carvedilol the same family medicine and interchangeable, so lisinopril and losartran, probably some other. No, it is wrong, and it is bad for me. I tried to say that I am good right now with all medicine I take, no any problem, and I do not feel any conflicts in medicine. Who is going to listen to me?
So, he took off Plavix, and said I have to keep to take Excedrin. Excedrin is not Rx medicine. 4 tablets of Excedrin is not really good idea. But ... it is not Rx so it is OK. Many times another doctor insisted I gave to stop to take Excedrin: "You poison yourself with Excedrin!!!!!!!! Stop to take it!!!!!!!!!!!!!" Now I have to take 4 tablets of it every day. It is easy for doctor. He has no responsibility for Excedrin, but Plavix... no Plavix.
Next target was Lisisnopril. I have to stop it. I take Losartran, and Lisinopril is the same family. I do have high blood pressure, very high. Now it is about 140 so it is not so high. It can be higher or normal, still it is far away from 220. No Lisinopril. But he Rx Amlodipine, calcium channel blocker, I cannot take. The question is, why cannot I take two types of medicine for BP such as Losartran and Lisinipril, but two such as Losartran and Amlodipine are good for me? Doctor see me at first time. There is no blood work in file, I am first time in his office. Really I do not see any reason for him to interact into my routine from the first look at the list. Ans really I do not see the reason, why two types of medicine wich are from the same family cannot be taken together at the same time, but two different family medicine is OK? No reason for this.
Of cause it is reason. Doctor have his own medicine he Rx and his show. I do not interesting to show.
Right now I do have another set of problem. Why is it? No clue. But I do have so severe edema. My legs watered, and got so wide, and getting wider with every day. I have more shortness of breath. Lungs sound. Water retention. Pounds just go up and up. Of cause it is easy to say, I have to lose weight and stop to eat. Or at least I have to take diuretics. My appetite is not getting up. I do eat as usual. Nether do I take more water then I used to. All is the same. But one day after another there is severe pain in back, so severe that I cannot take breath. It started to be prolonged. Then after that legs get wider, more shortness of breath.
What I do think, it is clots dissolving. Of cause it is only my speculations. Most important I think I need more time, and I will be fine. I went too low in my health. I almost died. Now it will take longer time to return back to life. Still, it is transition stage, and in this stage better to use the same horse as at the time before transition started. Better do not play with medicine.
I try to get ready for Summer camping. Hope I will be able to go to Adirondack and take our boat trips on Adirondack beautiful lakes. In past Summer I was good, lost 20 pounds, dose of insulin dropped, and I was able to walk a little bit. When we return home the pounds all returned, water stopped to go out. Day after day walking got more problematic. Dose of insulin returned back to over 300 units daily. If I forget to take medicine I do have severe headache, and then other types of pain in back and in nerves. So, it is better do not forget routine.
IN NYC Winter 2016 - 2017 is worm, almost no snow. It is Sunny day today, very Springy.
I used to go to many cardio clinics. usually no one diagnosed any problems with my heart. They usually insist, my heart is OK, and there is nothing wrong with it, just weight, too many pounds, too big body to care for. I used to go from one testing room to another, and ... nothing. So, for now I do not see big reason to go to cardiologist in first place. But I do follow doctor's odred, and I made appointment to clinic. Was be better if I did not.
In clinic my sugar was over 200 mg/dl. "Did you eat?" - asked nurse. Most stupid question to ask diabetic. I have to answer to this question every time I am in clinic. Really, what is the question about? It was pass 4 pm. Did I eat? I did. But really, what is the question about? That my high blood sugar resulted by my eating. True? False. I am diabetic. I do have very low insulin secretion ability. This is why blood sugar is high, not because of I ate today, and day before today, and many many other days. I do eat every day, not once. So, what is the question nurse asked?
This is routine question every time I am in clinic I asked. No one in any clinic never asked, did I take medicine today? I was naive in the past when I went to clinic fasting and just taking SU. So, my blood sugar all the time was under 200 mg/dl. Doctor insisted I have to work it lower then it was. He wished it is under 100 mg/dl. Now with every visist level of sugar higher then 200 mg/dl my diabetes high numbers under better control then it was in past when fasting was about 120 mg/dl or 130 mg/dl.
Then doctor come. He is nice, polite, nice talking. He took a loot at my medicine and .... started to insist there is the problem with it. Well, I take medicine in many names but in small dose. Metoprolo and carvedilol the same family medicine and interchangeable, so lisinopril and losartran, probably some other. No, it is wrong, and it is bad for me. I tried to say that I am good right now with all medicine I take, no any problem, and I do not feel any conflicts in medicine. Who is going to listen to me?
So, he took off Plavix, and said I have to keep to take Excedrin. Excedrin is not Rx medicine. 4 tablets of Excedrin is not really good idea. But ... it is not Rx so it is OK. Many times another doctor insisted I gave to stop to take Excedrin: "You poison yourself with Excedrin!!!!!!!! Stop to take it!!!!!!!!!!!!!" Now I have to take 4 tablets of it every day. It is easy for doctor. He has no responsibility for Excedrin, but Plavix... no Plavix.
Next target was Lisisnopril. I have to stop it. I take Losartran, and Lisinopril is the same family. I do have high blood pressure, very high. Now it is about 140 so it is not so high. It can be higher or normal, still it is far away from 220. No Lisinopril. But he Rx Amlodipine, calcium channel blocker, I cannot take. The question is, why cannot I take two types of medicine for BP such as Losartran and Lisinipril, but two such as Losartran and Amlodipine are good for me? Doctor see me at first time. There is no blood work in file, I am first time in his office. Really I do not see any reason for him to interact into my routine from the first look at the list. Ans really I do not see the reason, why two types of medicine wich are from the same family cannot be taken together at the same time, but two different family medicine is OK? No reason for this.
Of cause it is reason. Doctor have his own medicine he Rx and his show. I do not interesting to show.
Right now I do have another set of problem. Why is it? No clue. But I do have so severe edema. My legs watered, and got so wide, and getting wider with every day. I have more shortness of breath. Lungs sound. Water retention. Pounds just go up and up. Of cause it is easy to say, I have to lose weight and stop to eat. Or at least I have to take diuretics. My appetite is not getting up. I do eat as usual. Nether do I take more water then I used to. All is the same. But one day after another there is severe pain in back, so severe that I cannot take breath. It started to be prolonged. Then after that legs get wider, more shortness of breath.
What I do think, it is clots dissolving. Of cause it is only my speculations. Most important I think I need more time, and I will be fine. I went too low in my health. I almost died. Now it will take longer time to return back to life. Still, it is transition stage, and in this stage better to use the same horse as at the time before transition started. Better do not play with medicine.
I try to get ready for Summer camping. Hope I will be able to go to Adirondack and take our boat trips on Adirondack beautiful lakes. In past Summer I was good, lost 20 pounds, dose of insulin dropped, and I was able to walk a little bit. When we return home the pounds all returned, water stopped to go out. Day after day walking got more problematic. Dose of insulin returned back to over 300 units daily. If I forget to take medicine I do have severe headache, and then other types of pain in back and in nerves. So, it is better do not forget routine.
IN NYC Winter 2016 - 2017 is worm, almost no snow. It is Sunny day today, very Springy.
via Ravenvoron
Sunday, 26 February 2017
Do you need a refres
Do you need a refreshing drink right now but don't want the sugar? Try these super easy sugar free berry chia fresca. Incredibly thirst quenching, nutritious and high in protein. Simply amazing. | ditchthecarbs.comvia Taylor
Saturday, 25 February 2017
Regular Insulin vs Rapid Acting Insulin by Richard S. Beaser, M.D.February 25, 2017
Richard S. Beaser, M.D., is a practicing physician in the Joslin Clinic and holds the position of Associate Clinical Professor of Medicine at Harvard Medical School. He has also been the Medical Executive Director of Professional Education at Joslin and was instrumental in developing that activity at Joslin, a department he founded in 1990. He currently serves as the Chair of the Continuing Medical Education Committee at Joslin Diabetes Center and is active in professional education as well as the care of people with diabetes. http://ift.tt/2mwIL94WOW! I did know he is MD and staff of Joslin Diabetes Center. Still did not know that he is on the top of education. So, I have to take his book how to Initiate Insulin Treatment Programs and take closer look at it. Probably I did not understand what does he is educate us, diabetics type 2, how to use insulin in our every day life. Anyway, I am not American born, I am ESL.
Rapid Acting Insulin. Why switch from regular insulin to rapid acting insulin?
problem with hypoglycemia 3 to 6 hours after a dose of regular insulin is used.Sorry, from 3 to 6 hr. after insulin injection it is time to take meal. If diabetic avoid to eat one can get low blood sugar. Anyway, we treat low blood sugar not with insulin dose lowering but with meat, just regular meat on-time. Personally, I do not see that low blood sugar after insulin injection can be the reason to switch to another type of insulin.
Another point, with rapid acting insulin, what happened? If there is no low blood sugar after taking injection before 3 hours? It is rapid acting insulin. It start to work withing from 5 to 15 minutes. It stay in blood about an hour. Then what? Does blood sugar getting back to high level?
Significant postprandial hyperglycemia not safely amenable to any other insulin dose adjustmentStill not get why to switch to rapid acting insulin from Regular insulin? Just increase the dose of insulin and do not take another type of insulin if regular insulin works good and beneficial.
Changing to a program using insulin coverage before each meal plus a long acting basal insulin.This is simple, FANTASTIC! Why to change program? What is the reason to change the program? Probably, if there is no change in program then there will no need to switch from regular insulin to rapid acting insulin in first place? For me it is all the time difficult to get medical brain workout. Now it is not only medical bran but educational as well too, two in one. Too much for me to handle.
There are many after reasons why to switch from regular insulin to rapid acting insulin, read it if one is interesting. What I do see, it is only different combination of words. But the rea;; and very regular reason to switch from regular insulin to rapid acting insulin is money. Regular insulin one of oldest types of insulin, lowest price. Most older diabetics still use it and they are great with it. Rapid acting insulin us newer type of insulin. Also these type of insulin in constant development, meaning with constant increase in price. And lastly, rapid acting insulin do not provide good blood sugar control. Diabetic still on high-low swing. Rapid acting insulin demand meal, increases hunger. The result, diabetic will gain weight. Good for profit. There are all the time one to whom to blame, and provider count profit.
via Ravenvoron
A coconut custard pe
A coconut custard perfect for those who crave sweets during the weight loss phase of a low carb diet. With only 2g carbs, eating it won't stall weight loss. | LowCarbYum.comvia Taylor
Is there a cure for
Is there a cure for Type 2 Diabetes?You might be surprised to discover there are three unbelievable natural remedies that I don�t believe the medical establishment�or, more specifically, the pharmaceutical companies�want you to know about.Why would they not want you to know about this stuff?Because the pharmaceutical industry is massive. ...via Taylor
Friday, 24 February 2017
Insulin dosuing according to the R.S. Beaser, MD. February 24, 2017
Joslin's Insulin Deskbook. Designating and Initiating Insulin Treatment Programs by R.S. Beaser, MD and the Staff of Joslin Diabetes Center. 2008.Physiologic insulin replacement therapy. The book written by medical doctor, Joslin Diabetes Center staff. So, there is very reliable source of education I suppose, and what do I see in this education?
"These insulin doses are adjusted based on glucose level, food consumption, activity, etc. "
Great as I can say. R.S. Beaser, MD even was not able to point out all the info we are, diabetics must put together to find out what dose of insulin inject into belly. There are all time a good deal spent on any Joslin's deskbooks and manuals how to do math in carb and calories counting, work out and calories burned, and show me, what dose of insulin I have to inject every time I take injection? Do I have to do all this math?
Well, to be more clear just think about, would doctor every time count dose of medicine one Rx to patient? Not at all. It is easy for them, because of they have to Rx just one of a few different doses. Do doctors in hospital count every time what dose of insulin they inject? Not at all. They inject just the same dose for every one diabetic in coma or with high blood sugar, just dropping into vanes one drop after another, regardless of meal time, food, or etc. Do they count dose of insulin to inject for every diabetic according to the fat level or body shape? Not at all. So, really what R.S. Beaser, MD do talking about.
Rapid acting insulin
glucose range pre-breakfast pre-supper bedtime
0-50 * *
51-100 12 7well, do anyone see how easy and nice to follow this table?
151-200 14 8
201-250 16 10
251-300 17 11
301-400 18 12
400> 20 14
plus intermediate 36 12.
The question #1: how R.S. Beaser, MD. is going to drop blood sugar from 400> down to the 100?
The question #2: the table is for maintenance of blood sugar control? or it is the recommendations how to take blood sugar under control?
The question #3: The rise in blood sugar level going from normal level, 100 mg/dl with 12 + 7 units of insulin to 400 mg/dl when dose of insulin is 20 + 14 in three folds. At the same time the dose of insulin is raised only 12 + 7=19 20 + 14 = 34 units. Less then twice.
Well, I do understand, the full table is just absurd. Still, in this table must be some insulin added to cover carbs, and calories, and fat and protein, and work out and so so so on. Is this really true that any one of us, diabetics type 2, can relay on this table?
via Ravenvoron
No Diabetes In There
Yesterday was the dreaded eye doctor day. Dreaded by me and by my daughter for several reasons:
-Making time for any appointment is a challenge with the busy high school schedule.
-Most of the homework had to be finished prior to the appointment since she expected to be blurry afterwards.
-While we truly appreciate the thorough exam and attention to detail we receive at this office, we've learned that an appointment there is an hour and a half commitment.
-And, of course, the diabetes the what-ifs.
The plus, in addition to liking this doctor, is that the office is less than a mile from home. So a few minutes before five we hopped in the car with the last of the homework in hand. We arrived, signed in, and took our seats in the waiting room. After half an hour of reading for history class and watching a series of increasingly unsettling segments on the 5:00 news (Car crash! Bomb scare! Everything could kill you!) we were ushered into the exam room.
The doctor started with the basic vision tests, which came out about the same as last time. My daughter has 20/20 vision in one eye, which she apparently uses to compensate for astigmatism in the other. No glasses yet but probably some day. Then there were the eye drops- which she hates but which she took like a champ.
Next up was the visual field test. Our doc usually gives this once, as a baseline in kids. But because having diabetes isn't enough of an eyeball challenge, my kid also has an 'it's probably nothing but we're going to keep an eye on it' issue going on with her optic nerves. So into the dark room she went to squeeze a clicker every time she saw a light flash in a machine. She did great, just like last time, so we put this concern off for another year.
Round three involved the actual looking into the eye part. The part when the fingers get crossed and the breath gets held. The doctor used a couple of different instruments to look into the eye herself and, after that, took the retinal photograph. She then pronounced,
"They look great- perfect. There's no diabetes in there."
Which is kind of a peculiar way to put it, but the exact words don't matter. My kid, despite still being a kid, has had diabetes for 14 years. That starts to get into the potential collateral damage timeframe.
So far so good. All the ophthalmologist had left to say was, "See you next year."
via Adventures in Diabetes Parenting
Shame of You, R.S. Beaser, MD, Joslin Diabetes Center. February 24, 2017
Joslin's Insulin Deskbook. Designating and Initiating Insulin Treatment Programs by R.S. Beaser, MD and the Staff of Joslin Diabetes Center. 2008.This book from Medical library. It is outdated. So, it is not expensive to buy. Still, this book gave me more info then any free booklets distributed by CDC or ADA. This can be used in in-service for pro who care for diabetics both types, type 2 or type 1. In spite that author present that type 2 and type 1 have different reaction to insulin treatment and different need in this therapy, it is all the same. At least how do I see from my personal insulin use. Do I have different skin reaction if I inject insulin in the same spot day after day? No. Do I have different reaction when sugar is low? No. Do I take different type of insulin? No, the same as type 1. Insulin is for any type of diabetes. Both types of diabetics use different types of insulin, depending on Rx MD prefer, or price, or personal tolerance.
"The year insulin was discovered by Drs Frederick Banting and Charlies Best of Toronto..... " - this is how author starts his book. Really, C. Best was a doctor who worked with Dr. Banting and he is co-discover of insulin? Sorry, it is far away from being true. In 1921 C,Best was student second of medical school. He just pass first year of his medical school training and did not start second year yet. But regardless of this fact he all the time presented as 'co-discover' of insulin. The question is, R.S. Beaser, MD would put the students who helped him as associates in his data gatherings and all the supporting studies, put any one of them on First Place? No, he would not. But the same as Dr. Joslin he is ready to put C. Best as discover of insulin, and really forget about Dr. Banting.
Shame of you, R.S. Beaser, MD. You do know the true. If so, then why do you hide it?
So, I started to read this book very carefully, really without good trust in author and his publication. But as God Father taught his son, keep enemies closer. So, I do study what MD do know about us, and how they present us to the public. Very fanny, doctors are not my enemies, right? If so, then why I am ill? Because of I was born diabetic? Not at all. Because of at the time when insulin was already on market, I did not have it. Only in 2014 I became legal insulin dependent diabetic, and only after 2014 I do have insulin supply for my needs. If so, then say me, am I right? Does not matter. I still very careful and open mined.
Initiation for insulin treatment. At first it is diagnose, type 1 or type 2 diabetes. But it is absurd. If diagnose already made then insulin initiation is already done. Type 1 diabetic must take insulin. Type 2 diabetic will take SU. The same reason, not sufficient insulin secretion in ether case. But in one case it is Royal Type 1, and in another case it is blue blooded tape 2. For blue blooded type 2 diabetic beta cells must be destroyed and sugar in blood must reach closer to fatal level. If one is lucky, one will have insulin and survive. In most cases diabetics type 2 die. It is all not my fantasy. It is all in the deskbook of Joslin Diabetes Center. Sad story with fatal end for 76,000 American Diabetics type 2. Every year about 76,000 American Diabetics type 2 die due to diabetes, high blood sugar level. !00% preventable death with insulin treatment imitated at the time of diagnose and right treatment therapy.
Glucose Toxicity. Really what is it? So, sugar in blood presented as it is toxic. Is this really true? If so then why every one do have sugar in blood, diabetic or not, and only for diabetics sugar is toxic? Difficult to take it for granted. On the other hand, if one is ill, then even temperature of body can kill victim of inflammation. Is this temperature of body toxic for victim of flu? Or it is virus or bacteria to blame for? If so then say me, why it is sugar in our blood is toxic? Not at all. It is pancreas inflammation which killed beta cells and now insulin secretion declined. So, if insulin added in injections, then there is no sugar toxicity, right?
Shame of you, R.S. Beaser, M. You better to present real problem and real cause of disease.
Adequate treatment for postprandial hyperglycemia. What is this about? It is about that type 2 diabetic eat so much that we do have high blood sugar because of our pancreas cannot tolerate our eating disorders. At least how it is all the time presented by MD. It is Obesity to blame that type 2 diabetics die early, and develop complications. I name this treatment for diabetics type 2 Abusity Discrimination Therapy. Really, say me, why type 1 diabetics do have insulin and I have to take SU and lost beta cells which secret insulin? Now, does any one non diabetic has elevated level of sugar after eat? Yes, it is human nature. The difference between non-diabetic and diabetic type 2 in the ability to secret insulin. Type 2 diabetic body do not have this ability. We need insulin injected from outside, the same as diabetics type 1.
Personally, when I do have low blood sugar I take insulin shot before my first bite. Odd, I do know, still it works perfectly. Why? Because my pancreas does not secret insulin. When I do have low blood sugar due to insulin injection it does not mean that insulin is present in my blood. There still no insulin. I inject dose of insulin, and start to eat. No hunger. I eat as every one non diabetic. I do have insulin, and insulin injected do the job in the same way as it is natural insulin my pancreas secret. I am type 2 diabetic. I am not type 1 diabetic. I have to take high dose of insulin, over 300 units daily dose.
I do not see that MD do have more info then any Old Lady on internet who present how one cured diabetes type 2 with weight loss. She lost weight with low carb diet, and now she is diabetes type 2 free. She lost 105 pounds. Now she is 220 pounds .... on low carb diet. LOL! I love this diet! Of cause she did not say, she takes diuretics as supplement for low carb diet. Oh, if I could take water pills probably I could use my legs better.
Insulinopenia. Well, it is something about insulin secretion, if this sufficient or not. Really author has no one idea how to find it out. C peptide test in not reliable, as he said. It is difficult clinically to determine if insulin secretion sufficient or limited. Now what? How MD can be sure that obesity was the cause of diabetes type 2 they diagnosed victim with and started treat victim with Abusive Discrimination Therapy? Then it is easy to check up if insulin present in blood and C Peptide level is high or low. SU force victim's pancreas to secret insulin even there is no need in it, diabetic does not eat at the time so, blood sugar is not high but low.But because of it is natural insulin it come out with C Peptide, So, the level of C Peptide is high. Brilliant!
via Ravenvoron
Dentists at the Front Line in Diabetes Epidemic
Severe gum disease can signal undiagnosed case of blood sugar disease
Source: HealthDay
via Diabetes
Have these 10 diabet
Have these 10 diabetes-friendly foods in the house at all times. These foods provide building blocks to simple healthy meals.via Taylor
Type 2 Diabetic Low
Type 2 Diabetic Low Carb Diet Guidelines - Nutritionist designed and based on scientific evidence to reduce blood sugar and A1C.via Taylor
How to make okra wat
How to make okra water to treat and prevent diabetes. It’s simple to extract okra’s goodness. Drink it daily for the best results.via Taylor
Thursday, 23 February 2017
Honeymoon Phase and Initiating Insulin Treatment by R.S Beaser, MD. February 24, 2017
"Those with type 2 diabetes have traditionally started insulin when their condition has progressed to the point at which their endogenous insulin production is insufficient to maintain their good health" - Joslin's insulin Deskbook by R.S Beaser, MD.Interesting point I as I do see. Really, why do not start insulin before insulin production fail below level of recovery?
"The honeymoon phase of type 1 diabetes classically occurs a few weeks after diagnosis and initiation of insulin therapy. It is less common in younger children and most common in people diagnosed with type 1 diabetes in their late teens or early adulthood. With the onset of classic, autoimmune type 1 diabetes, at the time of diagnosis there is considerable inflammation of the islets of Langerhans from the immune assault. When exogenous insulin therapy is initiated, the need for pancreatic insulin production decreases, and with decreased metabolic activity in Beta -cells the inflammation subsides. Some B-cell function returns as cells that were inflamed but not yet destroyed resume insulin production. The honeymoon phase thus represents the recovery of some B-cell function." page 36.I do not see what else can I say. Diabetes type 1 can be reversed with insulin therapy. In contrary, diabetics type 2 do not have this opportunity. Diabetics type 2 can be insulin recipients only after ...., really, when diabetics type 2 would be qualified for insulin therapy? Many diabetics type 2 die before this therapy come. For others, it is probably would be started when sugar is close to fatal level. Also, never forget, diabetics type 2 must be lean, fit. If there is obesity, there is no insulin therapy initiation.
I would name this treatment of diabetics type 2 Diabetes Abusity. Really, say me why diabetics type 2 do not start insulin till their "endogenous insulin production is insufficient to maintain their good health"? Simple question, why?
Diabetics type 2 initial starting therapy is SU, medicine which force pancreas to secret more insulin, very often needlessly. This therapy leads to dipper insulin deficit. Inflamed pancreas forced to work harder. In contrary, diabetic type 1 has insulin injected and this insulin let diabetic's type 1 pancreas time to recovery. Also insulin injected preserve b-cells. In contrary SU destroy b-cells, leading to wider gap between insulin in demand and insulin available in secretion.
Pancreas the same as any other human body organs can get inflammation at any time. This condition do not discriminate human according to body mass. Flu or any inflammation can happen at any time, at any age, in any body shape or dimensions. When it is treated properly, it is recovery. When the treatment not available or denied acute condition which can be treated and patient can recovery, become chronicle, when condition get easy or harder, but one never healthy.
via Ravenvoron
The Dark Side of Cho
The Dark Side of Cholesterol Drugs | Do Lipitor Side Effects Outweigh the Potential Benefits?via Taylor
13 smart, carb-contr
13 smart, carb-controlled snacks for people with diabetes | via @SparkPeople #food #diet #nutritionvia Taylor
Diagnose of Diabetes by E. Joslin, 1952. February 23, 2017
This is one of my books I read right now. I ordered many of them on Amazon. My goual is to find where and how diabetes type 2 diagnose took it roots.
There are four parts of Diabetes Treatment in history of Medicine.
pre - insulin era
insulin discovery and treatment with insulin;
mixed diabetes treatment with insulin and without insulin;
no - insulin treatment of diabetes.
Of cause it is just my first draft, and it is just first development of idea. I work on it right now. Still, it is very obvious that treatment of diabetes and diagnose of diabetes divided ob stages, the same way as diabetes development. I am not going to give reference to the books I read. I will just say the author who said what I do repay on. It is in no one way dissertation, it is just blog, so it is personal like diary.
Post modern diagnoses of diabetes by E. Joslin, 1952, p 184
A level of sugar in blood over 200 mg/dl;
A urine tested for sugar and acetone;
A ratio of beta to alpha cells less than 3.
This is the diagnose of diabetes in autopsy. It is already too late for treatment. Still, it is very important to understand, diagnose of diabetes based on what and how it is developed over the time. At first, do all those murks must come together at the same time to be diagnosed with diabetes? As do I know it is probably blood sugar 200 mg/dl will not show up sugar in urine, and probably there is no acetone. If so then how diagnose of diabetes would be confirmed, or not if there are some marks present but not all of them?
Second question is, a ratio of beta cells to alpha sells. ADA never recommended to take this ratio to diagnose diabetes. At least I did not read about it.
Lastly, what is the cause of death? Diabetes with these mark did cause of death, or it did not? If diabetes caused death then what marks it were? The reason for all those question is that with all millions of pager published by very highly recognized diabetes treatment minds it still unclear why diabetics die? That's right, why do we die? What lead diabetic to Death? High blood sugar level? What is the number, how high this number? The sugar in urine? How sugar in urine and sugar in blood connected one to another, and do they high at the same time or not? Acetone, how high sugar in blood when acetone started to surface?
It is easy to see that the True is hidden. 200 mg/dl sugar in blood can be reason to diagnose diabetes, still, it is not the cause of death. So, if diagnose of diabetes taken in autopsy then it is just reasonable to show the level of sugar and other marks at the time death accrued. It is very reasonable to pay attention when death caused by diabetes what marks were present to diagnose the death?
Regardless how many recommendations ADA present to address to diet and work outs, it is no one recommendation how to deal with high blood sugar numbers, so high that those numbers can be fatal for human being. Not at all. The level of sugar 200 mg/dl is the level of sugar which is sufficient to diabetes type 2 diagnose. What about 599 mg/dl? How this number can be presented in diabetes development?
There are four parts of Diabetes Treatment in history of Medicine.
pre - insulin era
insulin discovery and treatment with insulin;
mixed diabetes treatment with insulin and without insulin;
no - insulin treatment of diabetes.
Of cause it is just my first draft, and it is just first development of idea. I work on it right now. Still, it is very obvious that treatment of diabetes and diagnose of diabetes divided ob stages, the same way as diabetes development. I am not going to give reference to the books I read. I will just say the author who said what I do repay on. It is in no one way dissertation, it is just blog, so it is personal like diary.
Post modern diagnoses of diabetes by E. Joslin, 1952, p 184
A level of sugar in blood over 200 mg/dl;
A urine tested for sugar and acetone;
A ratio of beta to alpha cells less than 3.
This is the diagnose of diabetes in autopsy. It is already too late for treatment. Still, it is very important to understand, diagnose of diabetes based on what and how it is developed over the time. At first, do all those murks must come together at the same time to be diagnosed with diabetes? As do I know it is probably blood sugar 200 mg/dl will not show up sugar in urine, and probably there is no acetone. If so then how diagnose of diabetes would be confirmed, or not if there are some marks present but not all of them?
Second question is, a ratio of beta cells to alpha sells. ADA never recommended to take this ratio to diagnose diabetes. At least I did not read about it.
Lastly, what is the cause of death? Diabetes with these mark did cause of death, or it did not? If diabetes caused death then what marks it were? The reason for all those question is that with all millions of pager published by very highly recognized diabetes treatment minds it still unclear why diabetics die? That's right, why do we die? What lead diabetic to Death? High blood sugar level? What is the number, how high this number? The sugar in urine? How sugar in urine and sugar in blood connected one to another, and do they high at the same time or not? Acetone, how high sugar in blood when acetone started to surface?
It is easy to see that the True is hidden. 200 mg/dl sugar in blood can be reason to diagnose diabetes, still, it is not the cause of death. So, if diagnose of diabetes taken in autopsy then it is just reasonable to show the level of sugar and other marks at the time death accrued. It is very reasonable to pay attention when death caused by diabetes what marks were present to diagnose the death?
Regardless how many recommendations ADA present to address to diet and work outs, it is no one recommendation how to deal with high blood sugar numbers, so high that those numbers can be fatal for human being. Not at all. The level of sugar 200 mg/dl is the level of sugar which is sufficient to diabetes type 2 diagnose. What about 599 mg/dl? How this number can be presented in diabetes development?
via Ravenvoron
Dr Michael Mosley ha
Dr Michael Mosley has put together a simple diet plan and lifestyle programme that should not only reduce the risk of getting Type 2 diabetes, but can reverse it in sufferers - all in only eight weeks.via Taylor
These easy SUGAR FRE
These easy SUGAR FREE CHOCOLATE CUPCAKES from scratch are made with no sugar. They are still incredibly soft and moist! This easy cupcake recipe uses Splenda and it's perfect for diabetics! From cakewhiz.comvia Taylor
Foods that aggravate
Foods that aggravate PERIPHERAL NEUROPATHY--I avoid them all, but the pain still reigns. Sigh.via Taylor
Wednesday, 22 February 2017
Way Back Wednesday: Summoning The Diabetes Gods
I originally wrote the following post way back on 5/4/2011, a lot has changed in my life since then, but not my affinity for calling out to the Diabetes Gods whenever I need them.
Hope you can relate to the following and I hope it makes you smile!
######
I'm not religious, but I am highly spiritual & highly spirited - Just ask the people at Readers Digest & "The Bible Cure for Diabetes" shmuck who thought prayer was the way to cure diabetes!
via Diabetesaliciousness
Hope you can relate to the following and I hope it makes you smile!
######
I'm not religious, but I am highly spiritual & highly spirited - Just ask the people at Readers Digest & "The Bible Cure for Diabetes" shmuck who thought prayer was the way to cure diabetes!
I was raised Catholic by a Protestant mother and a Catholic father who later found out that there was more than a very good chance that he was part Jewish on his father's side.
I take a little bit from all the religions and try my best to be a good person.
I believe in praying and I believe in giving thanks.
Personally, I think the Dali Lama is a wise man, and I love that he wants people to focus on their similarities, not their differences. Regardless of whether or not their differences involve religion, politics, or the age old Mets vs Yankees fans conundrum!
I find religion in songs like "Bridge Over Troubled Water," "Let It Be," and "Private Universe."
I feel religion in nature - the ocean takes my breath away and flowers make me happy,
and I find the congregation I feel most at home in is The Church Of Helping Others.
But every now in then I call on "The Diabetes Gods," especially when my numbers or wonky or I'm contemplating pasta. And just so we're clear, I'm not calling them to cure or fix my diabetes. I'm calling on them purely for entertainment.~
These deities only exist in my imagination of course, but they help me smile just the same.
The make me laugh, which helps me to cope & get on with the business of getting on with my life.
Summoning the Diabetes Gods goes something like this:
Goddess of the Bolus & Basal Rates, PLEASE help me figure out this lasagna in all it's cheesy glory!
God of the everlasting Insulin Pump Battery - Please don't let my battery crap out before I get home!
Most times I'm more generic re: which Diabetes God I'm referring to and include them all by say something along the lines of: Hey Diabetes Gods, PLEASE stop my numbers from going all batshit and help my correction bolus to get my blood sugars back in normal range!
OR: Hey Diabetes Gods, I'm making a ceremonial offering to you in the form of a Crumbs Bake Shop cupcake - Hope you'll be pleased with both the cupcake and my bolus to cover said cupcake!
Sidebar: This one is a personal favorite!
What can I say, I also find my religion in humor, and damn if calling on the Diabetes Gods every now and then doesn't make me LOL as I'm figuring out my diabetes math, bolus and or temporary basal rate!
And before people get all judgmental on me, I also pray to the God of found Parking Spaces, The Goddess of 5 lbs lost, The Rocket Surgeon God and the God Of The Good Tailor!
via Diabetesaliciousness
Banana Drop Cookies.
Banana Drop Cookies. Theses are a light fluffy cookie and great for using up those overripe bananas! Easy recipe too!via Taylor
Tuesday, 21 February 2017
When Blood Suagr Is Low. February 21, 2017
Blood sugar is 74 mg/dl at 8:03 am
Usually I feel this number as 'low sugar'. so, I injected 80 units of Lantus Solo Star, took all my morning medicine with one glass of Mineral Water from Saratoga Springs, and .... I am lazy person. I go to my computer right after I opened my eyes. Then I lost myself in internet. So, I forget, I have to go to kitchen and take my meal.
75 mg/dl at 9:28
I was really surprised. It should not be in this way. one hour ago sugar was the same as right now. Also it is already 80 units injected. Sugar must drop. It did not. Now I got curious. Why it is so? For how long I will be able to stay on 70 mg/dl?
Really, I think it is more my laziness them curiosity plaid the role in the research I took today. I took another reading
71 mg/dl at 10:19 am
My goodness, I still have no meal today. Really I am not hungry. I am OK.
74 mg/dl at 11:23 am
Still no any meal, even coffee or apple.
I started to feel dizziness, discomfort. severe pain in fingers, more in right hand.
70 mg/dl at 12: 13 pm
Time to take another shot of insulin, another 80 units. I still have no food today. I am not so brave to go so far. I took my meal, and injected 80 units Lantus Solo Star. I got very weak, sleepy. It took time to get back to normal.
165 mg/dl at 1:58 pm.
I do not remember did I posted Yesterday or not. I took two shots withing 15 min, apart 80 units Lantus Solo star. I took first shot, and forgot I did it. Soon I took another shot. When I started to wright it in my log book, there are already was done, I took 80 units ten minutes ago. I check out needles. I do not put them in trash, but in same hard plastic container after milk or Syrupe. There was needle already.
I really was in shock. 280 units at the almost one shot, 300 units total withing 24 hour, too much insulin.
It is diabetes. It is sugar, our sweet life. It is never predictable. I was OK with 180 units at almost once. I am OK today after fasting for so long.
Usually I feel this number as 'low sugar'. so, I injected 80 units of Lantus Solo Star, took all my morning medicine with one glass of Mineral Water from Saratoga Springs, and .... I am lazy person. I go to my computer right after I opened my eyes. Then I lost myself in internet. So, I forget, I have to go to kitchen and take my meal.
75 mg/dl at 9:28
I was really surprised. It should not be in this way. one hour ago sugar was the same as right now. Also it is already 80 units injected. Sugar must drop. It did not. Now I got curious. Why it is so? For how long I will be able to stay on 70 mg/dl?
Really, I think it is more my laziness them curiosity plaid the role in the research I took today. I took another reading
71 mg/dl at 10:19 am
My goodness, I still have no meal today. Really I am not hungry. I am OK.
74 mg/dl at 11:23 am
Still no any meal, even coffee or apple.
I started to feel dizziness, discomfort. severe pain in fingers, more in right hand.
70 mg/dl at 12: 13 pm
Time to take another shot of insulin, another 80 units. I still have no food today. I am not so brave to go so far. I took my meal, and injected 80 units Lantus Solo Star. I got very weak, sleepy. It took time to get back to normal.
165 mg/dl at 1:58 pm.
I do not remember did I posted Yesterday or not. I took two shots withing 15 min, apart 80 units Lantus Solo star. I took first shot, and forgot I did it. Soon I took another shot. When I started to wright it in my log book, there are already was done, I took 80 units ten minutes ago. I check out needles. I do not put them in trash, but in same hard plastic container after milk or Syrupe. There was needle already.
I really was in shock. 280 units at the almost one shot, 300 units total withing 24 hour, too much insulin.
It is diabetes. It is sugar, our sweet life. It is never predictable. I was OK with 180 units at almost once. I am OK today after fasting for so long.
via Ravenvoron
You're on a diet, yo
You're on a diet, you can't have a cheese cake right? Well, you're wrong. Dieting doesn't mean depriving your sweet tooth of eating delicious desserts. Here we brought you 20 recipes of the top sugar-free desserts so you can eat while not affecting your diet. These treats are free of refined sugar, but may contain reasonable amounts of natural sweeteners.via Taylor
Sugar Free Caramel →
Sugar Free Caramel → Serving size: 2 Tbsp Recipe yields 16 servings or 2 cups | Cals 102 | Carbs 0.47g | Fiber 0.00g | NET CARBS: 0.47g | Protein 0.38g | Fat 11.13g |via Taylor
Love chocolate? Thes
Love chocolate? These Homemade Chocolate Chips (or carob chips) are dairy, soy, and sugar-free and great for baking, trail mixes, or eating right out of the bag! If you know someone on a special diet this will save them a TON of money. The store bought chocolate chips without dairy are a fortune!via Taylor
Low Carb, Sugar Free
Low Carb, Sugar Free Vanilla Ice Cream {THM-S, Low Carb, Gluten Free, Sugar Free, Grain Free} – Trim Healthy Montanavia Taylor
10 sugar free desser
10 sugar free dessert recipes for diabetics + more refined sugar free recipes suitable for type 2 diabetes and pre diabetics.via Taylor
Gangrene. Diet. Joslin Manual for Docres and Patients. February 21, 2017
The object of the treatment of diabetes is to prevent the loss of sugar in the urine. (1934)It was 1934. At that time urine test was essential for diabetics. Blood sugar was not invented yet, so diabetics rely on the test sugar in urine. This is why object was to prevent sugar split into urine. Now diabetics rely of the test sugar in blood. Also in many of us who takes insulin sugar is no longer present in urine. So, this test is not so essential. Now the treatment, Invokana, very strong diuretic, is one type of the treatment for diabetic type 2.
Really, what is different today in diabetes as medical condition? Nothing. As at any time in past diabetes is the limit of insulin secretion by the diabetic's pancreas. If so then why the treatment turned un side down? If in 1934 on the rise of insulin therapy the goal of therapy was to avoid sugar in urine then why today it is the goal to increase sugar in urine? Most important, this type of therapy was not developed to treat diabetics type 1, regardless of any age and body size, and duration of diabetes, just diagnose based on nothing. For type 2 diabetic it is OK to take Invokana and pee out sugar from blood. Try to survive with this type of medicine.
Treatment with diet alone was formerly unsatisfactory, because the diet was often too strict for comfort or occasionally for life. (P19)This is another interesting point of discussion. In his manuals Dr. Joslin very often present diabetics that it is we are to blame why we are diabetics. we do not care what we do eat, get fatty, and this is why we do have diabetes. In his manuals he devoted many pages to diet, carbs counting, calorie intake. At the same time he practical do not pay too much attention to the practice, how dose of insulin was determined. He point out how diet changes according to the level of sugar in urine. But still, I did not get how the dose of insulin was proved to be right.
The patients sometimes were too weak even benefit from exercise.
The discovery of insulin is, therefore, a great boon, because with its help the patient can eat all he needs to enable him to work or play and to become a useful member of society.
No Diabetic ever expect to get gangrene or having gangrene to die of it. ....... Think of it! There are upward of 400,000 diabetics now living in the United States and of this number about 40,000 are destined to die of gangrene unless our methods are improved! Over one-half of fatal diabetic cases in four large Boston hospitals during 1923 were due to gangrene and infections. The overwhelming majority of all such deaths are needless and could be prevented by cleanliness, proper care of the feet, and early treatment of all wounds, insignificant though they are in the beginning. (Dr. Joslin. Diabetes Manual 1934. P.130)Of cause, we developed diabetes because of our overeating. We developed gangrene because of we do not wash our body, do not take shower daily. And so so on. In other words, it is all the time one who get ill to blame why one die or still ill. At the time when insulin already was available, did diabetic had treatment with insulin to avoid wounds development? Over and over, it is the same, how insulin dose was determined? And there is no one mention how Dr. Joslin Rx dose of insulin to children in his care. I read one page after another, there are all the time that patient takes .... units of insulin. Still, how these number of units was Rx? Looks like doctor distanced himself from the medicine he Rx.
When insulin supply was terminated wounds started to develop on my legs. Did I wash my foot? I do not remember. I do not wash them now. I simple cannot reach them. There are no wounds on my legs, on my feet. I do take insulin in dose I need to keep high numbers under tight control. When insulin was limited and I did not have that control wounds started to surface one over another. They never healed. Over and over there were puss running on both my legs. I had to dress them to avoid infection. Dressing fail, I cannot do it in right way. Disgusting! Shame! Pain! As soon as insulin started to be delivered all my wounds go away, and now they do not come back, even I do not take shower so often as I used before.
Dr. Joslin was wrong. There never way to have wounds insignificant and that they can be treated successfully if care started early. It is going from inside out, not from out to inside. It is not infection which bring never healing wounds on diabetic body. It is wounds, sugar, go out from inside. This wounds never would be healed if sugar in blood still high and sugar in urine is present. If doctor pretend to be specialist in diabetes care he must get better understanding why diabetics do have gangrene and die from it. Still, it looks upon reading his manual that he has another point of understanding.
No one today must have gangrene. It is avoidable with proper insulin treatment regime. No one have die today because of diabetes. And still, there are 76,000 death every year in US due to diabetes, high blood sugar level, 100% avoidable cause of death. Millions of pages in medical publications devoted to diet and exercise. Still, there is no clear definition what is difference between insulin -dependency and insulin - resistance. The same method of diagnose, right opposite regime of therapy, and so right opposite life expectancy. If diabetic treated with insulin diabetic can live with a little inconvenience for the normal old age. If diabetic treated with oral medicine such as Invokana and Actos, then within ten years diabetic would die if one will not start to take insulin on-time.
via Ravenvoron
Monday, 20 February 2017
Readings from "A Diabetes Manual for the Mutual use of doctor and patient" by Elliot Joslin. 1941.
"Death from diabetes, pure and simple, is needless, if the patient follow the rules of treatment, and most of the complications of diabetes are avoidable if patient will take the necessary precautions." (A Diabetes Manual for the Mutual use of doctor and patient by Elliot Joslin. 1941.)Now the question is, why in present time almost 100 years after insulin discovery Diabetes still on the top of all cause of Deaths? Just why? Where is the answer to this question? There are many questions our medical care providers wish we ask, but what about this so simple and so logical question, why do we die withing ten years after being diagnosed with diabetes type 2 and treatment with oral medications started?
(A Diabetes Manual for the Mutual use of doctor and patient by Elliot Joslin. 1941.)1928 1933 1938 1940
Age: 11.7 age: 16.7 age: 20.7 age 23.7Boy graduated from school, from college, and took own responsibilities.
diabetes years: 3 diabetes years: 8 diabetes years: 12 diabetes years: 15.0
Insulin units: 40 insulin units 48 insulin units 44 insulin 12 + up to (30)
This is typical case of diabetic type 1. Most of them took under 50 units if insulin at the time when they were diagnosed as children, and then when childhood passed the dose of insulin decreased dramatically.
Now there is another question, why it is presented that adult at age of 50 who takes 12 units of insulin daily, insulin-dependent, and if one dose of insulin skipped adult probably cannot survive? It does not have any logic under this statement.
On another hand, if diabetic type 2 takes 300 units of insulin and cannot afford to pay for this treatment so insulin is out of diabetics routine, then because of diabetic type 2 is insulin independent according to diagnose, there would be nothing happen with diabetic, it is not life threatening situation, why?
Why this adult as Diabetic type 1? He or she is no longer child. It is better to say that there are types of diabetes such as childhood diabetes, adulthood diabetes, advantaged age of diabetes, diabetes during the pregnancy, diabetes related to the medical condition such as cancer or any other organ transplants. What make all these types of diabetes different? Nothing. Diabetes is the medical condition when insulin secretion by pancreas does not cover needs of body system to meet demands in insulin. When this definition taken into consideration then it is treatment must be developed to address to the diabetic's needs.
It is obvious that child, new born baby cannot be treated with calorie counting. At the same time lady at age 92 really will have big deal to work out in fitness club. The same as pregnant woman cannot do gymnastic, and man doing contraction work even if one is obese diabetic type 2, cannot function on starvation diet.
This is the biggest problem. we all put in the same box, and we all have to function in this box. We fail. We die.
via Ravenvoron
Questions and Answers for Diabetic Patienets by Joslin E.P. 1941. February 17, 2017
"The diabetic should not take no chances along with a clean body and trained muscles he should have a mind prepared and alert, because he depends upon his brains to make up in part for loss of his pancreas. The treatment of a patient with diabetes lasts a long time." Joslin E. P. M.D.In manual use of doctors and patients Dr. Joslin ask questions diabetic probably do have , and give answers to these questions. It was back to 1941. Time passed, still the idea to teach diabetic what to do, what ask doctors what diabetic have to do and how to live, and many other educational tasks still work in present time. Actually, it is interesting, doctors teach diabetics what questions we must ask our doctors, and at the same time if I do have this book why simple do not give so simple answered to this questions? Of cause answers are here, right in the book, but still, why it is presented that diabetic must ask those questions?
If the questions published in book so important, so all diabetics and every one do have these questions, and if so then why do not simple give the answers to this questions to patient that patient has those answers before questions come to the diabetic's mind? Every time when we buy anything there is instructions how to use a staff we got. Why there is no instructions, how to live with diabetes we diagnosed? Very simple question, why do not give the basic answers to every diabetic as soon as one diagnosed with diabetes?
I can say that for many years I do not still have the answer to the very simple question, why my diagnose 'uncontrolled diabetes type 2'? why with any visit to doctor I still have no answer to very simple question, how diagnose diabetes type 2 confirmed? My diagnose, not for any one else such as 'usually it is diagnosed .....'. It is no way 'usually' it is my diagnose, it is my life. Why it is type 2 diabetes, ether type 1, nether LADA, MODY, or anything else. How diagnose type 2 diabetes was confirmed? There still no one clear definition how one type of diabetes different from another. And I can say, I ask this question every time. Why it is not in the Dr. Joslin attention that we all do have first question, how we diagnosed with medical condition we are treated?
Next question with every first visist long before diabetic will ask, must be answered, how to deal with high or low numbers? What are difference between numbers? Why do we have one condition or another? As Dr. Joslin just pointed out, it is long time we have to live with diabetes, it is Marathon, in no one way it is Sprint. So why with any visits, there is no one instructions, what medicine doctor Rx and why it is this one rather then another one? What diabetic must pay attention for most? I can say that there are a lot of education sessions we do have to collect money from health plan. What are the values of any of this session? Simple, there are no one value in any one of them.
In every session I used to have there are only one attention, diet and work outs. In no one of those sessions there was attention to my condition, to the moment I was in present time. Not at all. It is all the time very simple, educator handle paper in folder with food pyramid how I have to chose my food, and this is all. The situation that I am not able to handle any work out is never in attention. I even do not have any diagnose that my heart condition is not stable, and my heart is not healthy. Not at all. All the time I told, my heart is great and there is nothing to worry about. Really? Should I trust in doctor's? Not I anyway.
Now about diet and weight. All the time it is too much attention to my weight. What is this attention about? Very simple, I do have emotional eating, I use to eat too much, really? No one ever saw how do I eat. Everyone can see pounds on scale. No one see, the water retention, water sacks on my legs, how my legs are doubled in size due to high edema. Edema has nothing deal with eating disorders. It is water retention.
Right now as I do see, next set of pounds jumped on my body. But ..... really, is this good or it is bad? For me it is not so simple to answer. The point is, I am able to walk from my room to the kitchen at once without taking rest in the middle. I do not take so many Nitrostat as I used so not long time ago. I do take only two Excedrin daily, and there is no severe headache. My breath without sound. It is smoother and lighter. And I do not have so short breath with first move I take. Legs become bigger, wider. Edema highly increased.
I do understand, probably it is more my hope then reality. Hope is last thing I wish to lost. Even it is not real, I still want to keep this hope, outside of any reason. This hope give me reason to fight. It is not over yet, I am alive, and this is all what is matter.
This is why I post about weight and what is good or it is to bad. What if it is attempt to recovery rather then it is lost and degradation in health? Every one would be agree that today diabetics live longer. At the same time American population become wider and heavy. What if this is the way to increase the longevity of life?
Attempts to push diabetics to fight to decrease pounds bring nothing but death and dangerous complications. Many take diuretics, to decrease water retention, to loose weight. Heart disease and high BP are leading causes of Death. What if without this attempt to lose weight we will live longer and healthier? I do know for myself, diuretics will kill me. I do not take them, nether one. I carry on my high pounds and just try to be patient. I still keep my hope, one day pounds will go away, as today blood started to looks normal. It is no longer glue-like. It is run right over my finger, and I am so pleased to see my blood running.
via Ravenvoron
Sunday, 19 February 2017
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Saturday, 18 February 2017
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Friday, 17 February 2017
A New Low
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There have been two evening concert band rehearsals this winter, from 6:30-9 p.m. These are intense monthly rehearsals during which the kids are playing challenging music non-stop.
The nights after both of these rehearsals have been multiple juice box affairs.
After 14 years of T1D, we have learned when to expect most lows.
Running, dancing, swimming, and miscalculating the number of carbs in a meal are the causes everyone knowledgeable about diabetes would expect.
Slow but steady walking, staying up late even if it involves no physical activity, and being sick with a cold all also trigger lows for my kid.
Could playing a wind instrument for an extended period also lead to dropping blood sugar?
The first post- concert band rehearsal low seemed to come completely out of the blue. She hadn't been having any overnight lows at the time, and the rest of the day hadn't involved any unusual food or activity. The only variable I could come up with was the rehearsal. Could the physical exertion of playing her clarinet for that long combined with the mental energy to concentrate on and learn new and difficult music be what led to a 50-something blood sugar so slow to budge? Maybe, I guessed, but since one instance doesn't make a pattern, we chalked up to a mystery low and set the episode aside.
Until it happened again this week. Both times she was at a nice 90-ish number when she came home and had a snack. Then around 1 a.m., she tanked.
Despite using a variety of search terms, my research turned up only one mention of this phenomenon. It's master's thesis from 2006 by Derrick Alan Crow called 'The Effect of Instrumental Rehearsal on Blood Glucose Levels of Five Low Brass Players.' The link will take you to a several-page preview of the study, which was all I was able to access. His participants, as far as I can tell, did not have diabetes. The blood sugar checks were before, during and immediately after rehearsals, not hours later. But his preliminary background research was interesting and, based on it, he posed some logical hypotheses. His results, while inconclusive mostly due to the small sample, did note some trends of lowering blood sugars during long rehearsals. His theory was that between the mental, aerobic (from breathing), and muscular energy expended by a wind instrument player during a lengthy rehearsal, blood sugar levels drop.
I'd love to see this study repeated in instrumentalists with diabetes. I'd love to see the research include investigating a delayed drop of the sort people with diabetes see with some other kinds of exercise. Clearly, I need to befriend a musical scholar. Or convince my kid to become one.
Meanwhile, we'll plan on covering fewer carbs on concert band nights, and/or setting a temporary basal rate. Or maybe next time this won't happen at all.
via Adventures in Diabetes Parenting
Diabetes, Pointing Fingers And Switching Hands~
I check my blood sugar a lot - a hell of a lot.
And for some reason even though I’m left handed, I prefer to use my left pointer finger when I check - which doesn’t make sense, and I'm totally aware of that.
Today I looked down at my keyboard and took a good look at my dominant hand against the silver and black of my laptop.
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| My left pointer finger looks like a dirty, Jackson Pollack wannabes attempt at body art gone wrong. |
My little hand (did I mention I have freakishly small hands?) was riddled with so many lancet marks and covered with calluses, that the tips of my fingers actually looked dirty, even though they were scrubbed clean.
And my left pointer finger looked like a dirty, Jackson Pollack wannabes attempt at body art gone wrong.
And right at that moment I knew that I had to stop checking my blood sugar on left pointer and middle fingers.
And so that's what I'm going to do.
It's funny (and little weird for those sans D,) that people with diabetes develop certain habits when it comes to our diabetes.
Things like developing favorite sides for infusion sites and preferring certain fingers or hands when we check our glucose.
Part habit, part comfort, part, superstition?
Who the hell knows?
Part habit, part comfort, part, superstition?
Who the hell knows?
Having to change things can be strange, no matter whether it's changing insulin pumps, switching insulin brands, or using different fingers to test our glucose.
But eventually, we do because we have to.
And so I am~
via Diabetesaliciousness
Thursday, 16 February 2017
Diabetics Mortality. February 16, 2017
"Always remember that during an infection mild diabetes became more severe. Therefore, during an infection be ready to begin insulin, if your doctor advises it, or alert to the need for increasing the dose if you are already taking it."This is Diabetes Manual to use by doctors and diabetics. Dr. Joslin suggest that diabetes can be controlled, and ether complications nether Death can be successfully avoided with diet, exercise ..... and INSULIN. Time passed. In 2002 I was diagnosed with diabetes type 2, insulin resistant type of diabetes, and ... only in 2011 I took my first insulin shot. Needless to say, it was not doctor who Rx insulin for me. I was his patient almost ten years, and all my treatment was the same during all those years, regardless of infection, heart rate, clots in blood, high BP, very high level of cholesterol, above 900, and the level of sugar in blood. It was all the same, just 2000 mg of Metformin, 10 mg of Glipizide, and ... no one reading I do have high BP. So I did not need ether BP medicine nether Nitrostat.
(A Diabetic Manual For The Mutual Use of Doctors and Patients by Elliot P. Joslin, M.D.
Seventh edition by Lea & Febiger. 1941)
OK, it is past and it is better to leave it behind.Still, then more I read then more I surprised, how right my man was. He told me, I am my own doctor. I did not want to accept it. I better do. Now I read, Dr. Joslin suggest, we have to be own nurse and educators, and many other pro, but... now doctors. Why? Really, why? Simple, if I am my own doctor then what is the reson to go to his office? To be educated how to eat? To listen that I do eat too much and this is why I do have diabetes? Thanks a lot! I better to find doctor who Rx insulin, and in case of Flu season I do have it in my frig to increase the dose to be safe from infection and any complications.
"Treatment, however , rests in the hands of the patient. It is by diet as well as by insulin and the patients with the will to win and who know the most, conditions being equal, can live the longest."Easy to understand, difficult to follow. In present time we are, type 2 diabetics, and no longer diabetics who need insulin. So, there is no Rx to insulin, even I insist, I have to take it, mu life depend on insulin.
(A Diabetic Manual For The Mutual Use of Doctors and Patients by Elliot P. Joslin, M.D.
Seventh edition by Lea & Febiger. 1941 )
There is huge hysteria around diabetes type 2. There are publications, how diabetes increased in numbers. More and more diabetic counted every year, why? The answer is simple, obesity. But the reality is different.
Between 1898 and 1914 average age at death was 44.5 years.
Between 1914 and 1922 average age at death was 46.7 years.
After 1922, the time of insulin discovery, the average age at death was 64.8 years.
Now the simple look at the life expectancy, how many diabetics suppose to be in 2017? As I calculated right now with my weight 380 pounds and diabetes I expected to live another 15 years. So, how many diabetics would be in US fifteen years after now? I was born with diabetes, and only in 2011 at age of 60 I got my first insulin injection.
This is the point about all that hysteria around our body shape, obesity, and diabetes. As Dr. Joslin published, diabetics should not die timelessly. With proper care and INSULIN we can live well and sound. It is not the case in present days in US. Insulin replaced by Barking Therapy and Trash Medicine, and we die, painfully and timelessly.
It is interesting to read professional publications in past, how discipline developed, how treatment of diabetes shaped. Stay connected.
I tried to find this books for so long. All the time when I see publications on-line it is all about diet, and no one really understand what each of them talking about. I see that every one just copy & paste, and this is why one post after another, one article after another, and it looks like it is one hands mastered all. It is the same when I read different authors in the same time in past. But with look at the different perspective, from present to past rater then from one author to another, the picture is absolutely different.
Many times I posted that why do not place us, type 2 diabetic in prison if every one sees us as criminals? Reading back in past there were wards in hospitals, and diabetic were treated with Starvation Diet. No one survived. Now ADA suggest that if we take Starvation Diet we can reverse diabetes. Do they know the history of diabetes treatment development? They suppose to know it. They do not.
Another surprise for me was, that I suggested to treat us with Arsenic. In this case there would not be diabetics, right? So society can safe money. What surprise I got when I read that doctors used Arsenic as Treatment for Diabetics both types of it, type 1, children, and type 2, adults. No one survived.
Of cause Opii know from far to the past. Was very widely used in treatment of diabetics. Usually diabetic had to take both medicine, so it is difficult to say, patient did not survive because of Arsenic, or Opii, or diabetes. Many were presented that they were cured. Why? Because of there were no computers to count and records keeping.
via Ravenvoron
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