Zero carb desserts Low-carb chocolate mousse "--- it says 'no carb' in the recipe but that is not correct. Chocolate, eggs, cream and Splenda all have carbs but this mousse has much less than if made with sugar" 1 packet knox gelatine ¼ cup cold water ¼ cup boiling water 500 ml (2 cups) whipping cream (33%MF) ⅓ cup cocoa 1 Tbsp vanilla ¾ cup Splenda (or stevia to substitute for ¾ cup sugar) unsweetened chocolate curls for garnish
via Taylor
Sunday, 30 April 2017
Beautiful and simple
Beautiful and simple sugar-free meringue roulade. A great way to use up egg whites and a warm oven. | ditchthecarbs.com
via Taylor
via Taylor
Black Forest Trifle
Black Forest Trifle - low enough in calories, fat, and carbs to fit into a diabetes meal plan!
via Taylor
via Taylor
Dr. Oz vs Columbia App. April 30, 2017
Columbia University researchers have developed a personalized algorithm that predicts the impact of particular foods on an individual's blood sugar levels. The algorithm has been integrated into an app, Glucoracle, that will allow individuals with type 2 diabetes to keep a tighter rein on their glucose levels -- the key to preventing or controlling the major complications of a disease that affects 8 percent of Americans.So, Columbia University Medical school took rat, and jumped to conclusion, this is the was to treat diabetic type 2. Well, the question is only one, why they so aggressive to Dr. Oz? Why they do not take Dr. Oz as prominent colleague? They are green with envy. Who would not? He is Celebrity with very high income, and they are not. No one really do even know about Columbia University Medical School. Every one do know Dr. Oz. Dr Oz enjoy fan on high stage on TV show, and they have to take a look at the dirty rats cases, how fat fed rats deal with diabetes they never do have. Poor Columbia University Medical School!
http://ift.tt/2puER3l
"While we know the general effect of different types of food on blood glucose, the detailed effects can vary widely from one person to another and for the same person over time," said lead author David Albers, PhD, associate research scientist in Biomedical Informatics at Columbia University Medical Center (CUMC).So, really, do they have something more important to study? No, they do not. They try, but Dr. Oz still unreachable. So, they developed different way to fool people. There are 8% of Diabetics type 2, and even more then that who is still not diagnosed yet, and even more who can be prevented from being diagnosed with diabetes type 2 in all American Population. So, if Columbia University will take treatment of its victim as the source of their income would be limitless. Best way to hit the Ball is .... . Well, there are many ways, just try do not cross ways obe another.
Dr. Oz took shakes, how shakes help to prevent diabetes type 2, treat diabetes tipe 2, cure diabetes type 2, kill diabetics type 2. All in his disposal. This line is takes, so try to get another line.
Our algorithm, integrated into an easy-to-use app, predicts the consequences of eating a specific meal before the food is eaten, allowing individuals to make better nutritional choices during mealtime. (David Albers, PhD, associate research scientist in Biomedical Informatics at Columbia University Medical Center (CUMC).Now count it, every one take meal a few times daily. Every one use an easy-to-use app before taking first bite. If charge only one cent for one bite, count how many green will fall from every one of our valets?
For the two non-diabetic individuals, the app's predictions were comparable to the actual glucose measurements. For the three subjects with diabetes, the app's forecasts were slightly less accurate, possibly due to fluctuations in the physiology of patients with diabetes or parameter error, but were still comparable to the predictions of the diabetes educators.I was looking what to say, how to say that this device never will work. They said it better then I was able to predict. It work very well for those who are not diabetic. Why not? they all the time have normal blood glucose level. Body system do the job, and Columbia University researchers collect money. But it is all the time different when one is diabetic. It is simple does not work. So, what about prediction? As usual, it helps 'to prevent' but never help to do any other jobs. Simple.
At the same time Columbia University will sell app and collect money, pretending how great they are in 'preventing education'.
I am wandering, would they over-smart Dr. Oz? Would public buy their device, or Celebrity image will overshadow any app?
via Ravenvoron
8 Low-Carb Fruits fo
8 Low-Carb Fruits for the Diabetic Diet ~Forbidden fruit? Not if you make the right choices. These favorites are low-carb, low-GI, and good for your diabetes diet plan.
via Taylor
via Taylor
Healthy Coconut Oil
Healthy Coconut Oil Chocolate Frosting {THM Friendly, Sugar Free, Low Carb} - My Montana Kitchen
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via Taylor
This low carb no bak
This low carb no bake black forest cheesecake mousse is perfect for summer. Top with shaved chocolate or a fresh cherry. Can be made into a sugar free pie.
via Taylor
via Taylor
Saturday, 29 April 2017
#1 Blood Sugar Suppo
Gluten Free Sugarles
Gluten Free Sugarless Sugar Cookies #christmascookies #healthy #sugarfree www.suagrfreemom.com
via Taylor
via Taylor
Look around your loc
Look around your local grocery store, and I'm sure you'll notice something: A ton of new products with the word DIET on them. What's one of the most popular diet products out there? Diet soda. And if you ask me, it's probably what's contributed to the weight gain of one of my "fans"
via Taylor
via Taylor
Friday, 28 April 2017
Vaccination and Type-1 Diabetes (part 2)
Results from the Studies and References (continued)
[r6] The Swedish childhood diabetes study (1991)http://ift.tt/2peK5Sh
When vaccinations were considered as possible risk factors for diabetes, a significant decrease in relative risk estimated as odds ratio (OR) was noted for measles vaccination (OR=0.69; 95% confidence limits 0.48–0.98). For vaccination against tuberculosis, smallpox, tetanus, whooping cough, rubella and mumps no significant effect on OR for diabetes was found. ... In conclusion, a protective effect of measles vaccination for Type 1 diabetes in childhood is indicated[r7] No major association of breast-feeding, vaccinations, and childhood viral diseases with early islet autoimmunity in the German BABYDIAB Study.(2000)
http://ift.tt/2pr8NNY
RESULTS: In offspring from mothers with type 1 diabetes, duration of exclusive and total breast-feeding did not differ between islet antibody-positive and -negative children, regardless of HLA genotype, and breast-feeding of 3 months or longer was not associated with protection from antibody development or diabetes onset. In offspring from diabetic fathers, non-statistically significant reductions in exclusive and total breast-feeding times were observed in the antibody-positive cohort. Neither type nor quantity of vaccinations (including Bacille Calmette-Guerin vaccine; haemophilus influenzae vaccine; diphtheria, tetanus, and pertussis vaccine; tick-born encephalitis vaccine; or measles, mumps, and rubella vaccine) were associated with the development of islet antibodies and diabetes. Measles, mumps, and rubella were not reported in children with islet antibodies or diabetes. CONCLUSIONS: This study showed no evidence that proposed environmental factors affect islet antibody development in the first 2 years of life in offspring from parents with type 1 diabetes.[r8] Lack of association between early childhood immunizations and beta-cell autoimmunity.
http://ift.tt/2peM2hJ
RESULTS: There was no difference between cases and control subjects in the proportion receiving hepatitis B (HBV), Haemophilus influenzae b (Hib), polio, or diphtheria tetanus pertussis (DTP) vaccines before 9 months of age; in the proportion receiving HBV at birth rather than later; or in the median age at first HBV, Hib, polio, or DTP vaccination. CONCLUSIONS: The results suggest that changing the early childhood immunization schedule would not affect the risk of developing beta-cell autoimmunity or type 1 diabetes.[r9] Lack of association between receipt of conjugate Haemophilus influenzae type b vaccine (HbOC) in infancy and risk of type 1 (juvenile onset) diabetes: long term follow-up of the HbOC efficacy trial cohort (2002)
http://ift.tt/2pqLFPG
http://ift.tt/2pePloQ
We found no evidence that vaccination with Hib conjugate vaccine in infancy is associated with risk of [type-1] diabetes later in life.
[r10] Cumulative incidence of childhood-onset IDDM is unaffected by pertussis immunization. (1997)
http://ift.tt/2pr8eDL
RESULTS: No difference in cumulative incidence rate of IDDM up to the age of 12 years was found when the birth cohorts for 1978 and 1979 with high DTP vaccination coverage were compared with the cohorts of 1980 and 1981 with low pertussis vaccination coverage. CONCLUSIONS: The comparison of the cumulative incidence of IDDM, up to the age of 12 years, in birth cohorts with high and low exposure to pertussis vaccine does not support the hypothesis that pertussis could induce autoimmunity to the beta-cell that may lead to IDDM.[r11] Previous Exposure to Measles, Mumps, and Rubella but Not Vaccination During Adolescence Correlates to the Prevalence of Pancreatic and Thyroid Autoantibodies (1990)
http://ift.tt/2peS2Hf
Note that this title is a little tortured, but what they are trying to say is that vaccinations did not have an impact into the Prevalence of Pancreatic and Thyroid Autoantibodies, although people who were exposed to the actual disease (not the vaccination) did have a higher incidence of autoantibodies.
Results. The vaccination changed neither the prevalence nor the level of autoantibodies. Children with rubella antibodies before vaccination had higher levels of ICA than did the rubella seronegative children. In contrast, thyroid autoantibody levels and prevalence were lower in children with antibodies against measles, mumps, or both before vaccination than in children without those antibodies.
Conclusions. Previous natural infection or vaccination against measles, mumps, or both seemed to have an inhibitory effect on the development of thyroid autoantibodies. In contrast, children with previous exposure to rubella had higher levels of ICA. No evidence was found that MMR vaccination during adolescence may trigger autoimmunity.
[r12] Vaccination and autoimmune disease: what is the evidence? (2003) Review Paper
Diabetes
Over the past few decades, there has been a regular increase in the incidence of type 1 diabetes in most countries of the world. That childhood vaccines have been identified as a potential trigger event for this disease is, therefore, not surprising. This possibility has been assessed in a few epidemiological studies. Results of a case-control study done in Sweden in the mid-1980s did not indicate any great effect of vaccination against tuberculosis, smallpox, tetanus, pertussis, or rubella on risk of diabetes.
[This next paragraph refers to the Claussen paper discussed here as [r5]. Note that paper did not find different rates of type-1 diabetes between people vaccinated for HiB, and those not vaccinated.] However, one group has suggested that the timing of vaccination could be of importance, and that certain vaccines—eg, Haemophilus influenzae type b (Hib)—might increase the risk of type 1 diabetes if given at age 2 months or older. This theory was not confirmed by a 10-year follow-up study of more than 100000 Finnish children involved in a clinical trial of the Hib vaccine. In this study, there was no increased risk of diabetes when children who had received four doses of vaccine at age 3, 4, 6, and 14–18 months were compared with those who received only one dose at age 2 years. Furthermore, the risk of diabetes did not differ between children in the latter two cohorts and those in a non-concurrent unvaccinated group.
Additionally, findings of a study undertaken in four large health-maintenance organizations in the USA did not suggest an association between administration of routine childhood vaccines and increased risk of type 1 diabetes, irrespective of the timing of Hib or hepatitis B vaccination. Therefore, at this time, there are no serious indications of any great effect of childhood vaccines on the occurrence of type 1 diabetes.
[r13] Risk factors for type I diabetes mellitus in children in Austria (1999)
Conclusion ... No correlation could be found with dietary intake of cow's milk products in early infancy, vaccination and other environmental factors.[r14] No evidence that vaccines cause insulin dependent diabetes mellitus (1998) Meta Analysis
http://ift.tt/2pr2x8F
We conclude that at present there is no evidence of a link between IDDM and vaccination in humans.[r15] Consequence or coincidence?: The occurrence, pathogenesis and significance of autoimmune manifestations after viral vaccines (2004)
http://ift.tt/2q4ozOI
This review included a Medline search from 1966 to 2004, so it included a huge number of papers.
Whenever controlled studies of autoimmunity following viral vaccines were undertaken, no evidence of an association was found.
No evidence linking viral vaccines with type 1 diabetes, multiple sclerosis (MS) or inflammatory bowel disease can be found.
Why Do People Believe That Vaccines Cause Type-1 Diabetes? (Or Might Cause It?)
This is a subject much to broad to cover in a blog posting. However, I think there are some reasons to mention briefly:
First, since almost everyone gets vaccines, almost everyone who is diagnosed with type-1 diabetes has been vaccinated. And since almost everyone who is diagnosed with type-1 has been vaccinated, some of them will be recently vaccinated, just by chance.
Second, research which shows something is safe or does not cause a problem does not cause a big splash in newspapers, web sites, etc. That really came through as I searched for papers that showed vaccine safety. Many of them had no press/web/blog/facebook/twitter coverage at all!
Third, genetics, or lack of them. People understand that type-1 diabetes is a genetic disease, and they often notice that they don't know about any history of type-1 diabetes in their family. They think to themselves "I was told it was genetic, but it's obviously not in my case, so maybe it's vaccines. After all, I was vaccinated." This is bad logic on a number of levels. First, there are lots of environmental factors which have nothing to do with vaccines. Second, unless you know exactly how all your grandparent's (and great-grandparent's) descendants died, then you don't really know about type-1 in your family. If any of those descendants died young, it might well have been type-1 diabetes. Finally, remember that most people diagnosed with type-1 diabetes do not have a known history of type-1 in their families. But these same families often do have a history of other autoimmune diseases (with related genetics). In short, the lack of a family history of type-1 diabetes does not mean that vaccines are involved.
Fourth, and most importantly, there is clearly an infrastructure of people who think vaccines cause all kinds of problems. These people (and their web sites) are very vocal in pushing the idea that vaccines cause all kinds of problems (Autism, Type-1 Diabetes, ADD, bad test scores, allergies, Asthma, and on and on and on). They tend to seize on questionable (or outright fraudulent) research, while ignoring much better research which contradicts them. I want to stress that in these two blogs, I did not selectively report on the research. I included all the studies which I found.
I took a look at several of these web sites (Age Of Autism, NVIC, etc.) looking for studies which showed higher occurrence of type-1 diabetes in vaccinated people as compared to unvaccinated people. The only such studies I was able to find were two Claussen studies. One of those studies is discussed above. The other study was not a direct comparison study (that is, it did not compare people who got a vaccine to people who did not). Instead it mined other people's population studies for information. So while population studies are generally worse than direct comparison studies, this study was even worse than a population study.
Always Looking For More Studies
I'm always looking for more studies! So if you find any study not listed here, which compares type-1 diabetes rates in otherwise similar vaccinated and non-vaccinated populations (or to delayed-vaccination populations), please email me!
Joshua Levy
http://ift.tt/29DuN3o
All the views expressed here are those of Joshua Levy, and nothing here is official JDRF or JDCA news, views, policies or opinions.
via Cure Research
Vaccination and Type-1 Diabetes (part 1)
Every now and then I see a posting where someone asks if maybe vaccinations have something to do with causing type-1 diabetes. The following is my collection of data showing that they do not. It is in two parts because it is too long to be posted on some forums as a single post.
The r-numbers in the text below are references to specific studies later in the text.
Do Vaccinations Cause Type-1 Diabetes or Make It More Common?
Each entry in this list contains a reference number, the title of the paper, the year it was published, a URL where you can see the whole abstract (sometimes the whole paper), and the results and/or conclusions section which you can read. The indented text is quoted from the study.
http://ift.tt/2pf5haJ
[r5] Clustering of cases of insulin dependent diabetes (IDDM) occurring three years after hemophilus influenza B (HiB) immunization support causal relationship between immunization and IDDM.
via Cure Research
The r-numbers in the text below are references to specific studies later in the text.
Do Vaccinations Cause Type-1 Diabetes or Make It More Common?
In order to answer this question I searched through all the research I could find on humans which was published in peer-reviewed indexed journals, which compared type-1 diabetes rates in vaccinated vs. unvaccinated populations or which compared vaccinated on the standard schedule to vaccinated on a slower schedule. I do think people with specialized tools might be able to find more research, so if you find any more studies on people, please tell me about them. I did not include population based studies, as these are much less reliable than studies which directly compare groups. I must say I was surprised at how much research was out there showing that vaccines did not cause type-1 diabetes. I had never heard of one such paper, but it turns out there are many. I view this as reporting bias: papers showing things are safe don't make the news, so the public never hears about them. I grabbed the first 15 studies I found, and they are listed (with results) below.
Summary
The bottom line is that there are 12 studies which find that vaccines do not increase the rate of type-1 diabetes. Of these, 2 actually find that vaccines lower the rate of type-1 diabetes, probably by lowering the rates of mumps or rubella in the population [r3, r6]. There are also two review articles [r12, r15], and one meta analysis [r14] which come to the same conclusion: vaccines do not cause type-1 diabetes. Note that one study [r5] claimed that it "supported" the idea that a causal relationship existed. However the paper's abstract reported that there was no statistically significant difference between type-1 diabetes rates between children who got influenza B immunization and those who did not.
Now the democratic thing to do is to say 12 studies show vaccines don't cause type-1, 0 show that they do, so the "does not cause" side wins in a landslide. Or to look at the studies which summarized the findings of all the other studies available when they were written: these were 2 showing vaccines are safe vs. 0 showing they might cause type-1 diabetes.
Some of the papers looked at the question of timing: did delaying vaccinations result in a lower type-1 diabetes rate? A total of 3 papers looked at that issue and all of them found that delay did not result in lower rates of type-1 diabetes [r2, r4, r8].
One paper [r7] looked at the overall number of vaccines given to one person, to see if that was associated with higher type-1 diabetes rates. It found no relationship.
Finally, as a separate area of interest: at least 2 of these papers looked at the relationship between breastfeeding or early introduction of cow milk and type-1 diabetes and found no connection [r7,r13].
If you have any doubts about this I urge you to read the quotes from the abstracts below; they are really very strong in showing that vaccines do not cause type-1 diabetes.
Some of the papers looked at the question of timing: did delaying vaccinations result in a lower type-1 diabetes rate? A total of 3 papers looked at that issue and all of them found that delay did not result in lower rates of type-1 diabetes [r2, r4, r8].
One paper [r7] looked at the overall number of vaccines given to one person, to see if that was associated with higher type-1 diabetes rates. It found no relationship.
Finally, as a separate area of interest: at least 2 of these papers looked at the relationship between breastfeeding or early introduction of cow milk and type-1 diabetes and found no connection [r7,r13].
If you have any doubts about this I urge you to read the quotes from the abstracts below; they are really very strong in showing that vaccines do not cause type-1 diabetes.
Discussion of the Claussen Paper
The Claussen paper [r5] does not show an increased rate of type-1 diabetes after immunization. Dr. Claussen says that it does, and refers to it that way, but if you look at the actual abstract, you see this:
The Claussen paper [r5] does not show an increased rate of type-1 diabetes after immunization. Dr. Claussen says that it does, and refers to it that way, but if you look at the actual abstract, you see this:
The difference in cumulative incidence between those receiving 4 doses and those receiving 0 doses is 54 cases of IDDM/100,000 (P = 0.026) at 7 years, (relative risk = 1.26).And a relative risk of 1.26 is too low to be considered a correlation. (Most researchers want to see a relative risk of 2, others will accept a relative risk as low as 1.5, but that is rare. But in any case 1.26 is well below the correlation threshold. (There is also some discussion of clustering in the abstract, but no numbers are given.)
Results from the Studies and References
Each entry in this list contains a reference number, the title of the paper, the year it was published, a URL where you can see the whole abstract (sometimes the whole paper), and the results and/or conclusions section which you can read. The indented text is quoted from the study.
[r1] Childhood Vaccination and Type 1 Diabetes (2004)
Results Type 1 diabetes was diagnosed in 681 children during 4,720,517 person-years of follow-up. The rate ratio for type 1 diabetes among children who received at least one dose of vaccine, as compared with unvaccinated children, was 0.91 (95 percent confidence interval, 0.74 to 1.12) for Haemophilus influenzae type b vaccine; 1.02 (95 percent confidence interval, 0.75 to 1.37) for diphtheria, tetanus, and inactivated poliovirus vaccine; 0.96 (95 percent confidence interval, 0.71 to 1.30) for diphtheria, tetanus, acellular pertussis, and inactivated poliovirus vaccine; 1.06 (95 percent confidence interval, 0.80 to 1.40) for whole-cell pertussis vaccine; 1.14 (95 percent confidence interval, 0.90 to 1.45) for measles, mumps, and rubella vaccine; and 1.08 (95 percent confidence interval, 0.74 to 1.57) for oral poliovirus vaccine. The development of type 1 diabetes in genetically predisposed children (defined as those who had siblings with type 1 diabetes) was not significantly associated with vaccination. Furthermore, there was no evidence of any clustering of cases two to four years after vaccination with any vaccine.[r2] Childhood Vaccinations, Vaccination Timing, and Risk of Type 1 Diabetes Mellitus (2001)
Conclusions These results do not support a causal relation between childhood vaccination and type 1 diabetes.
http://ift.tt/2pf5haJ
Conclusions. In this large, population-based, case-control study, we did not find an increased risk of type 1 diabetes associated with any of the routinely recommended childhood vaccines. Our study adds to previous research by providing data on newer vaccines, including hepatitis B, acellular pertussis, and varicella vaccines. For the older vaccines, our results are generally in agreement with previous studies in not finding any increased risks. Ours is the first epidemiologic study to evaluate the possibility that timing of vaccination is related to risk of clinical diabetes in children. Our results on hepatitis B vaccine do not support the hypothesis; risk of type 1 diabetes was not different between infants vaccinated at birth and those who received their first vaccination later in life. The results of our study and the preponderance of epidemiologic evidence do not support an association between any of the recommended childhood vaccines and an increased risk of type 1 diabetes. Suggestions that diabetes risk in humans may be altered by changes in the timing of vaccinations also are unfounded.
[r3] Decline of mumps antibodies in Type 1 (insulin-dependent) diabetic children and a plateau in the rising incidence of Type 1 diabetes after introduction of the mumps-measles-rubella vaccine in Finland (1993)
The results suggest that the elimination of natural mumps by mumps-measles-rubella vaccination may have decreased the risk for Type 1 diabetes in Finland; a possible causal relationship is substantiated by the observed concomitant decrease in mumps antibody levels in diabetic children.
[r4] Association between type 1 diabetes and Haemophilus influenzae type b vaccination: birth cohort study (1999)
Results: No statistically significant difference was found at any time during the 10 year follow up in the risk of type 1 diabetes between the children born before the vaccination period and those vaccinated at the age of 24 months only (relative risk 1.01). The difference in the risk between the cohort vaccinated first at the age of 3 months and the cohort vaccinated at the age of 24 months only was not statistically significant either (1.06).
Conclusion: It is unlikely that H influenzae type b vaccination or its timing cause type 1 diabetes in children.
[r5] Clustering of cases of insulin dependent diabetes (IDDM) occurring three years after hemophilus influenza B (HiB) immunization support causal relationship between immunization and IDDM.
http://ift.tt/HmDz2j
The difference in cumulative incidence between those receiving 4 doses and those receiving 0 doses is 54 cases of IDDM/100,000 (P = 0.026) at 7 years, (relative risk = 1.26).
This list is continued in part 2.
Joshua Levy
All the views expressed here are those of Joshua Levy, and nothing here is official JDRF or JDCA news, views, policies or opinions.
via Cure Research
Human Lab Rat in Diabetes Medical Studies. April 28, 2017
So, what? Overweight, obese, brain abnormalities, what was 'then' and what was 'in the beginning' before 'now'? Is this really possible to name this 'study'?Overweight/obese people with diabetes at increased risk of brain abnormalities
- Date: April 27, 2017
- Source: Diabetologia
- Summary:
- Overweight and obese individuals with early stage type 2 diabetes (T2D) had more severe and progressive abnormalities in brain structure and cognition compared to normal-weight study participants, research indicates.
- http://ift.tt/2oFtmca
From the beginning, what is 'early stage type 2 diabetes (T2D)? So long as I do know, there is only one stage, the time of diagnosed diabetes, and there is no one stage in what diabetes right now. It is easy to suspect if use simple logic that diabetes could be developed long before it was diagnosed, right? How many diabetics in America who do noy know they are diabetics? The matter of fact, they do, they know, but .... doctors refuce diagnose diabetes early. Very simple, treatmnt for diabetes can be Rx at any time regardless diabetes diagnosed or not. The treatment is
life style modifications;
lose weight;
regular work out;
metformin.
Why medical pro need to diagnose diabetes? No need in this.
Diagnose of diabetes based on fasting blood sugar level, lowest level of sugar in blood. Diabetes, according to many definitions, is the medical condition when body cannot utilize carbohydrates. So, if there is nothing to utilize then there is no reason to assume, there would be elevated level of sugar. If blood sugar still elevated, then is this really 'early stage' of diabetes?
To diagnose diabetes one must have blood sugar level above:
120 mg/dl fasting blood sugar;
200 mg/dl at any random time.
So, when one diagnosed with diabetes, is this early stage or is it last stage of diabetes development? With fasting blood sugar 370 mg/dl it is still above 120 mg/dl so diabetes can be diagnosed. But what about stage? What stage of diabetes is this? When random sugar is 599 mg/dl, what stage of diabetes is this? I can say, I was diagnosed with diabetes back in 2001. Since that I have to confirm with every medical visit I am diabetic type 2. There still no any stage of diabetes in my file. What stage I am in? My blood sugar run from 40 mg/dl to 599 mg/dl, and what stage it can be?
Sujung Yoon, Hanbyul Cho, Jungyoon Kim, Do-Wan Lee, Geon Ha Kim, Young Sun Hong, Sohyeon Moon, Shinwon Park, Sunho Lee, Suji Lee, Sujin Bae, Donald C. Simonson, In Kyoon Lyoo. Brain changes in overweight/obese and normal-weight adults with type 2 diabetes mellitus. Diabetologia, 2017; DOI: 10.1007/s00125-017-4266-7Take a look, how many of them got paid for study? 14 in the row. Every one got paid. They all the time need more. So, they run another studies, how obesity effect ... forever it effect. Most important it is highly effect their income. This is why diabetes is most rewarding for medical pro to study. Does not matter what to study, and what findings are, the result is all the time beneficial. Most important in these studies, do not stop diabetics to be developed. So, more and more medicine developed to treat diabetics type 2, so we never loose from hook. Metformin, which never reduce blood sugar level and Invokana to cut lifetime, SU to reduce beta cells and Actios to develop heart attacks. Oh, Trulisity, I love this medicine. It lead diabetics to became sort of idiots, change our personality. So, with this type of medicine we will develop not only obesity but the stupidity as well, so it would be easy to use diabetics like animals for studies.
The authors conclude: "An increased awareness of overweight/obesity-related risk is necessary to prevent and manage type 2 diabetes-related brain atrophy and cognitive dysfunction from early stage T2D onward."Nice conclusion. With this conclusion they never will run out of diabetics supply. Human Lab Rats will be always to their disposal.
via Ravenvoron
Thursday, 27 April 2017
Johns Hopkins Medicine Diabetes Guide. April 27, 2017
It is book 2012 edition, Treatment and Management of Diabetes by by Johns Hopkins Health System Corporation. So what Health System suggest how to manage Diabetes?
Prevention of diabetes with healthy lifestyle and weight management would be IDEAL.
There is only one problem, it does not work.
Back in 1965 U.S. Public Service granted studies. Authors of that studies published findings. At first they established stages of Diabetes Mellitus Development, point which is absent in present days studies. There are four stages of Diabetes Mellitus:
Prediabetes.
FBS=Normal; CTT =Normal; A1c-Normal; ILA =elevated; Vascular Changes present.
Subelinical diabetes
FBS=Normal; CTT =Normal, abnormal durinf pregnancy or stress, or sick days; A1c-abnormal; ILA =elevated; Vascular Changes present.
Laten Diabetes
FBS=Normal or elevated; CTT =not necessary for diagnose; A1c-abnormal; ILA =elevated; Vascular Changes present and advanced (++ + +).
Over Diabetes
FBS=elevated; CTT =Normal; A1c-Normal; ILA =elevated; Vascular Changes present.
These are stages to diagnose diabetes, and it is very easy to see that diabetics do not have this diagnose and treatment. Our untreated diabetes takes over, and we collect pounds. Not it is time to screen those who are in risk, because of obesity. Also it is time to start prevention program that with fasting sugar 370 mg/dl I can turn off my Overt Diabetes with life style modifications.
It is really IDEAL way to put burden from healthy head to the victim.
Now after diagnose established, treatmnt plan created:
meal planning; diet low carb, low salt, low sugar, low calories.
At first, why every one so sure I do love unhealthy lifestyle? There is no one prove what is my lifestyle, but because of I am diabetic type 2 every one sure, it caused by too much sweets on my plate.
Secondly, if every one do have different numbers on glucose meter, how to manage these numbers with meal, carbs, and calories? It was time when diet was the only one source to extend diabetic's life. Not there is INSULIN. Why insulin is out of diabetic type 2 treatment plan?
Thirdly, why every time from the 'healthy style' there is no one attention to the working style? Does our working style so 'healthy'? We spend on work much more hours then we have to spend on our personal lifestyle. Then why there is no one attention to the style how do we work, is this style 'healthy' for diabetics?
workouts: Out of discussions. In America many of us work much longer week hours then 40 regular work week. Personally I works 12 hours 6 days a week, every week. Never forget, we do have families, and personal life. Does any one ever counted, how many hours do we have to spend to live 'healthy life style?
oral anti-diabetes agents: Really? If this medicine worked, then why diabetes type 2 progressive? Why diabetics die timelessly? Also, it is easy to see that oral agents do not keep blood sugar under tight control. All med por do know it. Then why it is in our regime? No comment for discussion.
regular visists to health care professional; This is very clear and nothing new. Health care providers need us. Why do I need doctor? o listen how many blueberries I have to eat? Sorry, have no one interest to this style of discussions.
education sessions with professional educator how to live with diabetes. LOL! What is interesting with 'education', every time when I am in different offices I do have this education sessions.
This is professional guidance. With these guidance medical pro Syndicate planning increase the protraction of diabetics ti the next level. But it is absolutely no one benefit to be diabetic. As I read from many different source of info, complication of diabetes can be prevented with tight blood sugar control. So, I try to prevent what I can prevent, and do not try to get any bird from the sky, just one I need.
There is dilemma, to lose weight, or to take blood sugar under control. They cannot be taken under control together. Yes, they can be both effected by our actions, but I have all the time remember where is my priority. Blood sugar control is Number One. So, I do, I keep sugar under so tight control as I can, and do not care too much about pounds. If all World hate we and blame in crime I never committed, there is all the time must be one human who love me more then anything else. It is myself.
Johns Hopkins Medicine Diabetes Guide, Joslin Medical Diabetes Senter, and all the other doctors and medical pro, what do they care for? With guidance like this they do have good and lovely style of life. They sent children in private school, have new cars, and live the style they wish. Why should I live the style someone show me to live? I do not like to be ill all the time, hungry and thirsty.
Prevention of diabetes with healthy lifestyle and weight management would be IDEAL.
There is only one problem, it does not work.
Back in 1965 U.S. Public Service granted studies. Authors of that studies published findings. At first they established stages of Diabetes Mellitus Development, point which is absent in present days studies. There are four stages of Diabetes Mellitus:
Prediabetes.
FBS=Normal; CTT =Normal; A1c-Normal; ILA =elevated; Vascular Changes present.
Subelinical diabetes
FBS=Normal; CTT =Normal, abnormal durinf pregnancy or stress, or sick days; A1c-abnormal; ILA =elevated; Vascular Changes present.
Laten Diabetes
FBS=Normal or elevated; CTT =not necessary for diagnose; A1c-abnormal; ILA =elevated; Vascular Changes present and advanced (++ + +).
Over Diabetes
FBS=elevated; CTT =Normal; A1c-Normal; ILA =elevated; Vascular Changes present.
These are stages to diagnose diabetes, and it is very easy to see that diabetics do not have this diagnose and treatment. Our untreated diabetes takes over, and we collect pounds. Not it is time to screen those who are in risk, because of obesity. Also it is time to start prevention program that with fasting sugar 370 mg/dl I can turn off my Overt Diabetes with life style modifications.
It is really IDEAL way to put burden from healthy head to the victim.
Now after diagnose established, treatmnt plan created:
meal planning; diet low carb, low salt, low sugar, low calories.
At first, why every one so sure I do love unhealthy lifestyle? There is no one prove what is my lifestyle, but because of I am diabetic type 2 every one sure, it caused by too much sweets on my plate.
Secondly, if every one do have different numbers on glucose meter, how to manage these numbers with meal, carbs, and calories? It was time when diet was the only one source to extend diabetic's life. Not there is INSULIN. Why insulin is out of diabetic type 2 treatment plan?
Thirdly, why every time from the 'healthy style' there is no one attention to the working style? Does our working style so 'healthy'? We spend on work much more hours then we have to spend on our personal lifestyle. Then why there is no one attention to the style how do we work, is this style 'healthy' for diabetics?
workouts: Out of discussions. In America many of us work much longer week hours then 40 regular work week. Personally I works 12 hours 6 days a week, every week. Never forget, we do have families, and personal life. Does any one ever counted, how many hours do we have to spend to live 'healthy life style?
oral anti-diabetes agents: Really? If this medicine worked, then why diabetes type 2 progressive? Why diabetics die timelessly? Also, it is easy to see that oral agents do not keep blood sugar under tight control. All med por do know it. Then why it is in our regime? No comment for discussion.
regular visists to health care professional; This is very clear and nothing new. Health care providers need us. Why do I need doctor? o listen how many blueberries I have to eat? Sorry, have no one interest to this style of discussions.
education sessions with professional educator how to live with diabetes. LOL! What is interesting with 'education', every time when I am in different offices I do have this education sessions.
This is professional guidance. With these guidance medical pro Syndicate planning increase the protraction of diabetics ti the next level. But it is absolutely no one benefit to be diabetic. As I read from many different source of info, complication of diabetes can be prevented with tight blood sugar control. So, I try to prevent what I can prevent, and do not try to get any bird from the sky, just one I need.
There is dilemma, to lose weight, or to take blood sugar under control. They cannot be taken under control together. Yes, they can be both effected by our actions, but I have all the time remember where is my priority. Blood sugar control is Number One. So, I do, I keep sugar under so tight control as I can, and do not care too much about pounds. If all World hate we and blame in crime I never committed, there is all the time must be one human who love me more then anything else. It is myself.
Johns Hopkins Medicine Diabetes Guide, Joslin Medical Diabetes Senter, and all the other doctors and medical pro, what do they care for? With guidance like this they do have good and lovely style of life. They sent children in private school, have new cars, and live the style they wish. Why should I live the style someone show me to live? I do not like to be ill all the time, hungry and thirsty.
via Ravenvoron
Day-by-Day. April 27, 2017
sugar is 102 mg/dl.
Yesterday insulin dose was less then 300 units, just 287. Fasting sugar was 129 mg/dl
Day before Yesterday it was 127 mg/dl and 247 units of Lantus solo Star.
Cross my fingers.
On Tuesday it was Wound Care Clinic. All bandage was removed. Very smelly. It is difficult to say, but I hope leg started to heal. As I said, cross my fingers. New bandage was put on. Was so much pain! I hardly able to walk. When we went back to home suddenly all energy left, and I was almost out of my foot to get back to home. Just now so far, just from back door to the apartment, and I was almost not able to walk. Low sugar. It hit so unexpectedly! I could take time and take some coffee and eat protein bar in my car. I always do have it in my car. But we already were home, so it was so big surprise for me, I could not walk.
I did not check sugar. No energy. Just eat right away. After I went to bed, and fall asleep instantly. When I woke up pain increased. I hardly was able to get from room to bathroom. Every step just pure pain. All around left leg. Once I put off all bandages, and ... it was big mistake. Now I try to tolerate this pain, just tolerate it. I staid in bed, kept leg elevated, tried to read some book, and was happy I fall asleep soon.
Today is Thursday. There is no longer pain. Leg is comfortable. I would not say I am easy to walk. I try to stay in bed, try to sleep if I can, or read, and be in bed.But there is no pain. No any medicine to kill pain. I cannot take painkillers. It is my severe headache. When I take painkillers I do have severe headache, so it is kill one pain and create another. The choice is mine. I take to tolerate pain I cannot avoid, and do not add insult to injury.
In all other aspects there is no any differences. Just bore usual life, day after day.
It is interesting with fasting sugar and how it goes up and down. As I just said, two days it was up, over the control. Say me, why? There is no reason for this. Still, if there is reason or not, it is unexpected.
In all education programs medical educator teach us how to dose insulin, and it is based on the carb we eat or going to eat. In real life it has nothing to deal with reality. Beside, it is not logical that carb counting can provide blood sugar control. Every doctor do know it very well. If it did work then there would be algorithms how to inject insulin according to the meal we eat. The problem with this algorithm, blood sugar does not depend on the carbs we eat.
Still, blood sugar depend from pain I am in. Pain in leg eased, blood sugar dropped. Together with dose of insulin I injected. This is direct connection. No need to count calories or carbs. But keep blood sugar under control just mandatory. So, I do, I increase dose of insulin according to the level of sugar taken by my glucose meter.
I think, there is every one diabetic have to do by himself. There is no one way that anyone can say how units of insulin to inject. We have to develop feeling and relay on it. We have to accept the risk we take with every injection, and be ready to deal with insulin reaction at any time it hit. No way to prevent it. But there is way to learn how to fight this condition. I usually do have protein bar in my bag, so I can take it at any time anywhere. My understanding, we have to have this bars in special color that if I take it in public place security team would not arrest me. This is medicine for me.
With eating it is also interesting. If woman breastfeeding her baby in public place, it is acceptable. When diabetic old fatty woman try to eat protein bar in the same place, security team will come over to take off protein bar. This is how we seen by public. And I even cannot take any step to take any move when sugar is too low. There is no one low to protect diabetics. every one out of ten Americans is diabetic, and there is no one protection we us.
Yesterday insulin dose was less then 300 units, just 287. Fasting sugar was 129 mg/dl
Day before Yesterday it was 127 mg/dl and 247 units of Lantus solo Star.
Cross my fingers.
On Tuesday it was Wound Care Clinic. All bandage was removed. Very smelly. It is difficult to say, but I hope leg started to heal. As I said, cross my fingers. New bandage was put on. Was so much pain! I hardly able to walk. When we went back to home suddenly all energy left, and I was almost out of my foot to get back to home. Just now so far, just from back door to the apartment, and I was almost not able to walk. Low sugar. It hit so unexpectedly! I could take time and take some coffee and eat protein bar in my car. I always do have it in my car. But we already were home, so it was so big surprise for me, I could not walk.
I did not check sugar. No energy. Just eat right away. After I went to bed, and fall asleep instantly. When I woke up pain increased. I hardly was able to get from room to bathroom. Every step just pure pain. All around left leg. Once I put off all bandages, and ... it was big mistake. Now I try to tolerate this pain, just tolerate it. I staid in bed, kept leg elevated, tried to read some book, and was happy I fall asleep soon.
Today is Thursday. There is no longer pain. Leg is comfortable. I would not say I am easy to walk. I try to stay in bed, try to sleep if I can, or read, and be in bed.But there is no pain. No any medicine to kill pain. I cannot take painkillers. It is my severe headache. When I take painkillers I do have severe headache, so it is kill one pain and create another. The choice is mine. I take to tolerate pain I cannot avoid, and do not add insult to injury.
In all other aspects there is no any differences. Just bore usual life, day after day.
It is interesting with fasting sugar and how it goes up and down. As I just said, two days it was up, over the control. Say me, why? There is no reason for this. Still, if there is reason or not, it is unexpected.
In all education programs medical educator teach us how to dose insulin, and it is based on the carb we eat or going to eat. In real life it has nothing to deal with reality. Beside, it is not logical that carb counting can provide blood sugar control. Every doctor do know it very well. If it did work then there would be algorithms how to inject insulin according to the meal we eat. The problem with this algorithm, blood sugar does not depend on the carbs we eat.
Still, blood sugar depend from pain I am in. Pain in leg eased, blood sugar dropped. Together with dose of insulin I injected. This is direct connection. No need to count calories or carbs. But keep blood sugar under control just mandatory. So, I do, I increase dose of insulin according to the level of sugar taken by my glucose meter.
I think, there is every one diabetic have to do by himself. There is no one way that anyone can say how units of insulin to inject. We have to develop feeling and relay on it. We have to accept the risk we take with every injection, and be ready to deal with insulin reaction at any time it hit. No way to prevent it. But there is way to learn how to fight this condition. I usually do have protein bar in my bag, so I can take it at any time anywhere. My understanding, we have to have this bars in special color that if I take it in public place security team would not arrest me. This is medicine for me.
With eating it is also interesting. If woman breastfeeding her baby in public place, it is acceptable. When diabetic old fatty woman try to eat protein bar in the same place, security team will come over to take off protein bar. This is how we seen by public. And I even cannot take any step to take any move when sugar is too low. There is no one low to protect diabetics. every one out of ten Americans is diabetic, and there is no one protection we us.
via Ravenvoron
This articles looks
This articles looks at 10 of the best foods and supplements to lower blood sugars in diabetics, based on current research.
via Taylor
via Taylor
Wednesday, 26 April 2017
The Trip
I chaperoned a five day, four night, 120 kid high school field trip last month.
While there was a school nurse traveling with the group, and while my kid does most of her diabetes management alone at this point, I wasn't completely comfortable letting her take this trip on her own. And, perhaps more importantly, she didn't feel completely comfortable either. Our concerns included:
-The farthest my kid has ever travelled for a sleepover is 5 blocks from home. She's never been away for more than about 18 hours. Going from that level of overnight diabetes self-care to a 4 night trip over a thousand miles from home felt to both of us like way too big of a leap.
-The trip involved air travel. My arrival for an emergency (gastrointestinal illness, first-ever glucagon use, other unforeseeable situation) would be both significantly delayed and extraordinarily expensive. Also, while I'm sure someone could have walked her through airport security, the TSA checkpoint is a minefield for people with diabetes and we were concerned about her potential need for a strong advocate should she get pulled aside.
-The trip involved five days of dining out. My daughter has never managed more than two restaurant meals in a row on her own and was nervous about not having someone there to eyeball the carb counts with her and/or help her pick up the pieces after a bad guess.
-The trip's itinerary was intense. And the itinerary didn't lie. My Fitbit tells me I walked 10 miles a day with lots of 'active' time. We rose by 6:30, earlier some days, and the kids were not required to be in their rooms until 11 p.m. There were regular transitions from place to place with few moments to stop and regroup. Amusement park rides, swimming pools, and several performances including marching in a parade were all on the agenda. We were concerned that the level of activity combined with the lack of time to stop and think about diabetes could lead to problems significant enough to slow my kid down or derail her participation. It felt important to have someone there both to remind and support her as she took the time to care for her diabetes, and to stay behind with her should she need to stop and wait out a low or trouble-shoot a high.
We decided that sending her on this trip without a parent was too much to ask of my child, the nurse, and the staff. Also, spending 5 days flipping between the Dexcom app and the 'Find My Friends' app on my phone while simultaneously trying to remember to breathe didn't really appeal. After a couple of conversations with the teacher in charge of the trip I was, despite a certain level of anxiety about chaperoning a group of high school kids, grateful to be given the opportunity to go.
On the trip I performed a variety of general chaperone duties, got to know some great kids and adults, and got to be part of a unique adventure. As far as my mom-of-a-kid-with-diabetes role, I mostly watched from a safe distance while my kid did her own thing. She talked to the TSA people on her own. She kept the Dexcom with her overnight and woke to respond to its alarms. She did her own site change in her hotel room. She counted her own carbs, asked questions at restaurants, and, on more than one occasion, sent back sweetened iced tea for the unsweetened she'd ordered. She made decisions about dosing and snacking based on her activity level. She carried her own supplies. Her blood sugars weren't perfect, but given the food and schedule they were good enough. She spent the days with her friends and I spent them with the other chaperones.
As it turned out my presence was more of a convenience than a necessity. I provided some in-line coaching and moral support as we went through airport security. I handed her extra water to combat the effect of heat on her blood sugars. I helped her with an unanticipated Dexcom sensor change when the one we put in the day before the trip inexplicably conked out. I met her at a water flume ride to hold her diabetes stuff so it didn't get soaked. I carried the glucagon, a spare infusion set and some extra glucose tabs, always close enough to jump in to assist if needed. When the large group divided and headed to different destinations I stuck with my kid, making the division of chaperones a non-issue. My presence allowed the nurse traveling with us to focus on other kids without worrying about keeping track of mine.
But now that I've seen how well she handled most everything without my help, I'm excited for her to have an opportunity to travel without me. Just maybe on a trip that's a little closer, and a little slower-paced.
via Adventures in Diabetes Parenting
Obesity Quadruples Kids' Type 2 Diabetes Risk
About 415 million people worldwide have the disease, which is costly to treat but can be prevented
Source: HealthDay
via Diabetes
Source: HealthDay
via Diabetes
Tuesday, 25 April 2017
Monday, 24 April 2017
Lets Get started With Intensive Insulin Therapy. "Outsmarting Diabetes" by R.S. Beaser, MD, Joslin Diabetes Center, Bostin, US.
OK, now let us get started with intensive Insulin Therapy. Dr. R.S. Beaser give perfect directions how ti do it and how does it looks like.
At first, set insulin dosing plan.
Usually it is based on your previous dose of insulin. Looks like Dr. Beaser simple forgot, we just stared with insulin therapy, so there is no previous dose of insulin. It is first one. And right now first time ever diabetic and doctor creating first insulin dosing algorithm, how to do so? Let us start. Not so fast. Dr. Beaser need a little bit more pages to say about nothing. Of cause, it is easy to talk then create algorithm how to dose insulin. What I suspect, he never will get to this point in this book.
"Once you started with intensive program...." - sorry, we did not start yet. How I suppose to do so? I really lost in direction and guidance. Is there some of them?
OK, now we go back to our usual life style, and adjust insulin to this style:
add units if if sugar is higher then your goal (how many units to add to compensate every mg/dl of elevated sugar level)?
reduce units if sugar is lower then normal level (how many units each time, how to find it out?)
pay attention to your mal plan, add units if you eat more then you planned, reduce units if you do not have appetite;
pay attention to your daily activity. If you are going to dust today, reduce a few units of insulin. If you have very bore working meeting for a few hours at the end of day, add units of insulin. Sorry, all the time I have no one idea when I have to add units and when I have to reduce them. If I am going dusting then it is activity and it will reduce my level of sughar. But at the same time if I did reduce dose of insulin then where from energy will come to do dusting? I am already lost in all that adjustment.
If blood sugar reading is high then try to find out:
what did you eat wrong today?
did you skip your acytivities today?
was your level of sugar low a few hours ago and not it is high because of rebounding?
Are you sick? Do you have cold? Did you have problem with boss or any other stressful situation on work? With children? With someone else?
Was today rainy day? It is Winter storm? It is Sunny day today? If so then today probably you need one unit less of insulin because of it is sunny day, nut three units more because of it would be rainy day tomorrow.
If you took 5 ml log today (O My God! i never able to do so) then probably you need to take 4 units less in insulin dose, 5 units at one shot. WOW! As long as I do remember Dr. Banting injected 10 units of insulin in his arm to test how insulin injection work on people. He was not diabetic at all. The question is, would one units of insulin effect diabetic?
"You may wonder at this point, "How do I learn to consider all of these variables?" The answe is Practice!"
I do, I practice. To find out what is good for me and what is not I simple do eliminate all those variables, and pay attention only for two of them, my blood glucose meter readings, and the dose of insulin I have to inject.
So, because of I do have my practice since 2011, right now my dose is 300 units. This is base. There is only one type of insulin I take, long acting insulin Lantus Solo Star. This insulin does not have peak of action, does not need to be taken with food. Also it give its action all day long, so at any time when I need insulin is ready to be used. It is all the time in my system.
I can take insulin in three shots, 100 units each, but more often I take 4 shots, 80 units three times a day, and the rest, 67 units in the morning or in the eve. It is not 300 units in pen but 307. I do not spring insulin, just because of it is too expensive to waist it.
So, it is easy to see that it is better to pay attention to the time of injections then for the dose of it.
If with 300 units level of sugar still high, above 200 mg/dl at any time, in any reading, I will add some units, up to 100 if I need. I never injected more then 400 units. But I will if it will be necessary. If I do have insulin reaction, low blood sugar, I will take a few units of insulin, about 60 or 80 units, and take my meal if it is possible. If it is not, for instance I am not home, then I will take one protein bar, 20 g of protein, and it will keep me good for the next 4 - 5 hours. I will not drop my daily dose of insulin. No need in this.
If insulin reaction is too often, meaning that 300 units is too much for this time, I will start to drop daily dose, slow, very slow, no rash. Usually in Spring and Summer daily dose of insulin less then in Winter and Fall, especially in Fall. In rainy day sugar would be higher then in sunny days in Summer.
This is all my practice. Simple. Not too much math. But really good understanding of diabetes and how to live with it in best way as possible.
At first, set insulin dosing plan.
Usually it is based on your previous dose of insulin. Looks like Dr. Beaser simple forgot, we just stared with insulin therapy, so there is no previous dose of insulin. It is first one. And right now first time ever diabetic and doctor creating first insulin dosing algorithm, how to do so? Let us start. Not so fast. Dr. Beaser need a little bit more pages to say about nothing. Of cause, it is easy to talk then create algorithm how to dose insulin. What I suspect, he never will get to this point in this book.
"Once you started with intensive program...." - sorry, we did not start yet. How I suppose to do so? I really lost in direction and guidance. Is there some of them?
OK, now we go back to our usual life style, and adjust insulin to this style:
add units if if sugar is higher then your goal (how many units to add to compensate every mg/dl of elevated sugar level)?
reduce units if sugar is lower then normal level (how many units each time, how to find it out?)
pay attention to your mal plan, add units if you eat more then you planned, reduce units if you do not have appetite;
pay attention to your daily activity. If you are going to dust today, reduce a few units of insulin. If you have very bore working meeting for a few hours at the end of day, add units of insulin. Sorry, all the time I have no one idea when I have to add units and when I have to reduce them. If I am going dusting then it is activity and it will reduce my level of sughar. But at the same time if I did reduce dose of insulin then where from energy will come to do dusting? I am already lost in all that adjustment.
If blood sugar reading is high then try to find out:
what did you eat wrong today?
did you skip your acytivities today?
was your level of sugar low a few hours ago and not it is high because of rebounding?
Are you sick? Do you have cold? Did you have problem with boss or any other stressful situation on work? With children? With someone else?
Was today rainy day? It is Winter storm? It is Sunny day today? If so then today probably you need one unit less of insulin because of it is sunny day, nut three units more because of it would be rainy day tomorrow.
If you took 5 ml log today (O My God! i never able to do so) then probably you need to take 4 units less in insulin dose, 5 units at one shot. WOW! As long as I do remember Dr. Banting injected 10 units of insulin in his arm to test how insulin injection work on people. He was not diabetic at all. The question is, would one units of insulin effect diabetic?
"You may wonder at this point, "How do I learn to consider all of these variables?" The answe is Practice!"
I do, I practice. To find out what is good for me and what is not I simple do eliminate all those variables, and pay attention only for two of them, my blood glucose meter readings, and the dose of insulin I have to inject.
So, because of I do have my practice since 2011, right now my dose is 300 units. This is base. There is only one type of insulin I take, long acting insulin Lantus Solo Star. This insulin does not have peak of action, does not need to be taken with food. Also it give its action all day long, so at any time when I need insulin is ready to be used. It is all the time in my system.
I can take insulin in three shots, 100 units each, but more often I take 4 shots, 80 units three times a day, and the rest, 67 units in the morning or in the eve. It is not 300 units in pen but 307. I do not spring insulin, just because of it is too expensive to waist it.
So, it is easy to see that it is better to pay attention to the time of injections then for the dose of it.
If with 300 units level of sugar still high, above 200 mg/dl at any time, in any reading, I will add some units, up to 100 if I need. I never injected more then 400 units. But I will if it will be necessary. If I do have insulin reaction, low blood sugar, I will take a few units of insulin, about 60 or 80 units, and take my meal if it is possible. If it is not, for instance I am not home, then I will take one protein bar, 20 g of protein, and it will keep me good for the next 4 - 5 hours. I will not drop my daily dose of insulin. No need in this.
If insulin reaction is too often, meaning that 300 units is too much for this time, I will start to drop daily dose, slow, very slow, no rash. Usually in Spring and Summer daily dose of insulin less then in Winter and Fall, especially in Fall. In rainy day sugar would be higher then in sunny days in Summer.
This is all my practice. Simple. Not too much math. But really good understanding of diabetes and how to live with it in best way as possible.
via Ravenvoron
Can Diabetes Complications Be Prevented? "Outsmarting Diabetes" by R.S. Beaser, MD, Joslin Diabetes Center, Bostin, US.
This is book of Bestselling Joslin Diabetes Manual. It is for reducing the effects of Insulin dependent Diabetes. So, I will take the questions author asked or presented and see how he answered to the questions he asked. Also there are mine answer's to the same question. I based my answers on the books I read and on my personal experience.
Can Diabetes Complications Be Prevented?
With intensive Insulin Therapy, when blood sugar was under tight control, meaning as closer to the normal, non diabetic level as it is possible, the outcome of study were:
eye complications reduced to 76%;
kidney complications reduced to 56%;
nerve problem reduced up to 60%.
Study did not have data how it reduced heart and stroke risk.
So, it is very easy to see, the benefits are obvious.
First question, why do not take the risk of tight blood sugar control?
Why studies were stopped one year early then they were planned?
How to take blood sugar under tight control?
What medicine used in study to study tight blood sugar control?
It was insulin. Studies were started in 1980 and stopped in 1993. It is DCCT studies, Diabetes Control and Complications Trial. Volunteers were divided on two groups:
'conventional' diabetes management with one or two injections of insulin every day, blood sugar readings once a day, dietary education, and clinic 4 times a year.
'intensive therapy' with four or more insulin injections daily, insulin dose adjustment according to the blood sugar readings, diabetes education program, and monthly medical visits.
What is downside of insulin intensive therapy?
severe low blood sugar.
Severe meaning, it was in need for outside help, or ER visit. Well, I can say about ER visit. I was in ER with stroke. I was discharged a few hours late with diagnose 'hypoglycemia'. I will trust that really it was severe low sugar of I will see the number. Otherwise, how it can be 'severe' depend from doctor or diabetic point of need. Someone see 'severe' with blood sugar 64mg/dl and go to ER, and other stay home even with 38 mg/dl or 32 mg/dl.
So, low blood sugar really prevent us from being enthusiastic to take insulin shots. It is in no one way preventable. This is biggest problem with intensive insulin therapy. 'Conventional' way is more convenient and out of danger. It leads to deeper degeneration of beta cells. So, it is only matter of time when we have to pay price for this convenience. The price we pay is pain, severe pain, and our timeless deaths.
Another downside is weight gain.
Do I really very care I do have 10 pounds more then I do have right now? Only when one is naive and have no understanding what is in the future. With time water retention will take over diabetic life, and there is no way to stop it from developing high edema, extreme weight gain. No any control to stop it. Only blood sugar control can prevent amputation, and kidney and heart failure. So, early or late, diabetic must take blood sugar under control. If it is early then it is easier. When it is late, it can be too late.
Tight Blood Sugar Control is more expensive then convenient therapy.
If diabetic start to take insulin early, as soon as one diagnosed with diabetes, then dose of insulin, long acting insulin lantus solo start would be lower, not so high, and most health care companies will cover this spending. Even diabetic can pay for insulin supply. It is one box about $400 for 5 pens 300 units every pen. Diabetics type 1 take less then 50 units daily. So, one pen for the week of insulin therapy. One box for the month. Diabetics type 2 can be good with 20 units daily.
Do your math if you wish.
Can Diabetes Complications Be Prevented?
With intensive Insulin Therapy, when blood sugar was under tight control, meaning as closer to the normal, non diabetic level as it is possible, the outcome of study were:
eye complications reduced to 76%;
kidney complications reduced to 56%;
nerve problem reduced up to 60%.
Study did not have data how it reduced heart and stroke risk.
So, it is very easy to see, the benefits are obvious.
First question, why do not take the risk of tight blood sugar control?
Why studies were stopped one year early then they were planned?
How to take blood sugar under tight control?
What medicine used in study to study tight blood sugar control?
It was insulin. Studies were started in 1980 and stopped in 1993. It is DCCT studies, Diabetes Control and Complications Trial. Volunteers were divided on two groups:
'conventional' diabetes management with one or two injections of insulin every day, blood sugar readings once a day, dietary education, and clinic 4 times a year.
'intensive therapy' with four or more insulin injections daily, insulin dose adjustment according to the blood sugar readings, diabetes education program, and monthly medical visits.
What is downside of insulin intensive therapy?
severe low blood sugar.
Severe meaning, it was in need for outside help, or ER visit. Well, I can say about ER visit. I was in ER with stroke. I was discharged a few hours late with diagnose 'hypoglycemia'. I will trust that really it was severe low sugar of I will see the number. Otherwise, how it can be 'severe' depend from doctor or diabetic point of need. Someone see 'severe' with blood sugar 64mg/dl and go to ER, and other stay home even with 38 mg/dl or 32 mg/dl.
So, low blood sugar really prevent us from being enthusiastic to take insulin shots. It is in no one way preventable. This is biggest problem with intensive insulin therapy. 'Conventional' way is more convenient and out of danger. It leads to deeper degeneration of beta cells. So, it is only matter of time when we have to pay price for this convenience. The price we pay is pain, severe pain, and our timeless deaths.
Another downside is weight gain.
Do I really very care I do have 10 pounds more then I do have right now? Only when one is naive and have no understanding what is in the future. With time water retention will take over diabetic life, and there is no way to stop it from developing high edema, extreme weight gain. No any control to stop it. Only blood sugar control can prevent amputation, and kidney and heart failure. So, early or late, diabetic must take blood sugar under control. If it is early then it is easier. When it is late, it can be too late.
Tight Blood Sugar Control is more expensive then convenient therapy.
If diabetic start to take insulin early, as soon as one diagnosed with diabetes, then dose of insulin, long acting insulin lantus solo start would be lower, not so high, and most health care companies will cover this spending. Even diabetic can pay for insulin supply. It is one box about $400 for 5 pens 300 units every pen. Diabetics type 1 take less then 50 units daily. So, one pen for the week of insulin therapy. One box for the month. Diabetics type 2 can be good with 20 units daily.
Do your math if you wish.
via Ravenvoron
Day-by-Day. April 24, 2017
Sugar is 95 mg/dl.
Right now I took 67 units of Lantus Solo Star.
Also I take a huge number of Excedrin. I still do not have blood thinner, only Plavix 79 mg a day. It is not enough, so my wounds still leaking, and there is no end for this complication. Now I took another way. I started to take Excedrin in big quantities. Excedrin is the same as blood thinner, but it does not work to prevent heart attacks and strokes. What really would prevent that complications? If there is something available, I still do not have it.
I do not give any advice to any one. It is only one I repeat all the time, use your own brain, and keep it as clean as you can without being washed. Does my way work for someone else? How do I know it? I do not. And I have no one attention to get this info. All what I want, just survive, and have my life. No any education to anyone.
So, I take big number of Excedrin right now. Excedrin helped me many many times. I take it about 20 years by now. I do not have addiction to Excedrin. I do not take it when I do not have pain, headache. Headache come when clot is formed, and it start to block blood supplu. In this time I hardly able to breath, very short in breath, cannot walk out of home. Even trip around home is long hike. I do have places to seat all around where I can be. Usually it is important to set when someone ring to door. So, there is plastic chair. We use this chairs on camp, more then 5 years by now. Still good and works well.
Now it is two month till wounds started to develop. They still leaking. Yellow liquid run out of opened wounds on my leg, left one, and run down to the foot. All leg without skin. Skin melted. Without proper care flesh would melt too. Then it is amputation. In one post someone posted how he come to medical clinic and doctor said they will amputate his leg right now. My Goodness, why people so cruel! Why he spread this stupid fake?
My case closed. There is no wound care supply, never was, never will be. I left for myself. I have to fight to still alive. I wonder, did I do something wrong? I have to accept what I was told, and follow doctors and nurse directions. DO I? If I do what it would be?
In hospital I did have no choice by be under these directions, and what? Did I get better? Not at all. If I follow these directions what would be the next? Sugar will out of any control, and I would not be able to survive. It is like snow ball, more and more uncontrolled complications will follow. Do I really need them? I do not think so.
So today I take countless number of Excedrin, and try to survive. At least we can have our old t-shirts to be cut into long bandage. Probably I would be able to stop this complication, and finally water will go out in traditional way. At least right now it is not so painful, does not looks like I got cold, or infection in urinary tract. Also output increased a little bit. It is not so miserable as it was all this time. It is almost normal.
Many times i was suggested to take diuretics. I refuse. I do know very well, it is not medicine which will help me to survive. well, probably I will lose weight, and I do not care for this benefits. I am looking in long term. So, despite very severe edema I still out of diuretics. Today lungs are less noisy then usual. Also I can walk, and it is even not so painful.
We can see many obese people with very fatty part of the body hung on out like fatty sacks. What we do think, it is fat. Partially, yes, it is fat. But it is water, diabetics type 2 water retention. It was noted long time before our medical outcry that diabetes type 2 caused by obesity. Diabetics type 2 cannot stop to make water, and this water does not go out in traditional way. So, it hang out in big sacks, and stay.
If one is so interested one can check up, what is the treatment options for diabetic type 2 to prevent kidney failure? Diuretics. Diuretics is part of treatment for kidney failure, heart failure, BP, high blood sugar, and so so on. It is short way to line in Death Row, regardless it is MI. Stroke, or any other complications. There is no other options to prevent kidney from being damaged. If I am wrong then why this medicine is out of my list? I wish I do have it.
I do not see any way to stop wounds from being developed. I need blood thinner, and doctors refuse to Rx it. Every time I am in hospital I do have Heparin. It works for me very well, and I am free from headache. Also wounds started to get dry. After I was discharged from hospital there is no blood thinners. Wounds started to leak, and headache returned. Together with chest pain.
In discharge papers there is direction that if I do have ... I have to call 911, or return to ER. Sorry, I was discharged in this condition, so what is new after discharge? Nothing.
Right now I think I have to return to ER. But really, what it would be looks like?
No hope. No way to go.
Right now I took 67 units of Lantus Solo Star.
Also I take a huge number of Excedrin. I still do not have blood thinner, only Plavix 79 mg a day. It is not enough, so my wounds still leaking, and there is no end for this complication. Now I took another way. I started to take Excedrin in big quantities. Excedrin is the same as blood thinner, but it does not work to prevent heart attacks and strokes. What really would prevent that complications? If there is something available, I still do not have it.
I do not give any advice to any one. It is only one I repeat all the time, use your own brain, and keep it as clean as you can without being washed. Does my way work for someone else? How do I know it? I do not. And I have no one attention to get this info. All what I want, just survive, and have my life. No any education to anyone.
So, I take big number of Excedrin right now. Excedrin helped me many many times. I take it about 20 years by now. I do not have addiction to Excedrin. I do not take it when I do not have pain, headache. Headache come when clot is formed, and it start to block blood supplu. In this time I hardly able to breath, very short in breath, cannot walk out of home. Even trip around home is long hike. I do have places to seat all around where I can be. Usually it is important to set when someone ring to door. So, there is plastic chair. We use this chairs on camp, more then 5 years by now. Still good and works well.
Now it is two month till wounds started to develop. They still leaking. Yellow liquid run out of opened wounds on my leg, left one, and run down to the foot. All leg without skin. Skin melted. Without proper care flesh would melt too. Then it is amputation. In one post someone posted how he come to medical clinic and doctor said they will amputate his leg right now. My Goodness, why people so cruel! Why he spread this stupid fake?
My case closed. There is no wound care supply, never was, never will be. I left for myself. I have to fight to still alive. I wonder, did I do something wrong? I have to accept what I was told, and follow doctors and nurse directions. DO I? If I do what it would be?
In hospital I did have no choice by be under these directions, and what? Did I get better? Not at all. If I follow these directions what would be the next? Sugar will out of any control, and I would not be able to survive. It is like snow ball, more and more uncontrolled complications will follow. Do I really need them? I do not think so.
So today I take countless number of Excedrin, and try to survive. At least we can have our old t-shirts to be cut into long bandage. Probably I would be able to stop this complication, and finally water will go out in traditional way. At least right now it is not so painful, does not looks like I got cold, or infection in urinary tract. Also output increased a little bit. It is not so miserable as it was all this time. It is almost normal.
Many times i was suggested to take diuretics. I refuse. I do know very well, it is not medicine which will help me to survive. well, probably I will lose weight, and I do not care for this benefits. I am looking in long term. So, despite very severe edema I still out of diuretics. Today lungs are less noisy then usual. Also I can walk, and it is even not so painful.
We can see many obese people with very fatty part of the body hung on out like fatty sacks. What we do think, it is fat. Partially, yes, it is fat. But it is water, diabetics type 2 water retention. It was noted long time before our medical outcry that diabetes type 2 caused by obesity. Diabetics type 2 cannot stop to make water, and this water does not go out in traditional way. So, it hang out in big sacks, and stay.
If one is so interested one can check up, what is the treatment options for diabetic type 2 to prevent kidney failure? Diuretics. Diuretics is part of treatment for kidney failure, heart failure, BP, high blood sugar, and so so on. It is short way to line in Death Row, regardless it is MI. Stroke, or any other complications. There is no other options to prevent kidney from being damaged. If I am wrong then why this medicine is out of my list? I wish I do have it.
I do not see any way to stop wounds from being developed. I need blood thinner, and doctors refuse to Rx it. Every time I am in hospital I do have Heparin. It works for me very well, and I am free from headache. Also wounds started to get dry. After I was discharged from hospital there is no blood thinners. Wounds started to leak, and headache returned. Together with chest pain.
In discharge papers there is direction that if I do have ... I have to call 911, or return to ER. Sorry, I was discharged in this condition, so what is new after discharge? Nothing.
Right now I think I have to return to ER. But really, what it would be looks like?
No hope. No way to go.
via Ravenvoron
Summer, fall or wint
Summer, fall or winter pies and fruit crisp taste great any time of the year. Pies can be diabetic-friendly too, with recipes for strawberry, chocolate, pecan, lemon and berry. For more diabetic-friendly desserts visit diabeticconnect.com #dessert #diabetesdiet
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This Blackberry Cust
This Blackberry Custard Pie is such a pretty dessert. With a press in pie crust & blender custard it has just 10 minutes of prep time. Low Carb THM S via @Joy Filled Eats
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Diet that can help y
Diet that can help you avoid or even reverse Type 2 diabetes revealed | Daily Mail Online
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Sugar-free Granola B
Sugar-free Granola Bars – Kind Bar Recipe Copycat (Low Carb, Paleo) - Want to know how to make homemade Kind Bars? Try this Kind Bar recipe copycat. They're the easiest low carb, gluten-free, sugar-free granola bars ever.
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Take a look at the 2
Take a look at the 20 Best Low Carb Sugar Free Ice Cream Recipes. There are even dairy fry options too. All low carb, gluten free, no added sugar and nutritious and healthy. #lowcarb #sugarfree | ditchthecarbs.com
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Sunday, 23 April 2017
Day-by-Day. April 23, 2017
Severe pain in left leg. It is itching and wet. It is all the time presented that diabetics type 2 wound do not heal. Say me, how they suppose to heal? What is difference between diabetic type 2 and wounded warrior? Nothing. Leave warrior without wound care and he will die because of his wound would not heal. What about diabetic type 2? Do we have wound care? Show me if we do. I still not able to find it.
In every military hospital there is wound care so warriors wounds can be under proper care. The dressing changing every day, if not a few times daily. There are supply, and wound care medicine. There is no such things for diabetics type 2. Diabetic type 2 wounds come out from withing. The dressing get wet soon after it changed. There is no medicine to put on wounds. There is no any medicine to treat medical condition, just no medicine. For hundreds years there is no any medicine to prevent amputations.
There are a lot of programs and education sessions how to prevent diabetes type 2, what to eat, how often take a walk or any activity. In every hospital there are wounded diabetics type 2 under wet blankets with open wounds, under IV to kill pain. No one pain killer make wound dry, or heal them. But it give perfect reason to discharge diabetic "with improved condition". No one of us healed. Wounded and painless we discharged under care of loved one, just away from public attention. Otherwise there wound be too many of us in hospitals. Probably, if there would not be 'improved condition' then our wounds would be healed. But who really need it? Discharged from public attention we rotten at home, or in hospice, or in nursing homes.
There is no one attention from public, or from media, from press or from political power. The money put into medical care pockets, and .... really why do they need to care after that? They do not. I could stay in hospital. The reason, what I need hospital for? I do not need hospital stay, I need to safe my legs. Today it is still possible. Tomorrow it would be too late. The same as it is with diabetes, with blood sugar high numbers.When numbers are not so high we have only one option, life style modifications. we have to watch diet and work outs. Time go, and our blood clotting. Put sugar into any juice and see what will happen when you elevate temperature of juice. It became syrup. Eliminate water from it, and you will have perfect gel. This is treatment for our blood.
too sad day today. pain and dirty dressings on my wounds. If I will try to take then off wound care clinic would not take care for my wounds anymore. When I try to keep it, flesh goes out. There is no skin anymore, all vanished. Not it is time for flesh. It started to get smelly.
In every military hospital there is wound care so warriors wounds can be under proper care. The dressing changing every day, if not a few times daily. There are supply, and wound care medicine. There is no such things for diabetics type 2. Diabetic type 2 wounds come out from withing. The dressing get wet soon after it changed. There is no medicine to put on wounds. There is no any medicine to treat medical condition, just no medicine. For hundreds years there is no any medicine to prevent amputations.
There are a lot of programs and education sessions how to prevent diabetes type 2, what to eat, how often take a walk or any activity. In every hospital there are wounded diabetics type 2 under wet blankets with open wounds, under IV to kill pain. No one pain killer make wound dry, or heal them. But it give perfect reason to discharge diabetic "with improved condition". No one of us healed. Wounded and painless we discharged under care of loved one, just away from public attention. Otherwise there wound be too many of us in hospitals. Probably, if there would not be 'improved condition' then our wounds would be healed. But who really need it? Discharged from public attention we rotten at home, or in hospice, or in nursing homes.
There is no one attention from public, or from media, from press or from political power. The money put into medical care pockets, and .... really why do they need to care after that? They do not. I could stay in hospital. The reason, what I need hospital for? I do not need hospital stay, I need to safe my legs. Today it is still possible. Tomorrow it would be too late. The same as it is with diabetes, with blood sugar high numbers.When numbers are not so high we have only one option, life style modifications. we have to watch diet and work outs. Time go, and our blood clotting. Put sugar into any juice and see what will happen when you elevate temperature of juice. It became syrup. Eliminate water from it, and you will have perfect gel. This is treatment for our blood.
too sad day today. pain and dirty dressings on my wounds. If I will try to take then off wound care clinic would not take care for my wounds anymore. When I try to keep it, flesh goes out. There is no skin anymore, all vanished. Not it is time for flesh. It started to get smelly.
via Ravenvoron
Diabetes & Flaxseed.
Diabetes & Flaxseed. We believe in Natural Health as it Gives Your Body the Tools to Rebuild and Rebalance like: www.BeBlessedWith...
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Low Carb Chicken Enc
Low Carb Chicken Enchilada Casserole - easy and delish way to enjoy enchiladas on a low carb or keto diet. It's based off the America's Test Kitchen Chicken Enchiladas so you know it's good! www.730sagestreet...
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The ultimate sugar-f
The ultimate sugar-free SOFT SERVE! Jazz it up with some chocolately crunch and syrup. . . and you've got a 5-minute dessert to die for. #vegan, #glutenfree, refined #sugarfree Ricki Heller
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via Taylor
Saturday, 22 April 2017
Diabetic type 2 wounds development from April 1 to April 22. April 23, 2017
April 2, 2017.
142 mg/dl fasting sugar. It is high for fasting, but it is reasonable. In hospital there were no one shot of insulin, so sugar started to get out of any control.
For April 1, 2017 I injected 280 units.
April 2, 2017 it is 326 units of insulin Lantus Solo Star.
There is noise in lungs. In hospital I was under mask and with Oxygen. At home I do not have Oxygen, so I just use Bi Pop. But it is too difficult to sleep with mask and long nose. It is constant pain in both legs, so I toss on bed. Also all my body covered by rash. It is itchy, and I have to deal with it somehow. In other words, I just found myself with long nose swing around my neck. WOW! Also it was too cold. My man covered me with all comfortes we do have in our home, still it was too cold.
Kidney almost do not discharge urine, so water stay in body between cells. Very severe edema. Plus Allergy.
From first look seems that wounds started to get better and started to heal. At least this was what I thought. The skin was dry, no leak from wounds.
It was not for long. Soon leak returned, and pain increased.
At that time nurse come to visit. She was good nurse, and I was happy to have her. Now I did have home aide and nurse visits to take care for my legs. She also ordered wound care supply.
My happiness vanished right to a few days after. Home aide did not do any aide. She just walked away to go for a walk, and took my coffee. I asked her that I need laundry to be done. It was too much work for her. She had phone calls all hours she was in my home. I started to worry, who is she? She did not show her ID.
At the same day another nurse come. She did wright down all medicine I take, and I take a lot, it is time to wright it down. Then her time was over.
"What about dressing?" - I asked when she was going out.
"I do not do dressing. See, it is not in my task."
Next day she called I said, I do not need to see her in my home. Is there some reason for her to come? I did not see any benefits from her visit.
About wound care supply also interesting. There still no supply. So, my man dress my legs in old t-shirts he cut in long strips.
April 5, 2017
79 mg/dl. 287 units lantus solo star.
First time in wound care clinic.
Decompression band both legs. Before I got home all dressing was wet. My man changed them. Next day we went back to clinic. They were very disappointed that I took off all dressings. They said, if I will do it again they cannot help me. So, both legs were put on decompressing bandage again.
Bandage on both legs was good. Pin started to get easy. Bandage dry, not grizzly.
I almost got happy. It was seems that wounds started to heal, and only time what I need now.
Then pain returned. Very severe, like it was burning from inside out, like there is torch inside burn way to go out. I put off all dressings. What I do think, it is really wrong to leave wound dressing for the full week on the wounds like mine. At first it is OK, and next day pain start to go away. But at the end of the week all dressings are dirty, wet, and sticky. When bandage like that stay on wounds it is no longer healing but infection and flesh eating. Wounds develop smell, like it is rotten meat. For full weak there is no cleaning, no washing. Only dirty bandage on the leaking wounds. Say me, if this really good wound care? Now I feel it is not only skin go out, but flesh started to melt.
This time my man washed all wounds. All old skin was removed. leg is clean and dry. It is pain, severe pain. There must be some medicine applied to prevent skin from getting tight. I do not have this medicine, do not know which one to use. It is very danger to apply something. If it is wrong I can get infection, and Safe Me God! But skin tightened, and there is not only no medicine to apply, but no any medical supply, no any wound care. Only old t-shirts cut into long bandage.
It is easy to see that leg started to get skinny from the bottom to the up. Decompression works. But really, why do not do it two times daily? It is very severe wound development. With proper care edema can be eased. Without proper wound care I will finally lost my leg.
There was call from therapist he will come to improve my activity. LOL! I do not have any words to say.
This side is most painful. I hardly able to take this pain when my man clean the skin.He is very patient, very careful. But even very light touch leads to pain.
OK, today is April 23, 2017.
Both legs are in pain and it is leak from both of them. If it was only right leg effected then today first time both legs are effected and leak from both legs.
I consider to go back to ER, but what I will get there? They even would not admit me to hospital because of I am too difficult patient. I am not healthy, I am very ill.
I am not so ill as I do see it. All what I need just proper medicine. But proper medicine is danger. Medical providers do not like to Rx it. For long time I tried to get insulin, and it took 10 years to break this barrier. Now I am sure I need coumadin, blood thinner. This medicine lead to the bleeding. Without coumadin cloths never will stop to develop and finally once they will kill me. Also I need Diovan to protect kidney. There is no tests to check up kidney. Yes, this is all the time blood test for kidney function. And what after? Nothing.Does my kidney work> of cause not. If kidney were in good condition water would go out. It stay in body. It try to get out though to skin. This is why there are so many wounds on legs, and soon they would start to develop on the belly, and in another parts of the body.
Today my legs can be saved. All what I need just good medical care. There is no good medical care in America, in NYC. Try to get into ER and see how many of us on beds with legs like mine. We all do have the same treatment. Just "Are you mind to go home?" I do not mind. I just cannot walk.
142 mg/dl fasting sugar. It is high for fasting, but it is reasonable. In hospital there were no one shot of insulin, so sugar started to get out of any control.
For April 1, 2017 I injected 280 units.
April 2, 2017 it is 326 units of insulin Lantus Solo Star.
There is noise in lungs. In hospital I was under mask and with Oxygen. At home I do not have Oxygen, so I just use Bi Pop. But it is too difficult to sleep with mask and long nose. It is constant pain in both legs, so I toss on bed. Also all my body covered by rash. It is itchy, and I have to deal with it somehow. In other words, I just found myself with long nose swing around my neck. WOW! Also it was too cold. My man covered me with all comfortes we do have in our home, still it was too cold.
Kidney almost do not discharge urine, so water stay in body between cells. Very severe edema. Plus Allergy.
From first look seems that wounds started to get better and started to heal. At least this was what I thought. The skin was dry, no leak from wounds.
It was not for long. Soon leak returned, and pain increased.
At that time nurse come to visit. She was good nurse, and I was happy to have her. Now I did have home aide and nurse visits to take care for my legs. She also ordered wound care supply.
My happiness vanished right to a few days after. Home aide did not do any aide. She just walked away to go for a walk, and took my coffee. I asked her that I need laundry to be done. It was too much work for her. She had phone calls all hours she was in my home. I started to worry, who is she? She did not show her ID.
At the same day another nurse come. She did wright down all medicine I take, and I take a lot, it is time to wright it down. Then her time was over.
"What about dressing?" - I asked when she was going out.
"I do not do dressing. See, it is not in my task."
Next day she called I said, I do not need to see her in my home. Is there some reason for her to come? I did not see any benefits from her visit.
About wound care supply also interesting. There still no supply. So, my man dress my legs in old t-shirts he cut in long strips.
April 5, 2017
79 mg/dl. 287 units lantus solo star.
First time in wound care clinic.
Decompression band both legs. Before I got home all dressing was wet. My man changed them. Next day we went back to clinic. They were very disappointed that I took off all dressings. They said, if I will do it again they cannot help me. So, both legs were put on decompressing bandage again.
Bandage on both legs was good. Pin started to get easy. Bandage dry, not grizzly.
I almost got happy. It was seems that wounds started to heal, and only time what I need now.
Then pain returned. Very severe, like it was burning from inside out, like there is torch inside burn way to go out. I put off all dressings. What I do think, it is really wrong to leave wound dressing for the full week on the wounds like mine. At first it is OK, and next day pain start to go away. But at the end of the week all dressings are dirty, wet, and sticky. When bandage like that stay on wounds it is no longer healing but infection and flesh eating. Wounds develop smell, like it is rotten meat. For full weak there is no cleaning, no washing. Only dirty bandage on the leaking wounds. Say me, if this really good wound care? Now I feel it is not only skin go out, but flesh started to melt.
This time my man washed all wounds. All old skin was removed. leg is clean and dry. It is pain, severe pain. There must be some medicine applied to prevent skin from getting tight. I do not have this medicine, do not know which one to use. It is very danger to apply something. If it is wrong I can get infection, and Safe Me God! But skin tightened, and there is not only no medicine to apply, but no any medical supply, no any wound care. Only old t-shirts cut into long bandage.
It is easy to see that leg started to get skinny from the bottom to the up. Decompression works. But really, why do not do it two times daily? It is very severe wound development. With proper care edema can be eased. Without proper wound care I will finally lost my leg.
There was call from therapist he will come to improve my activity. LOL! I do not have any words to say.
This side is most painful. I hardly able to take this pain when my man clean the skin.He is very patient, very careful. But even very light touch leads to pain.
OK, today is April 23, 2017.
Both legs are in pain and it is leak from both of them. If it was only right leg effected then today first time both legs are effected and leak from both legs.
I consider to go back to ER, but what I will get there? They even would not admit me to hospital because of I am too difficult patient. I am not healthy, I am very ill.
I am not so ill as I do see it. All what I need just proper medicine. But proper medicine is danger. Medical providers do not like to Rx it. For long time I tried to get insulin, and it took 10 years to break this barrier. Now I am sure I need coumadin, blood thinner. This medicine lead to the bleeding. Without coumadin cloths never will stop to develop and finally once they will kill me. Also I need Diovan to protect kidney. There is no tests to check up kidney. Yes, this is all the time blood test for kidney function. And what after? Nothing.Does my kidney work> of cause not. If kidney were in good condition water would go out. It stay in body. It try to get out though to skin. This is why there are so many wounds on legs, and soon they would start to develop on the belly, and in another parts of the body.
Today my legs can be saved. All what I need just good medical care. There is no good medical care in America, in NYC. Try to get into ER and see how many of us on beds with legs like mine. We all do have the same treatment. Just "Are you mind to go home?" I do not mind. I just cannot walk.
via Ravenvoron
Diabetes type 2 controlled? cured? present? not diagnosed? April 22, 2017
It is so interesting, how to find out if diabetes type 2 cured? or it is controlled with diet and work out? or one never was diabetic in first place?
According to the ADA diagnose of diabetes based on level of sugar. Any type of diabetes. Diagnose of type of diabetes, if it is type 1, type 2, LADA, MODY, Idiopathic, or any other types I do not know yet, based on what test? I do not know about other diabetics type 2, but for myself it is all the time level of sugar in blood taken into diagnose do I have diabetes or not.
Now, to see if treatment does work or doesn't we have to see how diabetes progress or stabilized or started to cure. What is the treatment for diabetes type 2 which work in direction to cure, or at least to prevent diabetes from being progressive? No one so far. Proof? Take a look at the AstraZeneca, what they suggest how to treat diabetes type 2. If one oral agent does not work then add another one, and then add another one, and so so on. Also it is easy to see that diabetes type 2 is progressive medical condition. If so then why do not take a look at the treatment diabetics type 2 do have?
Diabetics type 1 in contrary do not progress so fast to the fatally high level of sugar if they take insulin and keep blood sugar under control with insulin dose titrating. This flexibility does not work for diabetics type 2. We have to take oral agents, and there is no way to effect to the dose of treatment regarding the level of sugar in blood. SU will decrease level of sugar, lead to low blood sugar episodes, but diabetics type 2 have no one education from doctor what to do with this condition, insulin effect. We do not take insulin, so we cannot have insulin effect. But SU is medicine which effect natural insulin secretion, and as a result of this effect the level of sugar drops in blood stream of diabetic type 2. Diabetics type 2 do have insulin effect with SU even we do not take insulin in injections. In spite of any fact that level of sugar effected by many many factors, medical education only present how to effect it with carb counting. There is no effect of weather, or season, or any medical condition, stress, or simple grow, in contrary with fact that all these conditions have higher effect on blood sugar level of diabetics then any eating diets.
Another interesting point is, insulin effect level of sugar regardless of the type of diabetes, if it is type 1, type 2, LADA, MODY, or Idiopathic type of diabetes. In contrary, oral agents all developed to treat diabetics type 2 only. Even lovely dog would be treated with insulin, but dog's master will take SU or Metformin and Invokana. So, it is logical to suggest to Rx insulin to diabetics type 2 and see if insulin will effect medical system and public spending on medical bills.
ADA published that in 2013 cost of diabetes $245 billion, compare with $174 Billion in 2007. So, in 2023 the spending would be more then $294 billions. Now the question is, would Medical Syndicate happy to lost this profit? So, would diabetics type 2 do have Insulin in 2023? I am not sure about it. It is too much to lose.
Of cause, I have to prove this statement. If so then take a look at the ER discharge charts. If diabetic type 2 come to ER with blood sugar level 400 mg/dl would be this diabetic discharged from ER at the end of the day, or diabetic type 2 would be admitted to the hospital? Good question, but think twice before answer to it. Answered in most time wrong. Only medical care do know the answer when it is right. That's right, diabetic type 2 would be discharged from ER and in no one way would be admitted in hospital. Why? It is every ill person. Diabetic need treatment, and there is no one way that Barking Therapy will reduce level of sugar in diabetic type 2 blood.
Diabetic type 2 would be given 4 units Nivolog, fast acting type of insulin. Blood sugar would drop from 400 mg/dl down to more then 200 mg/dl. So, with treatment, only one shot of rapid acting insulin Novolog there would be very effective improvement in diabetic type 2 medical condition. Most important part is to discharge victim of Perfect Crime less then 2 hours after the shot. Less then 2 hours after the shot blood sugar will start to rise, and then what? Really, then what? So, discharge papers would be ready before insulin stopped to work and blood sugar increased. Naive diabetic has no one idea what tricks medical care play. We even think we did have treatment which improved our medical condition.
Not the question is, if only one shot of insulin effect so dramatically then what if all treatment for diabetics type 2 would be based on insulin rather then on Trash Medicine and Barking Therapy? That's right, there would not be $294 billions on public medical spending. There in nothing about eating, or health, or life style of diabetics type 2, or anything brain washing propaganda push on TV and air. It is all about money, and life style of Medical Care and Political Power. This life style is expensive.
According to the ADA diagnose of diabetes based on level of sugar. Any type of diabetes. Diagnose of type of diabetes, if it is type 1, type 2, LADA, MODY, Idiopathic, or any other types I do not know yet, based on what test? I do not know about other diabetics type 2, but for myself it is all the time level of sugar in blood taken into diagnose do I have diabetes or not.
Now, to see if treatment does work or doesn't we have to see how diabetes progress or stabilized or started to cure. What is the treatment for diabetes type 2 which work in direction to cure, or at least to prevent diabetes from being progressive? No one so far. Proof? Take a look at the AstraZeneca, what they suggest how to treat diabetes type 2. If one oral agent does not work then add another one, and then add another one, and so so on. Also it is easy to see that diabetes type 2 is progressive medical condition. If so then why do not take a look at the treatment diabetics type 2 do have?
Diabetics type 1 in contrary do not progress so fast to the fatally high level of sugar if they take insulin and keep blood sugar under control with insulin dose titrating. This flexibility does not work for diabetics type 2. We have to take oral agents, and there is no way to effect to the dose of treatment regarding the level of sugar in blood. SU will decrease level of sugar, lead to low blood sugar episodes, but diabetics type 2 have no one education from doctor what to do with this condition, insulin effect. We do not take insulin, so we cannot have insulin effect. But SU is medicine which effect natural insulin secretion, and as a result of this effect the level of sugar drops in blood stream of diabetic type 2. Diabetics type 2 do have insulin effect with SU even we do not take insulin in injections. In spite of any fact that level of sugar effected by many many factors, medical education only present how to effect it with carb counting. There is no effect of weather, or season, or any medical condition, stress, or simple grow, in contrary with fact that all these conditions have higher effect on blood sugar level of diabetics then any eating diets.
Another interesting point is, insulin effect level of sugar regardless of the type of diabetes, if it is type 1, type 2, LADA, MODY, or Idiopathic type of diabetes. In contrary, oral agents all developed to treat diabetics type 2 only. Even lovely dog would be treated with insulin, but dog's master will take SU or Metformin and Invokana. So, it is logical to suggest to Rx insulin to diabetics type 2 and see if insulin will effect medical system and public spending on medical bills.
ADA published that in 2013 cost of diabetes $245 billion, compare with $174 Billion in 2007. So, in 2023 the spending would be more then $294 billions. Now the question is, would Medical Syndicate happy to lost this profit? So, would diabetics type 2 do have Insulin in 2023? I am not sure about it. It is too much to lose.
Of cause, I have to prove this statement. If so then take a look at the ER discharge charts. If diabetic type 2 come to ER with blood sugar level 400 mg/dl would be this diabetic discharged from ER at the end of the day, or diabetic type 2 would be admitted to the hospital? Good question, but think twice before answer to it. Answered in most time wrong. Only medical care do know the answer when it is right. That's right, diabetic type 2 would be discharged from ER and in no one way would be admitted in hospital. Why? It is every ill person. Diabetic need treatment, and there is no one way that Barking Therapy will reduce level of sugar in diabetic type 2 blood.
Diabetic type 2 would be given 4 units Nivolog, fast acting type of insulin. Blood sugar would drop from 400 mg/dl down to more then 200 mg/dl. So, with treatment, only one shot of rapid acting insulin Novolog there would be very effective improvement in diabetic type 2 medical condition. Most important part is to discharge victim of Perfect Crime less then 2 hours after the shot. Less then 2 hours after the shot blood sugar will start to rise, and then what? Really, then what? So, discharge papers would be ready before insulin stopped to work and blood sugar increased. Naive diabetic has no one idea what tricks medical care play. We even think we did have treatment which improved our medical condition.
Not the question is, if only one shot of insulin effect so dramatically then what if all treatment for diabetics type 2 would be based on insulin rather then on Trash Medicine and Barking Therapy? That's right, there would not be $294 billions on public medical spending. There in nothing about eating, or health, or life style of diabetics type 2, or anything brain washing propaganda push on TV and air. It is all about money, and life style of Medical Care and Political Power. This life style is expensive.
The American Diabetes Association (Association) released new research on March 6, 2013 estimating the total costs of diagnosed diabetes have risen to $245 billion in 2012 from $174 billion in 2007, when the cost was last examined. - See more at: http://ift.tt/2p3rFCo
via Ravenvoron
Friday, 21 April 2017
Diabetic type 2 wounds development from March 3 to March 29, 2017. April 21, 2017
March 3, 2017.
The wounds started to develop. It is not so much pain, but a lot of discomfort. Yellow liquid leak through opened hols, and drops down to the foot. I was not so much concerned about this discomfort, but started to cover wounds with bandage done from old t-shirts.
136 mg/dl fasting 260 units lantus solo star.
I am dizzy, light headed. But still I was able to tame mail from mail box.
It is right leg. It is just started to get rush and pain and light leak. It is in progress.
I take a lot of Excedrin. Headache. I am very very dizzy. Poor sleep. Hungry.
March 4, 2017
295 mg/dl fasting sugar at 6:51 am. 243 units lantus solo star.
I was not able to sleep well. It was too difficult to breath. Pain in kidney like I do have kidney infection. Very low output. I am home all the time. There is no way I can get cold and infect kidney. The sign is very clear. Pain with urination.
I take a lot of Excedrin. Too much headache, and only Excedrin is available for me to deal with this pain. Thanks God, now the problem on factory fixed and medicine is available for us over the counter.
Shortness of breath increased. Lungs are noisy. Sugar over the 200 mg/dl, closer to 300 mg/dl. Wound dressing get wet almost right after it is changed. New wounds developed, and still develop aggressively. I am very very sleepy.
March 4, 2017
229 mg/dl at 4:52 am
320 units lantus solo star
Very very sleepy. I can sleep all day.
March 27, 2017
73 mg/dl at 5:14 am
303 units of lantus solo star
Very very cold. Very severe edema. Legs are huge, cannot put on any shoe. Fear. Pin. No output.
In the eve we decided to go to hospital to ER.
March 29, 2017
I was not in hospital for long. I developed so severe allergy that all my body was covered by rush. Sugar started to get up and up. They refused to give me any dose of insulin. There were a lot of painkillers, and I am allergic to this medicine.
At the same time there were no good care for my leg. Nurse put on dressing, and these dressings got wet and fall away right after she put them in.
I do not remember when last time I took shower There is no any cleaning for me or for wounds. Even healthy person cannot stay out of washing for long time. What about sick person? No any cleaning, no shower, no washing, no insulin, no decompressing dressing or decompressing socks.
Really, what I was doing in hospital? Why I am there?
This is how my legs looks after hospital. I was discharged with improvements. If anyone can see any improvements in my condition then one has very good ability to see. I am diabetic type 2. I do have problem with vision. I do not see any improvements. Probably because of in hospital I was under pressure of painkillers, so there was less pain then at home. Also in hospital I could not see myself, so I did not see rush on my body, and I did not see the condition of my legs. At home my man took pictures, and so now I can see what is going on. Still, I cannot see any progress in treatment, no any hope that I will get better soon.
Today it is April 21, 2017. My wounds still leaking. Pain still burn. Skin meted and now there is no skin on my left leg. There still no new skin, and pain still be sometimes very difficult to tolerate.
The wounds started to develop. It is not so much pain, but a lot of discomfort. Yellow liquid leak through opened hols, and drops down to the foot. I was not so much concerned about this discomfort, but started to cover wounds with bandage done from old t-shirts.
136 mg/dl fasting 260 units lantus solo star.
I am dizzy, light headed. But still I was able to tame mail from mail box.
It is right leg. It is just started to get rush and pain and light leak. It is in progress.
I take a lot of Excedrin. Headache. I am very very dizzy. Poor sleep. Hungry.
March 4, 2017
295 mg/dl fasting sugar at 6:51 am. 243 units lantus solo star.
I was not able to sleep well. It was too difficult to breath. Pain in kidney like I do have kidney infection. Very low output. I am home all the time. There is no way I can get cold and infect kidney. The sign is very clear. Pain with urination.
I take a lot of Excedrin. Too much headache, and only Excedrin is available for me to deal with this pain. Thanks God, now the problem on factory fixed and medicine is available for us over the counter.
Shortness of breath increased. Lungs are noisy. Sugar over the 200 mg/dl, closer to 300 mg/dl. Wound dressing get wet almost right after it is changed. New wounds developed, and still develop aggressively. I am very very sleepy.
March 4, 2017
229 mg/dl at 4:52 am
320 units lantus solo star
Very very sleepy. I can sleep all day.
March 6, 2017
85 mg/dl
347 units lantus solo star
Sugar started to drop a little bit. Over the 200 mg/dl but stull closer to 200 rather then to 300. It is good.
My man changes dressing, clean wounds as he can. They do not stop to leak.
March 7, 2017
74 mg/dl. 394 units of Lantus solo star. I take five shots of insulin because of dose it too high and I have to split it. Left leg have very low sensitivity, numb. I need time to let it to feel it before I can stand or start to walk. I try to sit, avoid walking because of I do not feel my legs. They no longer able to hold me. I do afraid to lost balance.
It is very severe heat inside, like I do have inflammation. Really I do not have it, but sensation of heat is very high.
99 mg/dl at 6:58 am
303 units of lantus solo star.
My fingers are numb. Hardly able to type.
March 15, 2017
156 mf/dl at 3:37 am
327 units ;lantus solo star
March 17, 2017
82 mg/dl at 6:16 am
325 units lantus solo star
Fingers numb.
At night very severe pain in leg, burning form inside out, like it is torch burn its way out. Very severe pain, happily it is short. Every wounds in pain.
March 18, 2017
263 mg/dl
285 units of lantus solo star.
My man said on the right leg it is looks like the same wounds started to show up. It is just the matter of time when right leg would be in the same condition like left one. Dressing get wet right after it is changed. Severe shortness of breath. I take Nitrostat in countless numbers, just take off pain. It work short time, then pain returns, and I have to take another two tablets. Lungs are very noisy.
127 mg/dl
307 units lantus solo star
Severe pain in back. Almost not possible to walk. Even short distance, frrom my mbedroom to toilet, next door, is long trip, to long to take.
At the same time as it is with kidney infection, it is urging need 'to go'. Output is very very low, only three breath. But need to go frequent and urging.
Dressing very very wet. Wounds not going better, but worse. It started to be very cold. I put on three comforters, still it is cold. Fingers are numb. I hardly able to push button to inject insulin.
March 27, 2017
73 mg/dl at 5:14 am
303 units of lantus solo star
Very very cold. Very severe edema. Legs are huge, cannot put on any shoe. Fear. Pin. No output.
In the eve we decided to go to hospital to ER.
March 29, 2017
I was not in hospital for long. I developed so severe allergy that all my body was covered by rush. Sugar started to get up and up. They refused to give me any dose of insulin. There were a lot of painkillers, and I am allergic to this medicine.
At the same time there were no good care for my leg. Nurse put on dressing, and these dressings got wet and fall away right after she put them in.
I do not remember when last time I took shower There is no any cleaning for me or for wounds. Even healthy person cannot stay out of washing for long time. What about sick person? No any cleaning, no shower, no washing, no insulin, no decompressing dressing or decompressing socks.
Really, what I was doing in hospital? Why I am there?
This is how my legs looks after hospital. I was discharged with improvements. If anyone can see any improvements in my condition then one has very good ability to see. I am diabetic type 2. I do have problem with vision. I do not see any improvements. Probably because of in hospital I was under pressure of painkillers, so there was less pain then at home. Also in hospital I could not see myself, so I did not see rush on my body, and I did not see the condition of my legs. At home my man took pictures, and so now I can see what is going on. Still, I cannot see any progress in treatment, no any hope that I will get better soon.
Today it is April 21, 2017. My wounds still leaking. Pain still burn. Skin meted and now there is no skin on my left leg. There still no new skin, and pain still be sometimes very difficult to tolerate.
via Ravenvoron
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