tiramisu cake rollvia Taylor
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Thursday, 29 June 2017
Wednesday, 28 June 2017
10 Delicious Smoothi
10 Delicious Smoothies for Diabetics. the most popular diabetic smoothie recipes on allnutribulletrec...via Taylor
If you are in need o
If you are in need of a refreshing summer beverage you are in the right place. My fast and easy sugar-free Sparkling Raspberry Soda will hit the spot.via Taylor
By following some si
By following some simple strategies, you can still enjoy the occasional sweet treat in your type 2 diabetes meal plan, guilt-free. Try these tips from Everyday Health.via Taylor
Keep blood sugar lev
Keep blood sugar levels even and hunger at bay with healthy snack options. Here are 10 tasty yet healthy recipes for type 2 diabetes snacks.via Taylor
This Sugar Free Ketc
This Sugar Free Ketchup is the healthiest dip on earth ideal for people on a diabetic diet.via Taylor
Black bottom pie - a
Black bottom pie - a delicious no-bake low carb pie recipe with a chocolate custard and airy chiffon filling.via Taylor
Yes you can have dia
Yes you can have diabetes and eat desserts ! Indulge with those guilt free sugar free dessert for diabetics. Low carb, sugar free, and absolutely delicious !via Taylor
Tuesday, 27 June 2017
Diabetes Technology: 'Fear Not'. Futture artificial pancreas? I do not think so, June 28, 2017
Today I felt like I was pulled 10 years into the future and given the opportunity to practice medicine then. This happened when I started treating my first patient with the Medtronic MiniMed® 670G hybrid closed-loop insulin delivery system.Is this future for diabetes type 1 treatment? I hope it is not. 10 years from now is long way in medicine development. Today diabetes is already number 7 cause of death. Diabetes leads to heart attacks and strokes, myopathy and disabilities. But regardless of wrong treatment and avoidance in early diabetes diagnose which will lead to diabetes cure, diabetics live longer. New generation of diabetics are smart and have info they need to survive. For new generation it will never work that they will take Invokana or Glipizide, Metformin or any other junk medicine which today occupied our medical market. They simple will not take it. So, 10 years after now the understanding of diabetes will be right opposit as it it today.
http://ift.tt/2sl8Pq9
Any treatment start with diagnose. So, the first thing is how diabetes diagnosed now, and how it suppose to be diagnosed? Today diabetes diagnosed according to the level of sugar in blood. It is the same as patient enter to ER and reading of body temperature is high. What is diagnose? If it is not the case with any other medical conditions then why is it with diabetes? Diabetes is pancreas disorder, so diagnose must be made according the condition of pancreas. I hope it is not far away in future and we will be diagnosed accordingly.
There are many guidance how to diagnose diabetes and every one do know it. How type of diabetes diagnosed? Really, when author suggest that a new technology will give new opportunity to treat diabetes type 1, then how diabetes type 1 was diagnosed? Simple, say me how it is today was said, one is diabetic type 2 or type 1? If I come to the new medical office and said I need insulin 300 units, I am diabetic type 1, how doctor will find out, I am really diabetic type 2? There are no tests to diagnose type of diabetes. Any diagnose of any type of diabetes based on the level of sugar in blood. If it will be test how pancreas work then it can be very different types of diabetes, the same as with flu, or cold, or pneumonia, or any other types of inflammations.
This is all to start with. Author has no one idea what is the subject he pretend to introduce as future revolution in medical care.
OK, now let us see, if a new system worth to try.
For many people with type 1 diabetes, life will never be the same. I am hopeful that people with diabetes will be able to sleep at night without fear of "going low," and that they will be able to fully participate in a meeting at their job without peeking under the desk at their CGM tracing. This impact is evident in the fact that 80% of pivotal trial participants asked to stay on the 670G when the trial was over, and 96 of the original 129 participants were still using the 670G a year later.Very dramatic! Nothing true.Just poor author imagination. Yes, we all diabetics regardless type 2 or type 1 in the same situation. Low blood sugar can strike at any time. If so then why it is type 1 diabetics live in fear, and there is no fear for us, type 2 diabetics? What is difference if type 1 diabetic take less then 50 units of insulin, and very often less then 10, and me, 300 units every day? Really, who has low sugar more dangerous? So, it is only speculations, how type 1 diabetics suffer with insulin therapy.
In an instant, I was transformed from physiology expert and disease coach to machine operator. Although Medtronic's report does offer some transparency by telling you the reasons the system goes out of "auto mode" (which it does at various times), it is, at the end of the day, still very much a "black box."So many components! Would this system work? Never. Why? Because of there is no any understanding what is diabetes? Why our pancreas is insufficient in insulin secretion? What wrong with pancreas? System simple does not take any of this marks into consideration. In contrary it is concentrated on the side values such as meal, and algorithm. There are infinite possibilities the system can be wrong. There is very limited possibilities system would be right. If any.
It comprises many components working together in harmony, meaning that when anything goes wrong, there are infinite possible reasons why. Is the sensor bad? Was the blood glucose reading used for calibration off? Was the algorithm wrong in its dosing choice? Is the insulin infusion site no good? Did the patient eat more than she thought she did?
Today, the curtain to the future was peeled back, as I glimpsed an era where algorithms and artificial intelligence will manage our patients, with the doctor serving as the operator—the guide—in this world.This is the point. As doctor author will get machine and provide us with guidance. Is this really what we are, diabetics, will accept? Not new generation of diabetics. The same as doctor they will get own machine if they need, and forget about doctor's guidance and understanding. Together with reimbursement doctor suppose to have. I love this future!!!!!!!!!!!
Some fear that this will reduce our role. And I understand this fear. For a brief moment, I felt a professional impotence, awed at the power of the machine, wondering how I could compete.This will lead to lower public spending on medical bills, and better public health.The ability of medical care to make a new patients would be cut. Simple and Brilliant.
Professional informaticists will remain the experts and be the ones designing and training the systems, but it will no longer be acceptable for a physician not to understand the basics of an algorithm. With closed- loop insulin delivery, for example, we have to ensure that we and our patients still understand how to manage diabetes manually—the "old- fashioned" way—as well as learn how to optimize and troubleshoot the auto mode.Finally. With all that complications of algorithm what is at the end? Diabetic must manage system manually/ If so, then this system needs for what? If I have finally to determine how many units to inject into my belly then why do I need all these calculations? Why do I need something which hung on on my body? I inject insulin even without any readings, simple dose what I need daily, 100 units in the morning, 127 units at 12 pm, and 80 units at the bed time. 307, the one pen a day. I have to keep something handy, such as protein bar, coffee, OJ, or something eatable in case I feel low.
I love simple life. Simple and natural. No, I will not use this system.
via Ravenvoron
Wound Care. June 27, 2017
I do not have picture of my legs today. Yesterday we put on new wrap on my legs, and we did not take pictures. Right now there is no wounds, no drainage, skin clear and nice. Left leg still dark in color, but not that drizzly dirt as it used to be last two years. Skin all grow up new, fresh, clean.
My man still wrap my legs to let them to heal fully. Every time when we stop wrapping, the dark color of skin returns, and if left unwrapped for long time, wounds would be open again. So, my man wrap them. Some day it is every day. Sometimes it is one wrap for a few days. Some wrap holds very good. Other time wrap fall down after a few hours after wrapping. It is all depend on wrap material and bandages.
We do not buy bandage. I make bandage from old t-shirt. It is long, soft, and very comfortable. Also it is free. Very important point to take into consideration. Another point is, that bandage from old t-shirts is softer and when swelling go up it does not hurt so mach as it is in medical bandage. Medical bandage go right into skin, so severe my edema, swelling, and pain is not bearable. The bandage from old t-shirts is soft, and it is only hurt on borders of bandage rather then in all way wide and long.
First my visit to Wound care was in April 6, 2017. Both legs were wrapped, first Unna boot and then wrap. It was so painful that at night I was not able to bear it, and one my leg, left one which was more effected then right one, my man in-wrapped. Next day I returned to the wound clinic and left leg was wrapped another time.I was told I have to keep wrap for full week, otherwise it will not work. So, every week after that I had clinic, wound care clinic. Nurses cleaned all legs, put some medicine on the skin, wrapped with Unna boots, and then with compression wrap. Step by step drainage started to slow down and May 16, 2017 it was my last visit to wound care clinic. Wounds looked be healed.
It was not the case. At the end of the day before night drainage returned, and wounds started to come back. My man took over. He wrapped both my legs. I ordered supply,
My man still wrap my legs to let them to heal fully. Every time when we stop wrapping, the dark color of skin returns, and if left unwrapped for long time, wounds would be open again. So, my man wrap them. Some day it is every day. Sometimes it is one wrap for a few days. Some wrap holds very good. Other time wrap fall down after a few hours after wrapping. It is all depend on wrap material and bandages.
We do not buy bandage. I make bandage from old t-shirt. It is long, soft, and very comfortable. Also it is free. Very important point to take into consideration. Another point is, that bandage from old t-shirts is softer and when swelling go up it does not hurt so mach as it is in medical bandage. Medical bandage go right into skin, so severe my edema, swelling, and pain is not bearable. The bandage from old t-shirts is soft, and it is only hurt on borders of bandage rather then in all way wide and long.
First my visit to Wound care was in April 6, 2017. Both legs were wrapped, first Unna boot and then wrap. It was so painful that at night I was not able to bear it, and one my leg, left one which was more effected then right one, my man in-wrapped. Next day I returned to the wound clinic and left leg was wrapped another time.I was told I have to keep wrap for full week, otherwise it will not work. So, every week after that I had clinic, wound care clinic. Nurses cleaned all legs, put some medicine on the skin, wrapped with Unna boots, and then with compression wrap. Step by step drainage started to slow down and May 16, 2017 it was my last visit to wound care clinic. Wounds looked be healed.
It was not the case. At the end of the day before night drainage returned, and wounds started to come back. My man took over. He wrapped both my legs. I ordered supply,
UNNA-Z Unna Boot Bandage with Zinc and Calamine, 1 Roll, 4”x10yds
two rolls3M Coban Self-Adherent Wrap 1584, 4 inch x 5 yard (100mm x 4,5m), Sterile, Tan (Set of 18/EA)
one box 18 rolls.
Yesterday we took off wrap, and skin looks good, healthy and bright. But still dark in color.
I am really not able too understand, why in hospital no one suggested that wound care specialist come to do the job? Why in hospital my left leg was dressed, but never wrapped? It has to be seen how ugly leg was. It lost shape, skin melted, wounds drained, and any dressing did not stay for long, just one or two hours.
I can also say, when dressing done, or wrap placed, leg feels very comfortable, worm, like baby in cradle. Left opened it is painful, cold, and sharp feeling of discomfort. To improve the dressing and to keep leg worm even when it is wet we put on bandage from quilt. But at soon as all dressing got wet, led started to feel cold, and very painful.
With wrap there were no need in quilt bandage. It is summer, and we live on four floor. It is worm in our apartment even in Winter. With wrap drainage started to subsidize very soon. Not all my wounds dried, and legs are worm in wrapped compression bandage.
Slow, very very slow size of legs started to decrease. Swelling go down. I took measuring of the size of legs, both of them, below knee, in widest area, and in lowest area. Leg started to look as normal leg, the shape started to come back.
What happened in hospital? At first insulin was stopped, I did have no one unit injected in ED or in hospital. My primary do know very well, I take 300 units of insulin daily dose. He stopped all 300 units at once. Why? Does not he know that this action can lead diabetic to death? It does not mater what will happen with patient. If low sugar will happen in hospital doctor must be ready to take action what to offer as treatment, and my primary can suggest nothing. So, best way and 100% safe is to avoid medicine which is danger to Rx, even it will cost patient's life. Simple, life of patient or safe of doctor, who is choosing?
What happened with my legs? I still pay price when in May 2014 insulin supply was stopped, doctor canceled his Rx and there were 599 mg/dl, highest pint of level of sugar my meter able to record. after that only 'high'. I started to lose weight, dropped one size after another. I was not able to rise my arms, and pain in eyes was so severe I was not able to keep them opened. No visits to clinic. I was in clinic in my local hospital cress the street. Doctor barked at me that I use ER way too often. Actually it is not true, but she needed some excuse to bark. Her loud voice sharply knifed my brain, already in severe pain. I stand up and headed to the door.
"Where do you think you are going?" - she started to bark even louder.
"Home" Where else I could go?
Insurance company paid this visit for $250, something about.
After insulin supply was resumed, I started to gain weight dramatically. Of cause, it is because of the eating. The mater of fact, it is swelling. This is result of very high blood sugar level during prolonged period of time. Now size of my clothing went up and up, far up then it used to be before all that problems. Now it is 5X, and it is tight. Severe swelling led to poor circulation, and vein insufficiency (I have no idea what does it mean).
Somehow how I think swelling stopped. I do not collect pounds, but what I did collected still in and do not do out. Cardiologist insisted in my last visit to his office that I have to take diuretics. I do not take hem, and they are no use for me. So, he does not know what to do with my problems. I am resistant person. Sure I am. If I was not resistant and follow all doctors all Rx and recommendations I would not post right now right here. This is simple matter of survival.
So, for now I have regime:
take insulin in dose of 307 units daily to keep blood sugar under control;
take all medicine I have to take to keep my heart to pump and to hold BP in normal range;
wrap both legs, and even probably arms to help to reduce edema.
Work outs? Walking? Diets? carb counting or calorie counting? Thanks, not for me. But I started to take two tablets of antidepressants, double dose. One does not work anymore.
via Ravenvoron
Monday, 26 June 2017
Venus Insufficiency. June 26, 2017
What is this , 'Venus Insufficiency'? I still not able to get it, do I have this diagnose or not? What happened with my legs? Especially with left one? Why for more then three month the wounds were still opened and yellow liquid drained out of the wounds? There was not only one wound, only one spot. There were three in front, and three behind.Really, what it was? Do I have any diagnose placed in my file by my primary doctor? Not at all.
Even more then that, diagnose diabetes type 2 vanished from my file. I am no longer diabetic type 2, if I take a look at the Summary of my last visits to primary clinic. I still diabetic, but there is no any type of it, just''diabetes uncontrolled'. Sure it can be seen the same, and it can be seen that it really does not matter what type diabetes it is. It even does not matter that dose of insulin, daily dose, was dropped in file, no one reason for it. Not I take 100 mg/dl, and the hell know what does it mean.
Dose of insulin injection does not come in mg/dl. It come in units, the number of shots to be administered, and the amount of units in every shot. Mg/dl is the level of sugar in blood how it is come out on our glucose meters. So, what is it, insulin Lantus Solo Star '100 mg/dl a pen'?
I do not want to speculate what is what and what is where. I simple wish to see, my diagnose id Diabetes type 2, and I take 100 units of Insulin Lantus Solo Star three times daily. No other way around, simple and official, and professional.
Why my primary doctor play so dirty tricks? At first of cause it is diagnose, diabetes type 2 insulin independent , insulin resistant type of diabetes, and dose of insulin, 300 units a day. It is all the time presented, diabetics type 2 do not need insulin in injections. we secret insulin, but our body system does not use it properly. At least it is definition of diabetes type 2 by ADA. This definition will not help to Ex treatment for diabetic. All traditional therapy for diabetic type 2 I regret to take. I did use to take all oral medicine, except Invokana, it come after I stopped to take oral med and started to take insulin.No one of those medicine did the job, and my health condition went down. Sugar in blood skyrocketed. So, after 10 years of being on Metformin and SU, I stopped to take all of them together and started to take insulin, insulin only. So, not there is the problem. Diagnose still the same, but diagnose does not fit into treatment regime.
Another point is, the dose of daily insulin injections. 300 units it is high dose. Not so many diabetic take so high dose. So, for my primary it is better and easily to claim, 100 mh/dl, and the hell with all my problems. I refuse to go to the Hell, and I demand, doctor put in file right diagnose and right treatment I have to take. I sent a few messages to doctor, and no one response.
Now it is easy to see that my primary will never put diagnose of Venus Insufficiency into my file. What he must do, if diagnose come out? He must Rx treatment, therapy, and regime of treatment. He never did it. He is good in talking, aggressive, very busy, and always in hurry. He will say all about nothing, but there is nothing he will say about problem I do have. So simple. If I am in clinic with Venus Thrombosis, then he will sent me to take mammogram test. It is most important as he insist. He can sent me to dentist, or to eye doctor. But he never gave me referral to the pulmonary clinic, the department he is Chair. He does know very well, there is Pulmonary Embolism, and he refuse to diagnose it. Se, he never Rx any therapy, any treatment, and regime. Why does he needs it? He prefer he never see me. So he call off all my appointments, or he can let me to be seen by scribe.But he is too busy to meet his patient.
Today my man unwrapped my legs. He wrapped then in June 21, and wraps staid put on till today. There is no wounds, skin is dry. I use wraps I bought $46 for 18 roles. Pretty good I will say. I used one Unna Boot for two legs. Today bandage is dried out. We took them off. Every roll of Unna Boot $10, only once to be used.
My primary doctor insist, We do everything right, and we have to still doing so. Really? There is no Rx to Unna Boot or wrap, and not possible to find stockings to decompression.
Usually every one post how much diabetics cost to society. No one do know how much our families pay to support us. It is all the time suggested, support, support, and try to find it if there is no family or family finally give up.
I finally got power wheelchair, nice and very beautiful. So happy I do have it now. Say me, why doctor, my primary doctor did not sent forms to insurance company to confirm, wheelchair is medical necessity. And not my primary will put any diagnose in my file? Never. He will re-diagnose because of there is no one responsibility to him to provide papers, I do not need to live. But to 'safe the life' as usually doctor like to see themselves, no, it is not in his interests.
This is quality of Medical Care we do have. Most important and best what can be done if insurance companies will deposit money to medical accounts without demand that doctor must see the patients, and do something to prevent our mortality more then providing Barking Therapy and accusing patients we did all for ourselves. We did not. We simple got ill, or were born ill, or where treated in the way that medicine make us ill. We are patients, not criminals. We need medicine to be treated without accusations and barking.
Even more then that, diagnose diabetes type 2 vanished from my file. I am no longer diabetic type 2, if I take a look at the Summary of my last visits to primary clinic. I still diabetic, but there is no any type of it, just''diabetes uncontrolled'. Sure it can be seen the same, and it can be seen that it really does not matter what type diabetes it is. It even does not matter that dose of insulin, daily dose, was dropped in file, no one reason for it. Not I take 100 mg/dl, and the hell know what does it mean.
Dose of insulin injection does not come in mg/dl. It come in units, the number of shots to be administered, and the amount of units in every shot. Mg/dl is the level of sugar in blood how it is come out on our glucose meters. So, what is it, insulin Lantus Solo Star '100 mg/dl a pen'?
I do not want to speculate what is what and what is where. I simple wish to see, my diagnose id Diabetes type 2, and I take 100 units of Insulin Lantus Solo Star three times daily. No other way around, simple and official, and professional.
Why my primary doctor play so dirty tricks? At first of cause it is diagnose, diabetes type 2 insulin independent , insulin resistant type of diabetes, and dose of insulin, 300 units a day. It is all the time presented, diabetics type 2 do not need insulin in injections. we secret insulin, but our body system does not use it properly. At least it is definition of diabetes type 2 by ADA. This definition will not help to Ex treatment for diabetic. All traditional therapy for diabetic type 2 I regret to take. I did use to take all oral medicine, except Invokana, it come after I stopped to take oral med and started to take insulin.No one of those medicine did the job, and my health condition went down. Sugar in blood skyrocketed. So, after 10 years of being on Metformin and SU, I stopped to take all of them together and started to take insulin, insulin only. So, not there is the problem. Diagnose still the same, but diagnose does not fit into treatment regime.
Another point is, the dose of daily insulin injections. 300 units it is high dose. Not so many diabetic take so high dose. So, for my primary it is better and easily to claim, 100 mh/dl, and the hell with all my problems. I refuse to go to the Hell, and I demand, doctor put in file right diagnose and right treatment I have to take. I sent a few messages to doctor, and no one response.
Now it is easy to see that my primary will never put diagnose of Venus Insufficiency into my file. What he must do, if diagnose come out? He must Rx treatment, therapy, and regime of treatment. He never did it. He is good in talking, aggressive, very busy, and always in hurry. He will say all about nothing, but there is nothing he will say about problem I do have. So simple. If I am in clinic with Venus Thrombosis, then he will sent me to take mammogram test. It is most important as he insist. He can sent me to dentist, or to eye doctor. But he never gave me referral to the pulmonary clinic, the department he is Chair. He does know very well, there is Pulmonary Embolism, and he refuse to diagnose it. Se, he never Rx any therapy, any treatment, and regime. Why does he needs it? He prefer he never see me. So he call off all my appointments, or he can let me to be seen by scribe.But he is too busy to meet his patient.
Today my man unwrapped my legs. He wrapped then in June 21, and wraps staid put on till today. There is no wounds, skin is dry. I use wraps I bought $46 for 18 roles. Pretty good I will say. I used one Unna Boot for two legs. Today bandage is dried out. We took them off. Every roll of Unna Boot $10, only once to be used.
My primary doctor insist, We do everything right, and we have to still doing so. Really? There is no Rx to Unna Boot or wrap, and not possible to find stockings to decompression.
Usually every one post how much diabetics cost to society. No one do know how much our families pay to support us. It is all the time suggested, support, support, and try to find it if there is no family or family finally give up.
I finally got power wheelchair, nice and very beautiful. So happy I do have it now. Say me, why doctor, my primary doctor did not sent forms to insurance company to confirm, wheelchair is medical necessity. And not my primary will put any diagnose in my file? Never. He will re-diagnose because of there is no one responsibility to him to provide papers, I do not need to live. But to 'safe the life' as usually doctor like to see themselves, no, it is not in his interests.
This is quality of Medical Care we do have. Most important and best what can be done if insurance companies will deposit money to medical accounts without demand that doctor must see the patients, and do something to prevent our mortality more then providing Barking Therapy and accusing patients we did all for ourselves. We did not. We simple got ill, or were born ill, or where treated in the way that medicine make us ill. We are patients, not criminals. We need medicine to be treated without accusations and barking.
via Ravenvoron
Sunday, 25 June 2017
To Fool the Fool. June 25, 2017
Some insulin is still produced in almost half of the patients that have had type 1 diabetes for more than ten years. Patients with remaining insulin production had much higher levels in blood of interleukin-35, and they also had much more immune cells that produce interleukin-35 and dampen immune attacks, research shows.What so fool in this publication? It is nice to know that some diabetics type 1 still in control of their dangerous condition, and it mean less suffering for diabetes victims. It is right, and really I am very happy for them. Still, is this really true that they 'still produce insulin' or they started to produce insulin with active insulin therapy? And there is another question, if I am diabetic type 2, does it really true my pancreas produce insulin, still produce insulin, or really what wrong with my pancreas if any?
http://ift.tt/2sbj2Wd Diabetes patients still produce insulin
- Date: June 22, 2017
- Source: Uppsala University
Type 1 diabetes, a chronic disease mainly debuting during childhood or adolescence, has previously been considered to result in full loss of the patients' insulin production. However, by the use of sophisticated insulin assays that has been introduced in recent years, this has now been shown not to be true in all cases.As I posted many times, insulin testing is very complicated, and really it was not done before. So, before talking about diabetics type 2 that we does produce insulin, and all the time did so, why do not take study and find out if diabetics type 2 really produce insulin, some insulin, or sufficient amount of insulin as compare with diabetics type 1 and healthy non diabetic individuals? Run this test before blaming victim of medical crime. What if our high body weight resulted of wrong treatment of our medical condition, pancreas disorder?
It is still not known if the patients had higher levels of interleukin-35 already at debut of disease, or if the levels had increased over the years with ceased immune attack towards the insulin producing cells as result. A previous study by the same research group has shown that both patients newly diagnosed for type 1 diabetes and patients with long-standing disease have in average lower levels of interleukin-35 when compared to healthy individuals.So, the same as for diabetics type 2 diabetics type 1 did not have test for insulin secretion sufficiency. If so, then myth that they do have no insulin secretion in full come from where? From brain washing medical and media propaganda that diabetes type 2 resulted wrong life style, overeating. After that the treatment for us is very easy and very obvious, change life style, stop to eat. But if diabetics type 2 would be studied for interleukin-35, what level of it suppose to be, and what level it really is?
The previous study also showed that diabetes development could be prevented, as well as manifest diabetes could be reversed, in animal models for type 1 diabetes by interleukin-35 treatment.That's right, diabetes type 1 can be prevented in the same way as it is diabetes type 2, with right treatment. If so then why for us treatment is with all Junk medicine which destroy all our healthy working organs, and for diabetics type 1 it is insulin, the only one effective medicine which fight both, the illness and at the same time lead to recovery, to increased insulin secretion? Just start to treat medical condition, diabetes, pancreas disorder, and stop to abuse victim of this disorder. Right now in my blog there are a lot of pictures how my legs looks like. It is result of high level of swelling, edema. It is far away from being beauty and attractive. I fight to avoid amputation and surgery to safe my legs. In contrary our society take ill, fatally ill people and mocking us how low attractive we are. No one shame! Are you proud of yourself?
The results of the present study in Diabetes Care may increase the interest to develop interleukin-35 into a drug for the treatment of type 1 diabetes. The discovery that almost half of the patients with type 1 diabetes have some remaining insulin production also makes it attractive to let the patients test new treatments that can induce regeneration of their remaining insulin producing cells.Probably for our medical industry and Diabetes Care it is something new, but it was studied many years ago, in last Century, that Beta Cells re-generate. Just stop to kill them in diabetics type 2. Also I suggest to study what already was studied by many medical pro in past. Just take those studies, and stop pretend that you 'discovered' something new.
Today diabetes type 2 not only treatable but effectively can be cured in many cases, and prevented in many generations to come. No one eating therapy, or diet, or any berry, but Insulin, and Insulin only for today. Time will come. New generations will grow healthy and diabetes-free. We are not diabetes free. we are diabetics type 2. Today we are in hospitals, curved with wounded legs, no any treatment for this condition. No treatment. I had been there recently. It is not the case there is nothing what can be done. It is simple nothing done. I was discharged from hospital in condition I was admitted. I was sent home, on care by my old working man, who is older then I am, and still providing all support and all care for his disabled wife. I could not even get out of bed without help. But sure, I have to change my life style. I wish I could.
via Ravenvoron
Diabetic Neuropathy.
Diabetic Neuropathy. Diabetic Neuropathy Symptoms, Treatments, Diet, Management, Natural Remedies, Vitamins and Exercises All Covered.via Taylor
My Pumpkin Pie Dump
My Pumpkin Pie Dump Cake is like a pumpkin pie & a crumb cake got married & had a baby. It is more cakey than a custard but more custardy than a cake. Yum. Low Carb, Sugar Free, Grain Free, Gluten Free, THM S.via Taylor
You Do Not Need to B
You Do Not Need to Buy Diabetes Medications. Prepare It Yourself with Only Two Ingredients! | Natural Cures And Home Remediesvia Taylor
Saturday, 24 June 2017
Insulin as Diabetes type 2 treatment regime. June 24, 2017
Comment to publication.
Once-a-day injections?
First, it is the matter of dose I have to inject. If I have to inject 300 units a day I will never try to inject full pen, 307 units at once.
Second, with high dose of insulin injection it is not wise to inject all dose at once. It can easy lead to low sugar at time of soon after injection, and then to high sugar when insulin already fall in dose in the blood.
Third, it is not natural to use high dose of insulin at once. In our body system the amount of insulin is tiny, never in big quantities. So, what is the point to inject high dose at once? No safe needle? Or something else?
I am all the time very confused when the effect of insulin based on how many injections a day or a week diabetic have to take. Why this is so important? Usually medical pro not capable to find out the dose of insulin they have to Ex to diabetic, but they replace all discussions, how many shots, niot units in every day shot, but the amount of shots diabetic must take. Ther shot is the same, regardless it is less then 10 units or over 100 units, it still only one shot, only one time needle enter into belly. The reaction of body very different. 10 units of insulin safe for everyone, even not diabetics. 100 units of insulin can be fatal, even for diabetic.
For me, as I said, it is meaningless. I do not bite it.As I said, it is all about nothing. A new medicine does not mean it is better medicine. I tried to take Toujeo, very well presented. I was not able to take it. My sugar went up, and I developed sort of allergy to this type of insulin. In past I thought any insulin is better then no insulin, probably I will keep this in my mined. But when I do have choice, I prefer insulin with effect I need.
Low blood sugar is not avoidable. I have to deal with it, and be ready to have low blood sugar at any time. This is just part of my life with diabetes. I may do not have low blood sugar, really it is not big problem for me. In this case my sugar would be high. Why do I need it? I do still fight the concequebses of fatally high blood sugar when insulin supply was terminated and I was left without insulin since may to September. My sugar run to over 599 mg/dl, the limit of my meter. After this number show: "High". Not I still pay the price. I still not able to recovery, and with severe swelling after crisis my vain broken, draining.
Well, when we say about treatment of diabetics, and about cost of insulin, let us take into consideration how much cost Metformin, SU, Invokana, and all Trash medicine our medial care industry highly aggressive to push into our big bellies. I just got my scooter, power wheelchair. The cost is $5,000. Free for me. Health plan paid it in full. This is the cost of Metformion I took more then 10 years + SU, Glipizide. Why do not add this price to the very cost effective Metformin which lead me to the non fatal MI and stroke? With insulin I still alive. With right care I still on my two legs. Today health plan pay $2000 for 4 times a year, $8,000 for insulin supply, only insulin supply. There are a lot of more medicine I take every day, Nitrostat including. If I did have insulin in 2001 when I was diagnosed with diabetes, today insulin for me would not cost $8,000 a year. Today I could work, not only able to walk and be happy with it.
In contrary with my best interests, our Medical Pro count, how much insulin injection cost to society compare with Lethal Medicine for elderly useless people.
Degludec insuline is called for a brilliant future from my point of view. Not only is it a secure and long lasting insulin but t could be prepared together with liraglutide in the same syringe. The once a day injection treatment is a possibility now for many diabetic patients.
http://ift.tt/2tI0KxW
DEVOTE: Tresiba as Safe as Glargine With Less Severe Hypoglycemia
A new type of insulin, long lasting as MD said has brilliant future. Probably. I did not try it yet. I take long lasting Lantus Solo Star. What I try to see, how it suppose to work for me, and if the medicine meet my needs.
Once-a-day injections?
First, it is the matter of dose I have to inject. If I have to inject 300 units a day I will never try to inject full pen, 307 units at once.
Second, with high dose of insulin injection it is not wise to inject all dose at once. It can easy lead to low sugar at time of soon after injection, and then to high sugar when insulin already fall in dose in the blood.
Third, it is not natural to use high dose of insulin at once. In our body system the amount of insulin is tiny, never in big quantities. So, what is the point to inject high dose at once? No safe needle? Or something else?
I am all the time very confused when the effect of insulin based on how many injections a day or a week diabetic have to take. Why this is so important? Usually medical pro not capable to find out the dose of insulin they have to Ex to diabetic, but they replace all discussions, how many shots, niot units in every day shot, but the amount of shots diabetic must take. Ther shot is the same, regardless it is less then 10 units or over 100 units, it still only one shot, only one time needle enter into belly. The reaction of body very different. 10 units of insulin safe for everyone, even not diabetics. 100 units of insulin can be fatal, even for diabetic.
SAN DIEGO — For the treatment of type 2 diabetes, the ultra-long–acting, once-daily basal insulin degludec (Tresiba, Novo Nordisk) is as safe in cardiovascular terms as insulin glargine and is associated with much lower rates of severe hypoglycemia, new data confirm.Severe hypoglycemia. Another Toy taken into play. What does it mean, Severe hypoglycemia,which effect diabetic more or less? If insulin glargine safe then why Tresiba is 'safer'? Does not it looks like play with words? The severety of insulin, ether type of it,, depend on the dose of insulin, not on the type of insulin. Insulin can be more effective so diabetic needs less dose of it to get the same result, or less effective, so diabetic must adjust the dose of injection according to the level of sugar in blood, to avoid low blood sugar and at the same time keeping high blood sugar decreasing, or be under control. It this case the type of insulin can play important role. It is cost, it is effect, and diabetic may have some allergy on ingredients, so it is not acceptable to be used. But the expression, "much lower rates of severe hypoglycemia" is simple meaningless.
"For me, this is a robust demonstration of the cardiovascular safety of degludec — and a dramatic and unimpeachable demonstration of the relatively lower rate of severe hypoglycemia" with degludec compared with glargine, senior investigator of DEVOTE, John B Buse, MD, PhD, of University of North Carolina School of Medicine, Chapel Hill, told Medscape Medical News.
For me, as I said, it is meaningless. I do not bite it.As I said, it is all about nothing. A new medicine does not mean it is better medicine. I tried to take Toujeo, very well presented. I was not able to take it. My sugar went up, and I developed sort of allergy to this type of insulin. In past I thought any insulin is better then no insulin, probably I will keep this in my mined. But when I do have choice, I prefer insulin with effect I need.
Low blood sugar is not avoidable. I have to deal with it, and be ready to have low blood sugar at any time. This is just part of my life with diabetes. I may do not have low blood sugar, really it is not big problem for me. In this case my sugar would be high. Why do I need it? I do still fight the concequebses of fatally high blood sugar when insulin supply was terminated and I was left without insulin since may to September. My sugar run to over 599 mg/dl, the limit of my meter. After this number show: "High". Not I still pay the price. I still not able to recovery, and with severe swelling after crisis my vain broken, draining.
"There's always been this theory, demonstrated over and over again, that severe hypoglycemia is a big risk for subsequent cardiovascular events," Dr Buse explained to Medscape Medical News. "Whether it's related to the fact that the people who have severe hypoglycemia are also people who have cardiovascular events — because they are frail and have lots of comorbidities — or whether there is a causal relationship is still uncertain."Well, a little be confusion. Really, how CVD is related with severe hypoglycemia? Severe low blood sugar level leads to coma. Does coma can be fatal due to heart will stop to pump the blood? When patient die due to natural cause the temperature of body drops, the BP drops, and blood sugar drops, that's true. Still, it is not the case with diabetes. We do not discuss fatal end of the life. It is diabetic who take medicine to treat medical condition, diabetes, pancreas disorder. The side effect of medicine can be low blood sugar, when diabetic treated with insulin or SU, the same result. The heart is also effected by pancreas disorder, the same as liver, lungs, and kidney, and eyes, and many many other effect which lead untreated diabetic to disability and early Death. I really not able to get the point of Dr.Buse 's explanation. Does he understand what does he is talking about?
"As cardiologists, we tend to be focused on the [atherosclerotic] plaque, I think too much focused, and I think in the diabetes world they tend to be too much focused on the hypoglycemia, and I think it's going to be much more complicated than just one or the other." (Steven P Marso, MD, of the Research Medical Center, Kansas City, Missouri.)Plaque can resulted by medicine diabetic takes, Metformin and absence of medicine diabetic need, Lipitor. Statins such as Atrovastatin, Simvastatin, Provastatine, do not do the job, and diabetoc's blood vessels still plagued. In contrary, other party concentrated on low blood sugar, and do not remember that diabetes is not low blood sugar but pancreas disorder, resuled to high blood sugar. The concentration on low blood sugar is so severe that the fact, diabetes is not treatable and medicine they Rx destroy diabetics healthy and still well working organs but does not lead cure, or improvement and life saving.
So, let us see, what are the answers.Is Insulin the Right Treatment for Type 2 Diabetes?
It is almost impossible to assess how the cost of different insulins compare with each other, both within one country and from country to country.Say me, why Dr discuss cost of insulin in stead of it effect and if it is right medicine for diabetics or not? really why? Say me, how much cost treatment of alcoholism or addiction? How much cost treatment of cancer? Stroke? any other disabilities? But it is always top of any discussions, how much cost of diabetics treatment.
Well, when we say about treatment of diabetics, and about cost of insulin, let us take into consideration how much cost Metformin, SU, Invokana, and all Trash medicine our medial care industry highly aggressive to push into our big bellies. I just got my scooter, power wheelchair. The cost is $5,000. Free for me. Health plan paid it in full. This is the cost of Metformion I took more then 10 years + SU, Glipizide. Why do not add this price to the very cost effective Metformin which lead me to the non fatal MI and stroke? With insulin I still alive. With right care I still on my two legs. Today health plan pay $2000 for 4 times a year, $8,000 for insulin supply, only insulin supply. There are a lot of more medicine I take every day, Nitrostat including. If I did have insulin in 2001 when I was diagnosed with diabetes, today insulin for me would not cost $8,000 a year. Today I could work, not only able to walk and be happy with it.
In contrary with my best interests, our Medical Pro count, how much insulin injection cost to society compare with Lethal Medicine for elderly useless people.
via Ravenvoron
Friday, 23 June 2017
Jay H. Shubrook, DO; Kim M. Pfotenhauer, DO Old Wives talking all about Insulin. June 23, 2017
Two doctors discuss how to Rx insulin, and what they really do know about medicine they try to discuss? well, let us start from the beginning:
To chose what dose of insulin to inject it is diabetic must select how many units to put into belly. But when it is vials or pens, it is so important that only doctor will choose. What doctor think about dose of insulin how to find it how many units to inject? It must be in Rx, no any way around. If doctor said, use as directed Rx would be back to doctor. So, what doctor Rx to patient?
So, the first it is 6 units of insulin per meal. (150:50=3; 3*2=6 units.)
Now, What is the level of sugar when patient needs 20 units of insulin every meal? As I do remember so far, diabetes is pancreas disorder, insufficient insulin secretion. How this secretion related with amount of daily meals?
And also, when it is max amount of units for each 50 mg/dl, then how high level of sugar is it?
18:2 =9 for 50 * 9 = 450 mg/dl, if I am correct, right? So, the question is, what is the level of sugar would be if patient take 2 units for 50 mg/dl? 500 mg/dl. And for this level of sugar patient have to take how many units of insulin? It is 18 units for 450 mg/dl, and how many units for 150 mg/dl? To records if doctors do not know it in hospitals there is no one unit of insulin if patient has less the 200 mg/dl.
Still, it is not clear, how doctor Rx dose of insulin? Really, what if 150 mg/dl ia resulted by 300 units of insulin daily dose? So, for every 50 mg/dl I have to add 2 units? Then 300 units of insulin come from where? Math is good, but it does not do the job for insulin prescription. Sorry, doctors. You are too low in diabetes understanding. Better do not show up on public with your so naive like Old Wive medical education. Shame of you!!!!!!!!!!!!!
Covering All the Bases When Prescribing Insulin: A Detailed 'How To'
Dr Pfotenhauer: One of the first things that you have to consider after picking an insulin is what the dose of the insulin is going to be.Right? Wrong. At first doctor have to find out which type of insulin to Rx, and depending on the type of insulin dose of injection will be. Novolog is short acting type of insulin, and it is Rx in small dose. Personally I took never higher then 25 units, and usually it is less then 20. In contrary, Lantus Solo Star is long acting insulin, slow release type of insulin. I take 300 units of this type of insulin daily. This is why type of insulin must be the first thing to consider, rather then dose of it.
You have to think about the concentration of the insulin that you are using and whether it is dosed in a pen or a vial. For instance, if a patient is taking 10 U in the evening, we know that pens contain 100 U/mL, and there are 3 mL in each pen. If your patient is using 10 U in the evening, the monthly dose is calculated at about 300 U, which would be 1 pen for the month. Similarly, for vials, we could do the same thing, but vials have 10 mL instead of 3 mL; we want to calculate that dose either by 1 month or by 3 months. Just getting used to and getting more comfortable with doing that math is really important as physicians.Right? Wrong. There are nothing about dose of insulin doctor must Rx. According to doctor's Rx the injection of amount of units will be taken by patient. It is not about how many units in pen or in vial, it is about how dose of insulin will control blood sugar in diabetic's body. If dose is too low, then diabetes will progress. If dose of insulin is too high diabetic can skip into coma with low blood sugar. Looks like both doctors discuss all bout they have no one idea, but the Sum $$$$$ will be deposited on their account. At least they must be better educated before stand in front of public as educators.
Dr Shubrook: So first you pick an insulin, then you pick a pen or vial, and then you pick the dose to know how much you will need. What other things need to be considered for that prescription?Right Dr. Shubrook. You are better to know something about insulin.
Dr Pfotenhauer: You need to include several things, including the concentration of the insulin, the dose the patient is going to take, and how the patient is going to take it—for example, inject subcutaneously. It is also important to include the diagnosis on the script for insurance purposes.Dear Dr Pfotenhauer, it is you who Rx insulin, not patient who is going to take is as one wish. It is your duty to educate patient how to use pen or vial, and it is you who Rx dose of insulin for daily injections, not patient who must find it riding to high/low swings every day. Well, of cause it is important to include diagnose what type of diabetes, or if patient diabetic or not. Why really it is only for insurance? At least patient must know why needle go into belly every day. BTW, how many times daily injections must be? Do you take this into consideration? At least but not last, how patient going to take insulin? Is there some options for administration? I never knew that insulin can be taken in any way but injected subcutaneously.
Dr Pfotenhauer: Absolutely. The pharmacist will need to know what insulin to fill. I will put the concentration of the dose and then the number of pens or vials to be dispensed.If I did not take insulin in daily pattern, I would be very confused and really misunderstood that pharmacy has choice to fill concentration of insulin. But I do know about insulin a little bit more then this one who pretend to be a doctor and who really has right to give to me Rx to insulin. For the record, no one doctor chose concentration of insulin. No one pharmacy do it. It is all in the type of insulin, so, as I said, the type of insulin must be first in selection and consideration. Also for the education of our educator, there is no difference in dose according to the concentration of insulin in pen or vial. The dose of injection is the same U-100, U- 200, or U-500.
Dr Shubrook: We have to think about a lot of things. We need to include a diagnosis, the daily insulin dose, the time for administration, whether vials or pens should be dispensed, and how many vials or pens we are writing for.Sorry, Dr Shubrook. There are a lot of work which done by pharmacy and manufacture company. Pharmacy will calculate how many pens diabetic need for how many days. In paper that accompany medicine we all time do have the number days for which this delivery done. Also usually pharmacy call to remind that Rx is ready to re-fill. Doctors do not do this job. On pharmacy label there are data when this medicine must be discharged. Really, why two of you do not know basic in the subject you two discuss?
Dr Pfotenhauer: Correct. As you do it more often, it becomes a little bit easier knowing that there are 300 U per pen, so you can calculate a monthly dose easily, and five pens per box. You can also write in the number of boxes vs the number of total insulin units.Sorry, the point is what? How do you calculate monthly dose of insulin? Really, dose of insulin does not depend from amount of units in pen, or amount of pens in box, don't you know it? Why do you so ..... simple?
Dr Shubrook: You have hit so many important points today. To review, when writing for insulin, choose between vials and pens.Brilliant!!!!!!!!!!
To chose what dose of insulin to inject it is diabetic must select how many units to put into belly. But when it is vials or pens, it is so important that only doctor will choose. What doctor think about dose of insulin how to find it how many units to inject? It must be in Rx, no any way around. If doctor said, use as directed Rx would be back to doctor. So, what doctor Rx to patient?
Dr Pfotenhauer: It is important to actually write this information on the script. You write down the patient's base dose, whatever that may be. Then you can either write up the correction scale, or you can write, "increase 2 U for every 50 mg/dL [in serum glucose concentration] above 150 mg/dL up to 18 U [of insulin]," for example. It is really important to include the maximum quantity of units that you want the patient to take with every meal and then use that as your calculation dose for the day. For example, if your maximum dose is 20 U per meal, three times a day, you want to give the patient enough insulin so that the patient has 60 U per day for the month.OK, now if patient take 20 units a day, then it is 6 units to spring the needle, right? 30 * 6=180 units a month, right? Did doctor remember this units?
So, the first it is 6 units of insulin per meal. (150:50=3; 3*2=6 units.)
Now, What is the level of sugar when patient needs 20 units of insulin every meal? As I do remember so far, diabetes is pancreas disorder, insufficient insulin secretion. How this secretion related with amount of daily meals?
And also, when it is max amount of units for each 50 mg/dl, then how high level of sugar is it?
18:2 =9 for 50 * 9 = 450 mg/dl, if I am correct, right? So, the question is, what is the level of sugar would be if patient take 2 units for 50 mg/dl? 500 mg/dl. And for this level of sugar patient have to take how many units of insulin? It is 18 units for 450 mg/dl, and how many units for 150 mg/dl? To records if doctors do not know it in hospitals there is no one unit of insulin if patient has less the 200 mg/dl.
Still, it is not clear, how doctor Rx dose of insulin? Really, what if 150 mg/dl ia resulted by 300 units of insulin daily dose? So, for every 50 mg/dl I have to add 2 units? Then 300 units of insulin come from where? Math is good, but it does not do the job for insulin prescription. Sorry, doctors. You are too low in diabetes understanding. Better do not show up on public with your so naive like Old Wive medical education. Shame of you!!!!!!!!!!!!!
Covering All the Bases When Prescribing Insulin: A Detailed 'How To'
via Ravenvoron
Diabetes mellitus, o
Diabetes mellitus, or diabetes, refers to the medical condition where the human body is afflicted with high blood sugar levels. This can happen either because the pancreas does not produce insulin or the cells do not react to the insulin that is produced.via Taylor
Thursday, 22 June 2017
Diabetes type 2 and complications of medical treatmnts. June 23, 2017
Previous research has focused on the management of T2D and osteoporosis as separate diseases. However, several studies have shown that fracture risk is increasing in people with T2D. T2D directly affects bone metabolism and strength. Certain diabetes medications affect bone metabolism, and an association exists between diabetic complications and the risk for falls and subsequent fractures.Now the question is, what medicine fight both, diabetes type 2 and osteoporosis? It is most important question, what medicine to use to fight one, another, or both?
Specific diabetes medications to protect bone health recommended
http://ift.tt/2swP42x
- Date: June 21, 2017
- Source: Endocrine Society
"Metformin, sulfonylureas, DPP-4 inhibitors and GLP1 receptor agonists -- medications for T2D -- should be the preferred treatment for T2D in patients who also have osteoporosis," said the study's first author, Stavroula A. Paschou, M.D., Ph.D., of the National and Kapodistrian University of Athens in Athens, Greece.Really? Let us take a look how these medications effect diabetes type 2, and if these medications are really effective to improve diabetics type 2 pancreas condition? That's right, diabetes is not the level of sugar in blood which can be abnormally high, or simple be normal. Diabetes is health condition of pancreas which secret insulin, and the ability of pancreas to secret insulin in sufficient amount for healthy living of diabetic. So, when we take a look at the medication which suggested by team of sturdier to fight both, diabetes type 2 and osteoporosis, we have to see, how medication effect pancreas, and how medication improve pancreas' health condition.
Metformin. This medication effect liver and reduce ability of lives to discharge sugar at the time when we do not eat. Another action of metformin is to effect muscles to be more sensitive to insulin, to increase insulin consumption. This is for diabetics type 2, people whose medical condition effected by low ability of pancreas to secret sufficient amount of insulin to cover daily activity.
Now I am lost, how Metformin suppose to improve pancreas health condition? How metformin suppose to effect bones health condition? Is there some answers from team of studies what they found?
Sulfonylureas. This type of medication effect diabetic's pancreas, and force it to secret more insulin then body system needs in this particular moment. After medicine worked out, the secretion of insulin decreases, and with time the ability of ill diabetic's pancreas to secret insulin fail completely. I still not able to get the point if this medicine helps with osteoporosis, but it definitely very negative for diabetics type 2. This medicine very difficult to control. With this medicine diabetic all the time on high- low swings, riding from fatally high blood sugar level down to the fatally low blood sugar level, and even does not understand, why his/her condition is so bad, no any improvement, no any diabetes type 2 control.
Paschou's team prefers these medications because they can help protect bone health. Studies show that Metformin has beneficial effects on bone formation and bone mineral density. Positive or neutral effects have been seen in bone metabolism with the use of DPP-4 inhibitors and GLP1 receptor agonists.They probably were able to find some benefits in the medication they highly propagandize, (I am sure they well paid for this propaganda) but I do not take any one of those. For me, it is Golden Rule, one step in one time. So, if I need to improve the work of my ill pancreas, then I need insulin in first place. Insulin prevent diabetes type 2 complications, and it let my ill pancreas to take time and to get better. If my pancreas is so il that to get better already left behind, then at least it will not get worse. SO, I take insulin, and looks like I prevent decrease in bones distractions. At least I can still walk on my two legs.
On the other hand, thiazolidinediones (TZDs) and canagliflozin should be avoided while other SGLT2 inhibitors are less well-validated options. Insulin should be used with caution and with careful measures to avoid hypoglycemia.WOW! At least Invokana is not effective to safe bones. It is nice to know. No one diuretic is able to safe boned mineral content because of it is bones which lost minerals with heavy use of diuretics. Invokana is highly effective diuretic. It leads to increased urination, and as a result to the lost on mineral content in all body tissues.
According to insulin it is interesting. Cautions to use insulin because of hypoglycemia. What does it mean? It mean that with insulin level of sugar in blood going down, the effect all medicine try to get, and there is no such effect with all other medicine.
Why SU does not lead to hypoglycemia? Because study avoided to mention it, to note that SU leads to highly unpredictable low blood sugar, very dangerous, absolutely uncontrollable, which can strike at any moment, and diabetic even have no one idea why his or her condition is so bad. As it is easy to see from this publications, diabetics type 2 who are taken SU have no one idea that SU lead to low blood sugar. They even do not know that this condition can be with SU. And most important they do not know how to deal with low blood sugar. There are no education for diabetics type 2 who take SU, no any protection from medical team we may have this condition.
If someone think I am wrong, then read all above. Is there any mention that SU lead to low blood sugar? Not at all. It is insulin, which leads to low blood sugar, but there is no any mention that SU lead to low blood sugar. As I posted many times, read all, but with very very open mind. They can easy to lead us right to the end, and is this really spot we wish to go?
To determine the most effective treatment options, the researchers systematically reviewed past human studies and guidelines to develop recommendations for the most appropriate joint treatment approaches for diabetes and osteoporosis.What does it mean? There are studies of papers, not real patients. They study what they found easy to study, and according to the studies of text books and journal publications they provide us with recommendations what medicine is best for us. So, if we are looking to find best treatment option to improve pancreas health and well being, then it is SU, Metformin, and all other medicine, Invokana including. If take a look at the mortality tables, diabetes type 2 number 7 cause of death in America, and it is getting up in mortality tables. What does it means? The studies are wrong, and they provide wrong recommendations.
I take insulin, long acting Lantus Solo Star, 300 units every day.I do have low blood sugar. I can feel it and I can deal with it. Because of I do know I can have it at any time, I just get ready for this. There are Protein Bar in my handbag, I can eat it at any moment I need. I do have coffee every where in my house, and in my handbag. OJ and water all time around me. So, insulin is not danger and it is convenient to be used at any place I am in. But when I read any articles, it is all the time presented, avoid insulin, it is danger. Also there are not too much professional help how to dose insulin, how to use it. As I do see, SU and Invokana more convenient for medical care then insulin. Probably this is why diabetes is still so high in mortality. Simple, avoid treatment which work and replace it with treatment Medical care get most reimbursement. The trip to spot #7 would be speed up.
via Ravenvoron
Vitamins and Supplem
Vitamins and Supplements for Neuropathy include Alpha Lipoic Acid, N-acetyl cysteine, Resveratol, Curcumin, Magnesium, Vitamin C/E/D and B-complex vitamins.via Taylor
Wednesday, 21 June 2017
In Other People's Hands
I met a woman the other day who was an occasional substitute nurse at the middle school. While this was the first time we'd met, she knew my daughter well. There are others like her.
I have sent my child to school, on field trips, to birthday parties, to marching band camp and more. The older she gets, the more people we collect who've helped her with her diabetes care. Some I know well, some I've been introduced to, and some I've never met.
I wonder if the people in whose hands I've left her fully understand how I feel about them.
These people have taken my child's life in their hands. Maybe they don't realize that, or look at it that way. I certainly wasn't going to point it out in quite those terms to the preschool director who agreed to accept her into the program. Those weren't the words I used when I thanked the parents who invited her for her first sleepover. But these, and many more adults, have been aware that having my daughter in their class, in their home, or in their field trip group necessitated an extra level of responsibility and vigilance.
If taking on that level of responsibility wasn't enough, these people have, quite often, gone above and beyond what I would have expected. Parents have contacted the birthday party venue for carbohydrate counts on food. Teachers have requested to be glucagon trained for my child's safety. Chaperones have sat with her while she stopped to check her blood sugar. Guidance counselors have called about 504 accommodations I never would have considered. Nurses have called just to reassure me that everything was okay. I'm incredibly grateful for every one of these thoughtful acts.
Being the parent of a kid with diabetes is a huge job. Being a kid with diabetes is an endless challenge. We're incredibly grateful for the people who step in to ease the burden in whatever ways they can.
via Adventures in Diabetes Parenting
Yesterday It Was Clinic. June 21, 2017
Yesterday it was clinic and today I got Summary of my visit to doctor. It was primary doctor. In March I was in hospital, wounds development. I was discharged in March 29, 2017 with direction to follow up with my primary withing two weeks. Yesterday it was first time after hospital I finally was able to see my primary. In most time one day before appointment there is call from clinic, and it was used to say, doctor would not be available, and I have to re-appoint my visit. So, I did. Yesterday finally doctor was available.
Today I do have Summary of visit, and there is Big Question for me, what does it mean?
So, when doctor placed in my record, 100 units/mL then what is this about? Doctor does not want to keep responsibility for my health. Today it is 100 units/mL insulin pen, and tomorrow it will be 100 units daily dose. Try to find out doctor who will take responsibility to Rx 300 units insulin a day. I bet it is not so easy. At least with record in my file that I take 300 units daily dose, I can demand this dose. If in record it is 100 units, then there is no one way I will get 300 units. Medical Care is Tricky indeed.
On one point I see that there is no hypertension. Today BP is good, but why? because of I take all medicine I do have in my medical box, and practically never miss it. So, BP is under control. Try to take any of those medications, and my BP will be up. It is up even without missed medicine. But in general it is pretty well controlled with medications. So, I sent E-mail to doctor that I need the discrepancy be fixed. The same as COPD. It is never forgotten to mention "severe obesity" but COPD missed like it is something not important at all. It is important for me.This condition may be fatal. I do really very worry to carry heavy rock on my chest.
My left leg right now is dry, but I still wrap it to try to reduce swelling. So, doctor took a look at my leg, and we discussed the treatment of this condition. Why not? Now leg s not draining, and it is easy to be discussed. When yellow liquid drained from my wounds he did not want to discuss it. And it was not my primary who sent me to Wound Care but myself. I call to clinic, and I was given appointment right away, to the next day. A few weeks nurses wrapped my legs, both or just left one, and doctor discussed the problem with nurses, me, and my man who all the time accompany me in clinics. Finally, wounds started to closer and dry out. Now there is a new skin, dry, clean, still red, but slow getting lighter and whiter.
I do not want to say, why this or that. I try to say, if I am only one who come to ED with melting skin? wounds on legs? If I was first one in hospital with those wounds? Not at all. If so then why there were no treatment for me? Why no one wound care specialist come to see me? To take care for my draining wounds? Now when all skin is dry and wounds are no longer the treat, I am under attention, and it is presented that all done is right and it is best treatment I have to have? I really was in panic. Amputations are the great tread for diabetics type 2. It is easy to say, obesity, and this is why. But why is it so important? Simple wrap on legs and there is no infection, no wound, no melting skin, no pain.
It is easy to say, It is all my fault. It is I who developed obesity. But say me, why the test which was run in hospital, never was ordered by primary doctor? Why sufficiency of my blood vessels never were tested? I do have a lot of different referrals to different doctors, and when the problem surfaced, there is no one test result, no one follow up tests, and there were no one any treatment.
This is why I try to say, keep your own health under your own closer control. We all can do it.Probably doctors would see us differently, a little bit more then Lab Rats or poscket to carry money from health care company to medical clinic.
Today I do have Summary of visit, and there is Big Question for me, what does it mean?
Lantus Solostar 100 unit/mL (3 mL) subcutaneous insulin penDoes someone able to understand what does it mean? Yes, one pen of Lantus Solo star is 300 units. I take 300 units daily dose, every day. But still, it is nothing about dose of insulin in the medication. No one even doctors would be able to understand it. And what about those of us who are not med pro? At the same time when it was said, "Lantus Solo Star 100 units three times daily" it is clear for anyone, med pro or patient, it is three shots, three needles a day, three glucose strips a day to check up level of sugar before insulin shot, and 100 units of insulin each time in every single injection. If needle with lock, then there are two needles to one shot because of limit of pen is only 80 units, and I need 100 units. Usually I re-digit the injection, so I use one needle for one shot. If I run out of needles, or run out of money and do not order next supply of needles, then I use one needle for the full pen, three shots, one day. I do not use more then one pen for one needle. Medicine simple can be blocked, and I will need to replace the needle. So, usually I discharge needle after one pen.
So, when doctor placed in my record, 100 units/mL then what is this about? Doctor does not want to keep responsibility for my health. Today it is 100 units/mL insulin pen, and tomorrow it will be 100 units daily dose. Try to find out doctor who will take responsibility to Rx 300 units insulin a day. I bet it is not so easy. At least with record in my file that I take 300 units daily dose, I can demand this dose. If in record it is 100 units, then there is no one way I will get 300 units. Medical Care is Tricky indeed.
On one point I see that there is no hypertension. Today BP is good, but why? because of I take all medicine I do have in my medical box, and practically never miss it. So, BP is under control. Try to take any of those medications, and my BP will be up. It is up even without missed medicine. But in general it is pretty well controlled with medications. So, I sent E-mail to doctor that I need the discrepancy be fixed. The same as COPD. It is never forgotten to mention "severe obesity" but COPD missed like it is something not important at all. It is important for me.This condition may be fatal. I do really very worry to carry heavy rock on my chest.
My left leg right now is dry, but I still wrap it to try to reduce swelling. So, doctor took a look at my leg, and we discussed the treatment of this condition. Why not? Now leg s not draining, and it is easy to be discussed. When yellow liquid drained from my wounds he did not want to discuss it. And it was not my primary who sent me to Wound Care but myself. I call to clinic, and I was given appointment right away, to the next day. A few weeks nurses wrapped my legs, both or just left one, and doctor discussed the problem with nurses, me, and my man who all the time accompany me in clinics. Finally, wounds started to closer and dry out. Now there is a new skin, dry, clean, still red, but slow getting lighter and whiter.
I do not want to say, why this or that. I try to say, if I am only one who come to ED with melting skin? wounds on legs? If I was first one in hospital with those wounds? Not at all. If so then why there were no treatment for me? Why no one wound care specialist come to see me? To take care for my draining wounds? Now when all skin is dry and wounds are no longer the treat, I am under attention, and it is presented that all done is right and it is best treatment I have to have? I really was in panic. Amputations are the great tread for diabetics type 2. It is easy to say, obesity, and this is why. But why is it so important? Simple wrap on legs and there is no infection, no wound, no melting skin, no pain.
It is easy to say, It is all my fault. It is I who developed obesity. But say me, why the test which was run in hospital, never was ordered by primary doctor? Why sufficiency of my blood vessels never were tested? I do have a lot of different referrals to different doctors, and when the problem surfaced, there is no one test result, no one follow up tests, and there were no one any treatment.
This is why I try to say, keep your own health under your own closer control. We all can do it.Probably doctors would see us differently, a little bit more then Lab Rats or poscket to carry money from health care company to medical clinic.
via Ravenvoron
Tuesday, 20 June 2017
Death, ED visits, and overdose of opioid. Who make money, and who pay price. June 20, 2017
The coast-to-coast opioid epidemic is swamping hospitals, with government data published Tuesday showing 1.27 million emergency room visits or inpatient stays for opioid-related issues in a single year.In NYC there are a lot of clinic to treat pain. There are a lot of commercial if we live with pain we need law. Now, what is this pain, and why this pain must be treated with opioid pain killers? or why this pain needs law? Every time I am in hospital I do have pain killers. It is great to have it. At first pain killed, so to any question what does bother me now the answer is: "nothing". If I do not have pain then I am easy to go home. The problem solved.
The reality is far away from being so bright. At home pain returned, in higher severity. Untreated medical condition never will let pain go away. So, if I am diabetic treated with Invokana and Metformin then there is no way I will have any benefits from any painkillers, ever. But year after year all treatment for me as diabetic is painkillers and diuretics. Pancreas slow ding. I am follow up.
In medical clinic no one neurologist ever was able to see how many strokes I did have. No one diagnosed that I ever had any. But every one neurologist happy to Rx to kill pain. Even more then that, they Rx this medicine to prevent pain, or better to say to induce pain. Just go to neurology clinic and see what medicine will be in your treatment regime. It is painkiller, diuretic, and weight loss medicine, Metformin or Topiramate, or opioid Tromadol. To every one who enter in clinic, regardless of severity of pain, age, and any medical condition or complications of other medical conditions. Now say me, how it is possible to be effective?
I take Excedrin when I do have headache. For me it is very effective medicine. It is not so effective for many others. Other people take Advil. This is not medicine which I will take. It is useless for me. If so, and it is all the time presented that we are all different, why the treatment all the time the same for every one of us? If I am diabetic and enter in doctor office what is the treatment for me? Life style modifications. regardless of the level of sugar it is all the time life style modifications, and I was born diabetic, and I am diagnosed with diabetes more then 10 years.
After Tromadol was Rx I do have follow up visit to clinic and doctor ask, how effective medicine is, how this medicine decreased pain. Sorry, what pain? If it is migraine then it is all the time come - in - come- out. It is not curable, and it can be only treated at the time of attack. To get some more money doctor will send me to take some tests. Usually I am not notified what was the result of test, it is mall the time negative. The result is, there is no one time I was diagnosed that I having had stroke. Even at the time I was in hospital and there was bleeding in brain. Simple, in this case we usually sent home from ED. No one will take care for patient in critical condition. We do have as many shots of painkillers as it is possible to keep us on hooks, and that we are able to pass the hospital or clinic door.
The idea that pain killers are the first line of treatment, where this idea come from? Do we or it is medical care needs this medicine? Why do I need it? I come to doctor with headache, so I do not look at the pain killer right away. Right away there is no pain. Pine come in farm of attacks. Right now there is no pain, but to prevent this pain I need testing, diagnose, and right treatment. Not painkiller, but treatment to medical condition which leads to this pain. In stead I given painkiller, Tromadol, opioid, and what is the result? Personally I cannot take this medicine. In addition to the pain I do have I got side effect headache because of Tromadol. But I do not know what is this and this pain come from where, and what to do with it. So, we take this Tromadol, or any other opioid.
Now say me, what is difference, to die because of pain? to die because of overdose painkiller? to die because of untreated medical condition such as stroke? diabetes? MI? Say me, what is different? Nothing.
The sharpest increase in hospitalization and emergency room treatment for opioids was among people ages 25 to 44, echoing The Washington Post's recent reporting that found death rates from all causes in that age bracket have gone up nationally since 2010.Overdose of painkillers in this age is not result of addiction but it is time when at first we starte to go to clinic with our pains. So, at this age we start to take our first painkillers, to deal with high BP, or headahce, or with migraine, or simple with attempt to lose weight.
The report identifies big increases in hospitalizations among people older than 65, but Elixhauser said those cases predominantly result from reactions to prescription medication, rather than from overdoses or the use of heroin or other illegal drugs.Why is this so? because of age? Not at all. People at age of 25 have the same Rx for pain as those of us who is 65+. So, why it is so different to consider if death resulted Rx medicine or it was resulted Rx medicine at age of 25? Really, what all findings about? What is the reason to publish this article? Why painkillers so widely Rx by medical providers? That's right, article about overdose, and it looks like we take illegal drugs, and it is not. These drugs were Rx by medical provider, and it started to be part of regime very early, in teens.
In just one year, nearly 1.3 million Americans needed hospital care for opioid-related issues
http://ift.tt/2rRonlx
via Ravenvoron
Monday, 19 June 2017
Sex in a Pan Dessert
Sex in a Pan Dessert (Sugar-free, Low Carb, Gluten-free) - Learn how to make sex in a pan dessert, the easier & healthier way! Unlike others, this chocolate sex in a pan recipe is sugar-free, low carb & gluten-free.via Taylor
Obesity-Related Deaths or Life with Obesity, what to choose? June 19, 2017
More people worldwide are dying from obesity-related causes than ever before, a new study indicates.
Obesity-Related Deaths Hit New High Worldwide
I try to find out, how it was found that it is obesity led to mortality, and I did not find it in article with so pretentious title. In stead it was something more interesting, and really I did not get the author's point:
"The mix of increased prevalence and decreased mortality leads to more years spent with obesity and more time for the damaging coexisting illnesses, such as type 2 diabetes and chronic kidney disease, to develop."So, if I live longer then I have to be unhappy because of it is more years of my life with diabetes type 2 and disability? Really, I still not able to get what author try to pretend to say.
Of particular concern to the editorialists is the near-tripling of obesity rates seen in children and young adults in developing, middle-income countries, such as China, Brazil, and Indonesia.Everyone talking about diabetes, no one care what they do talking about. diabetes is not the problem right now. There is insulin which can prevent amputations and most complications. Insulin will lead to the development a new generation without diabetes ether type of it. But today every one, child or adult , must be treated without abuse, mocking, and ridiculing our appearance, but with respect and care. With so many talks about human rights protection, there is no one protection for people with disability, diabetics type 2. We presented that we are diabetics type 2 because of we obese. really? What if we obese because of we are not diagnosed and wrongly treated diabetics type 2?
"An early onset of obesity is likely to translate into a high cumulative incidence of type 2 diabetes, hypertension, and chronic kidney disease," they write. "An increased incidence of diabetes among children may shift a proportionately greater load of morbidity into middle age and spread the burden of chronic disease more fully across the entire age distribution, even as populations continue to age."
Today diagnose diabetes is easy. At least there is no any special screening in need. Simple, make sugar level vital, the same as BP and temperature of the body. When one has elevated temperature of body one will have anti-biotics as first line of treatment. In contrary, if one has blood sugar level 599 then one will have Life Style Modifications as treatment regime. Elder;ly woman sent out of clinic to home with her home aid with blood sugar 700 mg/dl. She was given shot of insulin in clinic, first time ion her life, and she got into low blood sugar. So, she did not get home, She returned to clinic.
Now say me, what is the ADA recommendations how to diagnose diabetes, type of diabetes, and stages of it? How to start treatment, and how to continue it? It is easy to say that if blood sugar is over 200 mg/dl it is diabetes, so diabetes can be diagnosed. What if blood sugar 700 mg/dl.? ADA does not provide any recommendations how our clinic practitioners must address to diabetic of this type.
"An early onset of obesity is likely to translate into a high cumulative incidence of type 2 diabetes, hypertension, and chronic kidney disease," they write. "An increased incidence of diabetes among children may shift a proportionately greater load of morbidity into middle age and spread the burden of chronic disease more fully across the entire age distribution, even as populations continue to age."OK, what is now? The population continue to age, still population will die anyway in one age or another, right? Then what is authors all of them talking about? It was time when population died because on malnutrition. This was when BMI formula was created, to assess population, not individuals.
1800 - 1850 life expectancy was 37 years.
1850 - 1900 live expectancy was 40 years.
1900 - 1950 48 years.
1950 - 2000 67 years.
2000 - 2050 74 years.
So, if my diabetic father died at age of 37, then I am happy to live with diabetes to the age of 65 + by now. I am OK to be disable, have all that complications usually presented as greatest load. I live my life, and I love the way I do live.
To add more years even if it is disability and limited mobility mean for me more opera to listen, more camps to go, more quilts to make, more life to enjoy. SO, what all those
This study was funded by the Bill and Melinda Gates Foundation. The study authors have no relevant financial relationships. Dr Shaw reports receiving personal fees from Novo Nordisk.
really talking about? About diabetes that we are diabetics because of our obesity? Not at all. Just give us Insulin in stead of Invokana and Metformin, and there would be happy years of healthy life style and no any modifications needed. Just provide medical treatment in stead of social abuse and discrimination, mocking and LOLing. Do not take picture of me from behind. Take a look at the pictures places I visited, mountains I climbed.
All these pictures I took, and I had been there. I simple do not like to anyone abuse me how obese I am. This is not business of anyone. When talking about death obesity lead just show me, how it was determined that death caused by obesity? If it is heart attack and person was obese and this was the obesity related death then it is really time to take a look at the authors, what brain development they do have? Or they do so skinny that there is no matter to develop any mental ability? So, they are simple vegetables, brain - death personalities. Shame of you! At least say something more interesting then repeat all what already was told many times by you and every one else.via Ravenvoron
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