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Thursday 28 December 2017

Wet-to-dry vs The dermaPACE system (Sanuwave Inc) for Diabetic Foot Ulcer. December 28,2017

At first I read comments. 
I really wish studies would stop using wet to dry dressings as “standard therapy” for wound care. This approach is at least 20-30 years out of date for virtually all wounds and borders on malpractice when compared to what is available now (and has been for quite some time).
What is this, 'wet-to-dry dressings'? What is 'standard therapy' for wound care?
In March 2017 I went to ER with wounded legs, both of them.In hospital sometimes leg legs were put in dressing. Not for long, because of wounds are leaking and dressing get wet very soon. So, dressing fall down. No another dressing even there are nurse all the time. Soon I was sent home. Legs were wet, leaked, and more and more wounds opened every day.I went to Wound Care clinic. It is not the case that my primary doctor refereed me to this clinic, not at all. I just did know about this clinic because of I used to be in it two years before. With the same problem.Later when wounds on legs closed and skin dried, the same problem developed on hand. 
Really, what is it, standard care? So soon as my wounds on leg closed, there were no visits to wound care clinic, why? Did wounds closed inside of leg? Not at all. But there were no wet skin, so no care needed, right?
Now it is December. Every day my man wrap my legs as soon as he come from work. My skin getting white. Still dark spots present but it is not all so dark as it used to be. Also there is no pain inside of leg closer to the bones.
I order supply on Amazon. My man pays for it. Hands got OK, and there is no problems with wound on hands or arms so far.
The question is, what is standard wound care? How many of us really do know what is it, and how many of us use to have this care? Nurse which visited me at home refused to change dressings. It is not her job. Home aide does not do it. I cannot do it by myself. Really, what is the care? No one who really care. Happy those of us who got family. I do. My man do the job, no complains.
Wound closure rates at 24 weeks following one to seven treatments were 44% with the dermaPACE system compared with 30% with the sham therapy.
WOW! The question is, why it takes so long? It takes 8 months if I do math correctly. So, 8 month wounds still wet, no wounds closer, and is this Standard Care treatment options? Also I wish to say, it is only surfaced wound closer. The real wounds deeper inside, right around the bones. If treatment would be stopped, soon wounds would be opened. This is type of "Diabetes Reversal Therapy" for diabetics type 2.
Diabetics type 2 Foot Ulcer is not the same as it is veterans wounds. Out wounds inside. All our body effected by diabetes. It is not possible to treat wounds from outside without treating general cause of problem, limit in insulin secretion. How this treatment done? Life style modification. In hospital first line was done. Insulin was stopped. No one insulin shot in hospital. Probably this system would close my wounds, but really, would I still alive for the next 8 month without insulin in injections? I do not think so. So, I rushed from hospital and dropped all the standards wound care. At least a home I can take insulin, and wound probably would closed. No fancy side effects.
The most common side effects were pain during device application, local bruising and numbness, migraines, nausea, fainting, wound infection, cellulitis/osteomyelitis, and fever.
 What they forgot to mention is Amputation. It is obvious that 8 month opened wounds would not stay clear. Infection would follow. One problem links with another, and no light inside the dark tunnel.
Also there is no mention, what is the cost of this treatment? How many of us, diabetics type 2 can afford this treatment? Then price of amputation. Then care to live without legs. After that say me, how much really cost cost effective treatment options for diabetics type 2 such as lifestyle modifications and Metformin, just $4 for month supply.
http://ift.tt/2CiNEf8

FDA OKs Device for Diabetic Foot Ulcer Treatment
by Miriam E. Tucker



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Tuesday 26 December 2017

December 2017. Blood Sugar Readings.

Blood Sugar readings. December 2017
 350 units daily ave.  Blood sugar 100 mg/dl ave.
I am pleased with results. Still, I do not feel good. I am very sleepy. Very often I feel low sugar. Also my asthma is in effect, and it gets worse. Edema still high. Weight go up. I breath soundly. I cannot walk even to outside. I take stool to walk to my car if I do not take my scooter. So, I can sit and take a rest before walk on.
12.25.17 7;53am 59 L.S.S. 160 360

1;40pm 72 L.S.S. 100

7;14pm
L.S.S. 100






12.24.17 8;20am 58 L.S.S. 160 347

4;07pm 78 L.S.S. 107

b/b
L.S.S. 80






12.23.17 8;20am 58 L.S.S. 160 347

4;07pm 78 L.S.S. 107



L.S.S. 80






12.23.17 6;34am 65

347

8;18am 103 L.S.S. 160

2;41pm 77



10;20pm 94 L.S.S. 147

11;24pm 130 L.S.S. 40






12.22.17 5;22am 68

354

5’23am 68



5;24am 70



5;25am 70



6;27am 123 L.S.S. 80

7;22am 136



8;40am 104



12;53pm 63



3;36pm 139 L.S.S. 160

10;00pm 147 L.S.S. 114






12.21.17 9;04am 93 L.S.S. 147 387

7;47pm
L.S.S. 160

10.40pm
L.S.S. 80






12.20.17 10.09am 87 L.S.S. 80 387



L.S.S. 80

10.54am
L.S.S. 67

9;40pm 136 L.S.S. 160






12.19.17 6;13am 90 L.S.S. 80 387

10;45am
L.S.S. 80

6;32pm 117 L.S.S. 67



L.S.S. 80

10;21pm
L.S.S. 80






12.18.17 9;21am 78 L.S.S. 80 334



L.S.S. 67



L.S.S. 187






12.17.17 12;03pm 116 L.S.S. 67 347

1;17 am
L.S.S. 120

9;55pm
L.S.S. 160






12.16.17 9;16am 81 L.S.S. 120 254

9;11pm 137 L.S.S. 134






12.15.17 3;52pm 129 L.S.S. 120 360

5;46pm 216 L.S.S. 120



L.S.S. 120






12.14.17 2;49am 55

240

5;53am 119 L.S.S. 120

11;20am
L.S.S. 120






12.13.17 8;23am 126 L.S.S. 134 441

11;09am 141 L.S.S. 120

5;33pm 126 L.S.S. 120

7;30pm
L.S.S. 67






12.12.17 8;22am 100 L.S.S. 120 347

*
L.S.S. 107

11;37pm 70 L.S.S. 120






12.11.17 7;36am 68 * * 360

8;20am
L.S.S. 120

1;45pm
L.S.S. 120

5;45pm
L.S.S. 120






12.10.17 5;42am 62



10;15am 79 L.S.S. 120 494

1;50pm 135 L.S.S. 120

4;30pm
L.S.S. 67



L.S.S. 67

11;47pm
L.S.S. 120






12.9.17 5;00am
L.S.S. 80 427

8;00am 86 L.S.S. 107

12.45pm
L.S.S. 120

9;32pm
L.S.S. 120






12.8.17 8;40 am 108 L.S.S. 141 261

8;58pm 78 L.S.S. 120






12.7.17 11;04am 107 L.S.S. 67 300



L.S.S. 67


89 L.S.S. 120



L.S.S. 46






12.6.17 4;24am 73 L.S.S. 67 374



L.S.S. 67

10;46am 102 L.S.S. 120

6;32 pm
L.S.S. 120






12.5.17 5;25am 75 L.S.S. 120 360


80




84




81



9;30am 65




65




66




71




65




71



3;20pm
L.S.S. 120

10;10pm
L.S.S. 120






12.4.17 8;53am 138 L.S.S. 120 360

12;42pm 106 L.S.S. 120

4;54pm 130 L.S.S. 120






12.3.17 2;12 am 168 L.S.S. 187 494

10;25am 148



11;05am 133 L.S.S. 120

3;24pm 200 L.S.S. 120



L.S.S. 67






12.2.17 8;55 am 95 L.S.S. 120 120






12.01.17 7;24 am 176 L.S.S. 120 307

12;13pm 68 L.S.S. 80

4;17pm
L.S.S. 107








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Saturday 23 December 2017

Diabetes type 2 uncontrolled. December 22, 2017

        What is it, 'diabetes uncontrolled'? In med. clinic number of sugar in blood taken. If this is what number? then it is 'uncontrolled diabetes'. When diabetes is 'controlled'? Really, what all those stamps about?  Below the readings and insulin dose for one day, December 22, 2017. Total dose of insulin is 354 units. The average level of sugar for this day is 98.9 mg/dl. I tried to take my usual one hour study but I am so sleepy, I cannot do it right now. I sleep day and night.I sleep very very sound. Is this good? Does it bad? I do not know. I just follow what I want or need, and do not fight myself.
           Edema still high. I cannot take diuretics. All what I can do right now just wrap my legs to try to get rid of water. It is very difficult, and it does not go away easy. It is already good if edema does not go up. The reality is right opposite. It goes up. Weight increases. I do not fight, I take life as it is.
      First things first. Sugar must be smooth and nice. I cannot be more happy with results then I can see it on the table. Dose of insulin? OK, what about dose of insulin? really, why it is important to decrease dose of insulin? I take as many units as it takes to keep numbers in range. If I need 500 units, I take it. If 300 units keep my numbers under control then I do not need more.
      Diabetics type 2 presented that we are insulin resistant, that our body system does not use insulin properly. Is this really the case? Not at all. We simple do not have what to use properly. When dose of insulin I injected is right, then sugar is normal, no high ride no low drops. There is only one problem, it is not possible to find the right dose every day we need to inject. So simple. Not possible.
      What is most important in all swings from high to low is that when numbers are high, drops are low. Then less gap between normal and abnormal readings then less high-low swings ride. It takes time. years of patience and hard work. Still, there is no one benefit to bark on diabetic that we eat too much, and we do not control blood sugar level. We are diabetics type 2. We are ill people. We cannot control blood sugar level. The same as cancer patients cannot control that problems inside of their bodies. We are ill. Just accept us who we are.

12.22.17 5;22am 68


5’23am 68


5;24am 70


5;25am 70


6;27am 123    L.S.S. 80

7;22am 136


8;40am 104


12;53pm 63


3;36pm 139    L.S.S. 160

10;00pm 147    L.S.S. 114


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Wednesday 20 December 2017

Understanding of Diabetes Type 2. December 20,2017

        Understanding of diabetes type 2, do we have it? Not at all. Diabetes type 2 presented as it is metabolic disorder. At the same time diabetes type 1 is autoimmune disorder. Why it is so different in presentation? So, it looks from first glance that there are two different types of disease. Is this right?  Not at all. Diabetes is diabetes, regardless what name it has. The name given only to identify the health condition. If diabetes identified, regardless it is diagnosed or not it is disease, abnormal condition which must be treated to return back  to the health. Abnormal condition does not depend it diagnosed or not. This is what we do have, disturbance in health that we cannot live as healthy person. A diabetic is the first person why identify the abnormality. Some one can identify condition, most of us do not, but still it is one who is ill identify the decline in health.
       Now person go to clinic to see a doctor and get some help if it is possible. There are journey beginning. One who diagnosed as VIP type 1 get real help, insulin, and soon gets better. No amputations. No swelling of the body. No weight gain. With every insulin shot VIP type 1 gets better and soon only low dose of insulin would be needed. Of cause if dose of insulin was sufficient for VIP. There is another type of diabetics, Simple. Simple does not get insulin. They diagnosed as diabetics type 2. Less then 10 years after being diagnosed Simple pass away if one does not stop to take Trash Medicine and start to take insulin injections. Educated type 2 survive even if he/she is Simple. Not educated type 2 go through all The Hell, lost one leg, another after first one, and finally got heart stopped in unbearable pain.
       This is reality in Understanding Of Diabetes.
      I love when I see in my medical records that I am diabetic type 2 with not controlled diabetes. I love to see that, still I cannot get the meaning of this common expression. Really, say me, what is "controlled diabetes?" It is type of diabetes which controlled with medicine, right? Well, every one of us in some point had inflammation, right? Then just try to remember, did you control temperature of body? How? That's right. Every morning and every day a few times daily we got antibiotics. The temperature getting down and soon after medicine stopped to work temperature elevates. It is Swing. Because of no one control is available with medicine.  Ill people cannot control condition they are.
          So does diabetic type 2. Regardless how good my numbers are, they never the same. Because of this control is only with medicine, and I still ill regardless how good I keep my numbers.
        Another point how to control diabetes is the dose of insulin I have to inject every day, a few times daily, every time different amount of units. Say me how to find this right dose that numbers do not go up or down? I try every day, and still I cannot do it. Numbers does not follow the control. They go up and down. Most interesting point is, they go up when we expect they would go down, and they go down when we expect they would go up. This is why when I see someone posted they keep numbers 101 day after day, morning after morning, I would not trust to this one. Why? Just think about your car. Is this possible you would know how much gas you have to put into tank of your car? Is this possible to predict? Not at all. No one of us even try t do so. We simple stop by gas station every time to keep our car tank full.
     At least but not last, what if numbers on meter are good? What doctor would say to me? I am not diabetic. I do not need medicine. The medicine with which I kept my numbers under control, would be stopped, and numbers will go out of control. But it is not concern of MD. This would be another story, and I would need to go through all Hell to confirm, I am diabetic type 2, type of diabetes when insulin dose to control numbers is higher then 200 units daily injections.
        Now, if there are two types of different medical condition, why the effect of treatment is the same?
       For VIP type 1 treatment for diabetes is insulin, and insulin only. They do not take medicine which developed for Simple type 2 diabetics. This type of medicine is not suitable for them. Simple diabetics type 2 take all Trash medicine which VIP type1 denied, and getting worse with every pill they swallow. Still, if Simple diabetics type 2 for one reason or another finally got Insulin, they are getting better. Really, if medicine is wrong then this medicine would not work to improve medical condition, right? If medical condition getting better then medicine is right, so bring it in, please. So simple. But very expensive.  For me it is $2000 monthly. Only insulin. I have to have strips, needles, and all the medicine to work to improve damage already done by medicine, or absence of medicine.


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Tuesday 19 December 2017

Take The dQ&A Diabetes Survey - And Have Your Voice Heard

I spoke with the folks at dQ&A last week. YEP, impressed. 
######
There are things I absolutely love about the diabetes products and meds that I use daily and religiously.. and there are things that drive me absolutely bonkers about the diabetes products and meds I use daily and religiously.  
There have been times where I’ve literally said out loud: Clearly, whoever designed this (insert name of diabetes technology, accessory, med, whatever), has never worn/used/taken said diabetes technology, accessory, med, whatever!  
1. It's so incredibly frustrating. 
2. I know I’m not the only one who feels this way.

So how do we get our diabetes POV to the people who make and create? 
A good start is signing up and taking a diabetes survey from dQ&A, ( Diabetes Questions and Answers,) and participating in their patient panel.
Background
dQ&A was created in 2009, with the primary goal of making sure that companies in the diabetes arena (like Insulet, Dexcom, Medtronic, and Abbott Diabetes Care,) know what we want and need when it comes to the diabetes technology, drugs, and innovation. 
Speaking of innovation, dQ&A also works directly with new diabetes companies whose products have yet to hit the market.
Sidebar: 
They also rep our community. Last year dQ&A spoke in front of the FDA in support of the agency considering more than just A1c reduction when deciding whether to approve new diabetes drugs and devices. 
They backed up their claims by using a 3,500-person dQ&A survey to make and bring that point home.
And I'm so damn glad they did - because people with diabetes are more than our A1C, and people with diabetes already get judged more than most. 

You can sign up to take their survey HERE, (results are anonymous, personal info is never shared,) and your feedback about living with diabetes goes directly to the designers and researchers working on today’s - and tomorrow’s diabetes products. 
I’ve taken the survey, it’s easy and doesn’t take much time. 
Sign up today, take the survey - become part of their patient panel and participate in future surveys. Your voice matters - USE IT to help yourself and your community. 

dQ&A’s surveys are global and open to people in the United States, Canada, The UK and Europe.
 A fee is paid to every individual who signs up and takes a survey, in the form of a check, gift certificate, or a donation made to one of the following fab diabetes charities:

US Diabetes Charities
DOGS4Diabetics
American Diabetes Association (ADA)
Diabetic Youth Foundation
Children with Diabetes Foundation
Juvenile Diabetes Research Foundation (JDRF)
Taking Control of Your Diabetes (TCOYD)
The Faustman Lab at Massachusetts General
AADE Education and Research (American Association of Diabetes Educators)
Diabetes Sisters
Diabetes Research Institute 
The dLife Foundation
The diaTribe Foundation
CarbDM
Behavioral Diabetes Institute
Beyond Type 1

Canadian Diabetes Charities 
JDRF Canada
Canadian Diabetes Association
Diabetes Hope Foundation
I Challenge Diabetes
Life For A Child (IDF Programme)
The Diabetic Children's Foundation
Charles H. Best Diabetes Centre
The diaTribe Foundation
Diabetes Quebec
McMaster Children's Hospital
Julia McFarlane Diabetes Research Centre
Connected in Motion
Diabetes Advocacy 

UK Diabetes Charities
JDRF (Juvenile Diabetes Research Foundation) UK
Diabetes UK

South Asian Health Foundation  


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