Diabetes Type 2 and Wound Care practice . January 31, 2018

Those who post that they reversed diabetes type 2 with right meal choice never really saw diabetes type 2 in its ugly grim. We are all obese why? Our bodies never stop making water. There is still no any answer why our bodies work in this way. Also there is no one answer what to do with edema, severe water retention. In hospitals thousand of diabetic type 2 with wounded legs. What is the treatment do we have? Water pills. This is why Invokana effective for diabetics type 2. Diabetics type 2 die not because of high blood sugar but because of CVD. So simple. So brilliant.It is not only legs or feet affected. Wounds can open at any spot of diabetic type 2 body. What is the same only that these wounds severe and not possible to heal. 

 In hospital what Md suggest? Water pills and Metformin for those of us who allergic to Metformin and do not take it in regular base. Puss or yellow liquid drain out of wound. Bandage getting wet and fall down as soon as nurse left patient's bed. If condition is more advanced there would be unbearable pain. So, pain killers would be added. What would not be added is insulin. We are type 2 diabetics. According to ADA we do not need insulin in injections. So, there is no need to add insulin as first line in diabetes treatment.
      These pictures from 2017. I was in hospital. I tried to get some help. I was discharged from hospital next day. With the same condition I was admitted. After that all what I do just try to get what I need in my own way.
     At first I went to Wound Care Clinic. It is interesting. Why in hospital wound care doctor did not come to Rx treatment for me? Why never anyone wound care nurse come to my bed to wrap heavily draining wounds? There are never was any answer to these questions. Really I did not ask any one those questions, but myself.
    Wound Care Clinic done job very well. About month later there were no opened wounds. Now, one year after there are still no opened wounds. But I have to wrap my legs every day. If my legs staid unwrapped one day edema hit and legs become bigger. Next day on unwrapped leg would be open wound.  So, my man wrap my legs every day. To do so we have to buy surgery supply, wraps.
This wrap as I see so far is best. It hold pressure very well. Pressure can be more or less. It can be controlled with good practice. If pressure is very high, too tight then it would be pain, blood circulation can be interrupted.    If pressure is to light then wrap would fall very soon. So, wrap must be refreshed. In one case wrap can be just trash. In another case wrap can be used a few times. My man  can used it about week.
Next day wrap would be taken off back on the roll, skin would be cleaned, medical cream would be applied to avoid itching, and then wrap would be back on the place.

3M Coban Self-Adherent Wrap 1584, 4 inch x 5 yard (100mm x 4,5m), Non-Sterile, Tan (Set of 18/EA)

Sold by: Simply Prime $ 40.46 

This roll of compressing sleeve.  It does not provide great compression. But it hold very well the bandage and stay on skin wrapped with medical cream. Another good point in this product that it has no effect on skin, no pressure from edges of bandage.

Tubigrip Tubular Bandage Size F, 4" (Large Knees, Medium Thighs), Natural, 10M Box

Sold by: DailyHomeCareSupplies

Return eligible through Jan 31, 2018

$53.50

So, at first we wash skin, and let it dry.
Then we apply medical cream to be sure that bandage would stay on place.
Next we put Turbular Bandage to protect skin from wrap.
Then wrap go on the sleeve around leg starting with foot up to knee.
After that another sleeve go above the wrap to protect wrap and extend its use. Anyway, each wrap cost at least $2.5 so it is OK to use it a few times.
Finally, sock go on foot.
    We try many different bandages. 4" is too narrow and it start to cut skin, not as knife, no bleeding, but all role around dipper into skin. (I cannot say it better, Sorry. I am ESL, not native English speaker). 6" much better. Still, they cut skin and must be used very carefully. From this point Best what we used was  with closer from both size. With time and active use it also became strecged out and simple stop to work. Pack of two $11.95

HGP Cotton Elastic Bandages 2 Pack - Self Adhesive Latex Free Wrap With Touch Closure at Both Ends - Extra Wide 6 Inch X 15 Feet Long - Precise Compression With No Clips or Tape for Knee Leg or Ankle

Sold by: HomeGrownPro  Product question? Ask Seller

Return eligible through Jan 31, 2018

$11.95

 

2 of UNNA-Z Unna Boot Bandage with Zinc and Calamine, 1 Roll, 4”x10yds

Sold by: MedicalLine

$9.42

It is very good for opened wounds. This boots used by Wound Care clinic. Now my wounds no longer opened, so I do not use them. It is not the case I do not  see I will have or will not have benefits by using these boots. I simple do not have money to pay so much.

via Ravenvoron

What Comes After Metformin in Type 2 Diabetes? january 31, 2018

Until 2012, the American Diabetes Association (ADA) recommended lifestyle and metformin as first-line therapy for glycemic management in type 2 diabetes, followed by a sulfonylurea (SU) or insulin for additional A1c reduction.

 What Comes After Metformin in Type 2 Diabetes? by Gregory A. Nichols, PhD

 https://www.medscape.com/viewarticle/891625?nlid=120428_1521&src=WNL_mdplsfeat_180130_mscpedit_wir&uac=164666HZ&spon=17&impID=1546694&faf=1

      What is now, after 2012?  If that therapy back to before 2012 worked that why it must be changed? If that therapy did not work then then why it still in ADA recommendations 2018? There are thousands book and publications how diet worked out and  diabetic type 2 reversed diabetes type 2. Many of those publications officially published. There is only one problem with diabetes type 2 reverse. How to confirm one is not longer has diabetes, meaning that pancreas healthy, amount of beta-cells sufficient, and insulin secretion is not limited? Not to test that there is no diabetes type 2 any-longer? There is no test like that. All test to diagnose diabetes ether type of it just level of sugar. The same test to diagnose diabetes, or if diabetes under control, or if diabetes reversed.
       To be clear in my point, at first diagnose of diabetes must be based on data other then level of sugar in blood. ECG show not only present MI but all MI in past, reversed or active. MRI show all black spots in brain, past or present strokes. Level of sugar in blood does not show if there was diabetes in past and reversed, or it is present active diabetes right now. Blood is in constant change. This test cannot be reliable to diagnose that one is diabetes  free. The level of sugar in blood is only test for active medical condition and for control of diabetes. The same as the temperature of the body. Today we are flu - free and tomorrow we got it.
      So, how it is possible that life style and metformin can be first line in treatment of diabetes? It is possible only in one case, pancreas solved the problem and for some time body able to function normally.  At that time we try to be active as much as we can, big mistake I can say. Also at that time we are able to pay for diets and force ourselves to follow them. Another big mistake. In addition to these two MD Rx Metformin to kill healthy well working liver and destroy healthy muscles. When we are not so ill, just in first stage, we follow doctor's order, and we trust in doctor. Plus there is aggressive propaganda that we are all fat, regardless the body size and shape. It works perfectly. The treatment of diabetes moves to the next stage, second line.
      SU or insulin? What to chose? There is the problem. The problem is cost. Insulin is expensive. SU is cheap.What is doctor's choice? SU. In addition to that MD Rx cost effective therapy, MD secure future business development. With SU no one diabetic ever would be able to reverse diabetes, to get healthy, to get off the medical hook. We are hooked for the next ten years, getting fatty, ill, and finally die in pain and suffering.

Today, with many more second-line options available, the ADA's new guidelines open the door to whichever therapy is best for the individual patient. But what exactly does that mean?

       Free pie for all medical industry. Nutritionists and Surgens to cut our legs, pain management and depression therapy, you name it, all follow up with Metformin, SU and life style modifications. All pain can be eased with insulin. But insulin is not the choice for diabetics type 2. The same as many other active and effective medicine.We may not have it, why? Life-stock must be kept in the barn available to be used at any time.
      Before 2012 there are only SU and Metformin were avalable to kill diabetics. Now there are much more. Try it. If one does not work then try another medicine. Take Avandia or Invokana, oral tablets or injectable if one wish. The result is the same. Less then ten years after being diagnosed with diabetes type 2 diabetic type 2 would die.

 Most patients added a therapy to metformin, the most common of which was SU (41%) followed by DPP-4 inhibitor (31%). Baseline A1c was 8.7% overall and 9.2% and 8.4% for SU and DPP-4 inhibitor combined with metformin, respectively. Patients initiating insulin experienced the largest absolute 6-month change in A1c (-2.1%), followed by those adding SU to metformin (-1.7%).

As it is said, insulin provided greatest improvement in diabetes control. SU can reduse A1c but only temporally. With time pancreas lost ability to secret insulin and insulin secretion drops below any ability to survive. Even in this stage insulin can support life. But there is no recommendations or protocol that insulin must be first in line. Diabetic die due to diabetes, high blood sugar  level, 100% preventable death, or MI, heart arrest due to spasm of heart muscles, or stroke due to blood is so dense it rupture blood vessel. Insulin could prevent any of these conditions. There uis no insulin for diabetic type 2. Diabetics type 2 practice to try one medicine after another. Perfect Human Ginea Pigs for medical experiments.

via Ravenvoron

Driving!

"GOOD MORNING! Go ahead and get in the driver's seat. You'll tell me if you're feeling high or low, right?"

And that's why we waited for this driving instructor.

My daughter turned 16 in November and passed the written part of the state driving test at the end of that month. The next step, per our state's motor vehicle department, was to begin six hours of behind-the-wheel instruction through a certified driving school.

The high school's gym teacher of few- but loud -words I've written about here is an instructor with the driving school most kids in town use. Other instructors were available in December, but we waited.

That little interaction at the beginning of the first lesson made me glad we did.

We wanted her first few hours on the road, since it would not be with us, to be with someone with whom she was comfortable sharing any diabetes-related needs she had during the lesson. This guy checked all the boxes. My daughter knew and liked him. He was, professionally as a gym teacher, aware of low and high blood sugars and the seriousness there-of. We also know that he has a niece with T1D, so would be attuned in a more personal way to the issue.

As it turned out, diabetes was a non-issue during any of the three lessons.

As with so many things diabetes, though, we were comforted knowing that while we hoped for the best case scenario we had a safety net in case things went awry.





via Adventures in Diabetes Parenting

Keeping Kids With Diabetes Safe at School:Non-Medical Staff Can Do the Job, really?

"Keeping Kids With Diabetes Safe at School:Non-Medical Staff Can Do the Job" 
Alexandria, April 27, 2007
 http://www.diabetes.org/newsroom/press-releases/2007/may-dcare-release-2007.html
So easy to conduct study and put responsibility to the anyone but MD. Study show that insulin administration can be easily done by anyone. Is this really true?
    Well, to inject needle into belly probably is not so difficult. Staff can be easily trained to do so. The problem is, what non-medical staff in school suppose to do if student suddenly collapsed? What school staff suppose to do if sugar is high? Or Low? To inject insulin is not the problem. How many units to inject is great deal. No one medical staff know for sure how count dose of insulin according to the number on glucose meter. No one. Why? Because of there is no pattern how dose of insulin and level of sugar come together.
     In our education programs all the time presented that we have to inject insulin according to the body weight and amount of carbs we are going to eat. Is this practical? Does it works? Not at all. The glucose level in blood is different not every day but every moment we take reading. Try to take the same meter, the same finger, and see if reading come the same. The difference can be up to 10. It is not big deal if it is 100 mg/dl or 110 mg/dl. When it is low sugar then 10 mg/dl is great deal. 40mg/dl diabetic still functional and responsive. 30 mg/dl is danger, probably coma. I am not sure about the number, I think different diabetic response differently to any numbers. I saw only 38 mg/dl on my meter. I was able to see this number. Someone would not.
    This is difference in numbers on glucose meter. At the same time weight in pounds is not so flexible and does not change so dramatically fast and wide. When staff have to inject insulin to the student? What dose of insulin staff must inject? Even nurse would not do it without MD order. Now it is presented that non-medical staff must do the job no one med pro able to do.
     This is ADA recommendations and studies. In other words, every one can inject insulin, but not medical staff. To conclude this absurd I wish to say, what about old Diabetics population? Is this really true that home aide would do insulin injections? Not at all. Home aide still medical staff, traned pro. No one health care company provide home aides with training how to inject insulin, why? It is responsibility to the dose of insulin injections. If diabetic got low sugar then it is health care company would be responsible. No one medical pro will take this responsibility.
    
      Now there is another question. Why it is school staff must administer insulin? Really it is interesting question. For how long student stay in school? Why there are no nurse in school all the time when students in school? OK, someday nurse would have day off or get flu. So, what? If it is teacher get flu then there are substitute teaching. When nurse get sick there is no nurse in school where thousands students at once? Why? Why there is no substitute for nursing in school? So, if nurse in school then why it is non medical staff must be trained to inject insulin?  No any reason for that. With any non medical staff student cannot be safe when insulin injected.
    This is ADA recommendations. Does they know how danger insulin can be? O,yes they do know it very well. This is why they pretend that insulin can be 'safely injected by any non medical staff". Medical Staff cannot do job safely. So, they better to stay aside.
Brilliant studies. Keep donate to ADA. They will conduct more studies like this one.

via Ravenvoron

Why level of sugar is not vital? Juanuary 29, 2018

According to ADA 2007 there were 23.6 millions children and adults with diabetes. 7,8% of American Population.
5.7 millions do not aware they do have diabetes. Why?
 There is one out of four diabetics is not diagnosed with medical condition he or she live. It is statement from Standard Medical Care 2018, ten years later. Why?
All the time it is said that people with diabetes getting better if they diagnosed early. So, there are two questions.
First:
       Why one out of four diabetics are not diagnosed? Is diagnose of diabetes so difficult and demand special training? Not at all. In hospital every one of us do have X-ray to be sure there is nothing in our lungs. In no one hospital people checked up what level of sugar they do have, if they are not diagnosed with diabetes. So, how people would know they do have diabetes? Don't they feel being ill? They do. Every one of us do know very well, there is something wrong with my health if I am so tired or hungry, or use bathroom way too often. Test of level of sugar in blood would reveal problem long before symptoms would surface. Why level of sugar is not vital? Why millions of us live with dangerous ill and do have no medical treatment?
Second:
      Why today with so improved Medical Care the number of not diagnosed diabetics still the same as it was ten years ago? Why there is no any attention to the fact that people live with diabetes and have no medical attention, no medical treatment? ADA pretend that diabetes Medical Care improved. If so, then show it in numbers. Sorry, I do not see any improvement so far.
      It is said by ADA that if diabetic lost weight right after being diagnosed with diabetes type 2 then there would not so severe complications in future, even weight would return, from Care 2007. Weight the same as numbers on glucose meter, never stay the same. Then higher numbers on glucose meter then lower amount of insulin secreted by body system. This leads to the condition that cell cannot get nutrition it needs.
      At first body try to cope with problem with dramatically increased appetite. Regardless what and how much diabetic eat, she or he stay hungry. The hunger get uncontrollable with first bite diabetic takes. Stomach cannot accumulate this amount of meal. Vomiting only the solution. With time stomach get bigger, so condition of diabetic can get better with more meal available to process.
    Then the level of sugar in blood getting higher and higher. Soon diabetic does not want to eat. But takes a lot of water. Mouth of diabetic very very dry, not possible to speak. Skin dry. Eyes leads heavy. Diabetic try to sleep as much as one can.
     At that time weight start to drop. Diabetic lost pounds, dropping one size after another. Next stage is coma.

via Ravenvoron

HOLD MY CARROTS

Taste the rainbow and diabetes bitchswitch, flipped.

I don’t know why some people are obsessed with carrots and diabetes - but get a fucking clue, learn the facts about diabetes, and leave carrots alone - and leave me alone when I eat or buy them - because I LOVE CARROTS. 
This happened right before Christmas.

#####

I stood there in the veggie isle, enthralled by the display of 2 lb bags of large and organic rainbow carrots - they were seriously gorgeous, dare I say stunning - a literal rainbow of colors - purple, orange, beige - and I couldn’t wait to embrace the rainbow of carrots, chop them up and get them in my belly!

Bonus, they were only 50 cents more than the freakish large and weirdly uniform looking Frankenstein carrots  - and I knew they were tastier, because no chemicals. 

I’d planned on make an amazing an amazing carrot ginger soup I’d recently perfected when I got home, these carrots would be perfect. I grabbed two, 2 lb bags and walked towards the produce scale a few feet away. 

 Side bar: Bagged produce doesn’t always weigh the same, so take a beat and weigh them. 

In this case, one bag weighed a 1/2 a pound more than the other - and that would be the one I placed in my cart with the other ingredients. 

As I turned to put the other bag of carrots back, I heard someone say, “You’ll get diabetes if you eat all those carrots.” 

I looked over towards the apple bins and saw a woman standing in that isle and with what seemed to be an inordinate amount of kale in her basket, but that's besides the point. 
She stood catty-corner to the isle, looking at me and shaking her head. 

I silently uttered ”fuck,” looked at her and said, “I don’t know anyone who eats two pounds of carrots at once and that’s not how diabetes works." 

Then I did my best to extricate myself from the lecture I knew was headed my way.

It was like the baby carrot bbq incident of 2011 all over again - but different. 

Nine times out of ten, I try and educate about diabetes every chance I get - that's what most of us do. But not this time.

This time - on a rainy and damn near freezing night, all I wanted to do was get home, put on my PJs and create the fabulous carrot ginger soup I’d been craving and which ironically, always seemed to be followed by post meal unicorn blood sugars, every time I made it. 

Which when you think about it makes perfect sense because It’s all veggies - it’s like drinking a liquid warm salad, except that sounds gross and this soup is anything but!

I started wheeling my cart back towards the carrot wall, but Apple Annie followed my over. 

Apple Annie: Carrots are loaded with sugar - they're like donuts. 

Me: Ginger Donut soup doesn’t sound like it would be appetizing. 

Apple Annie: Carrots are loaded with sugar - they do more harm than good and mess with your insulin levels. 

And in my head, I panned left to the imaginary camera and said: HOLD MY CARROTS.

In real time and standing in front of the rainbow of veggies, I stepped on my diabetes soapbox and stated: I already have diabetes - I’ve had diabetes since I was a little girl - and not because my mom fed me carrots... or donuts... or donuts laced with carrots. 

I have diabetes because my pancreas crapped out and destroyed the part of my pancreas that makes insulin - STOP BLAMING PEOPLE WITH DIABETES AND STOP BLAMING CARROTS.

And instead of putting the second bag of rainbow carrots back, I tossed them in my cart in defiance and walked past her.

And Apple Annie just stared at me like I had three-heads, all of which were happily munching away on rainbow carrots. 

Taste the rainbow, and diabetes bitch-switch, flipped and dialed up to 11. 

via Diabetesaliciousness

Day by Day. January 27, 2018

This blog just like log book, life as it is going. So, when I post at one time that I think this is what work, or does not work, then with time my opinion different. This not really opinion, but thinking. With time and more experience this can seems differently.
      Once I posted that I take insulin shot when sugar is low. This is really looks non-realistic. If sugar is low , and I take insulin shot then sugar will drop down, right? Looks like it is not the case. I afraid to say and to be wrong. I do have only one person to observe, myself. Still, I am very good observer.
     I take insulin shot when sugar is low right before my first bite. Not so high dose, lower then usual. Just to stop hunger. So, when I start to eat I do not have high aggressive appetite as it is usual with low blood sugar. The matter of fact, my appetite is low and I get full and satisfied very very fast. I can replace meal with two apples. I eat fruits every day. Every meal of mine with some veg.
     This works very well. It is very difficult at first time because of great fear to get down even more then sugar already dropped. With time this fear off.
     Now I have another discovery. This is mine. I did not read it in any books or articles. This is just started, in this time, January 2018. Looks like low sugar started to get higher. I am not sure I would be clear on what I try to say.I even not clear understand what I wish to say, so complicated it now.
     Usually we fight high blood sugar. To deal with low blood sugar we take meal. This is only one way to fight low blood sugar. It is easy to assume that then higher dose of insulin to reduce high blood sugar then more danger low sugar would drop. It does not work in this way as I see it so far.
     I posted recently that low blood sugar can feel 'low' even when number on meter is within normal ranger. Simple perfect blood sugar, and I feel it 'low'. This was why I could not take dose of insulin as high as I needed to control blood sugar. Year after year in my file doctor post: Diabetes uncontrolled.
     Now it looks differently. Now I am able to take as many as 250 units of insulin in one shot. I usually did not do so. 100 units was my limit. If I took higher dose then I would have low sugar. Now it does not the case. I took 250 units in the morning, and returned to bed. No meal. Just 2 bottles of cold coffee. When I finally was able to get up (today I do have very severe pain in my right leg ( I simple cannot move. So I staid in bed, and tried to cope with this severe acute shooting pain) sugar was 62 mg/dl. No low sugar. No hunger. No shake.
    I took another shot of insulin 67 units  and went to kitchen to get some food, fist meal for today. It was 2:15 pm. Meal was good. We had tickets for Metropolitan Opera today. After midnight I took another 160 units, one corn, and one mug coffee. O, yeas, one apple too. I love apples. So, for today it is 467 units total.
     Sometimes I wonder, where insulin go? The dose is high. It is not just one day as I took higher dose of insulin before. Not at all. It is day after day between 400 and 500 units. Some days it is over 500 units. No high numbers. No low numbers. Usually it is 52 mg/dl in the morning. Still, I do not feel it as very low. Not comfortable, yes, but no fear.
     I think, it is a new condition I am now. What does it mean? Do I getting better? Am I getting worse? I do not know. I do have headache almost every day. Still, it is nothing new. I do all time have it. Now I take two, and sometimes 4 tablets Excedrin. I used to take up to 20. But it is already past.

via Ravenvoron

“Standards of Medical Care in Diabetes” 2018 by ADA. Classification of diabetes and types of diabetes. January 26, 2018

http://care.diabetesjournals.org/content/41/Supplement_1/s13#T5
 “Standards of Medical Care in Diabetes” 2018 by ADA

     Every year ADA publish upgraded Standards to use to treat Diabetes foe Professional Practitioners. Now this 'Standard' published, and it is time to take a close look at the how ADA recommend address to Diabetes Treatment.
    At first, of cause, before any treatment would start, it is diagnose and definition of what treatment suppose to treat. In new "Standards' there is nothing new. As usual,

 Type 1 diabetes (due to autoimmune β-cell destruction, usually leading to absolute insulin deficiency)

 Type 2 diabetes (due to a progressive loss of β-cell insulin secretion frequently on the background of insulin resistance)

        So, to be clear, if diabetic is diabetic type 1 and has no insulin secretion then "Honeymoon phase' come from where? Odd, is not it? Hally Berry stopped to take insulin, she was diagnosed as type 1 diabetic, and insists that now she is type 2 diabetes. She needs medicine, but does not need insulin. It is official and published everywhere. If this is possible that sometimes diabetics type 1 do not need insulin injection then it is really odd that they do have 'absolute insulin deficiency'.
     Now there is another odd definition, diabetes type 2. It is said that diabetes type 2 happened due to a progressive loss of B-cells. So, if progression of loss continues then what is difference between types of diabetes? Is this possible that with time till diabetes was not even diagnosed yet the B-cells loss was so progressive that there is absolute insulin deficiency?
     Types of diabetes where defined as 'insulin dependent' and 'non-insulin dependent'. What about those of us who diagnosed as type 2 diabetic and need insulin added in injections? Are we 'insulin dependent' or we are 'non-insulin dependent'?
     In my reference books Doctor Joslin defined insulin resistance as type of diabetes when diabetic needs more then 200 units of insulin. So, does diabetic type 2 insulin dependent or not insulin dependent? Still not clear.100 years after insulin discovery the definition of diabetes still confusion and not clearly defined.

Classification is important for determining therapy, but some individuals cannot be clearly classified as having type 1 or type 2 diabetes at the time of diagnosis. The traditional paradigms of type 2 diabetes occurring only in adults and type 1 diabetes only in children are no longer accurate, as both diseases occur in both age-groups.

     With millions of adults who live with non diagnosed diabetes it is easy to assume that they are diabetics type 1, but they were not diagnosed with diabetes when there were children. So, to diagnose diabetes according to age of victim is not reasonable. It is diagnose, not the beginning of disease. It is not duration of disease, or any reasonable health mark such as the level of B-cells lost. Not at all. In diagnose and classification there is only tools clinicians use, the age, size of middle area, and of cause ability of MD to use Art of Medicine. Not reasonable or reliable tools or marks.

Although difficulties in distinguishing diabetes type may occur in all age-groups at onset, the true diagnosis becomes more obvious over time.

     Not really true. If once adult diabetic was diagnosed with type 1 diabetes, then with time MD such as doctor A.Peters will re-diagnose victim and stop insulin therapy replacing it with Metformin. In case one was diagnosed as diabetic type 2 there are never another diagnose come to replace this stamp. Regardless of how many b-cells was lost, and even if there are still b-cells to secret insulin.

 Diabetes may be diagnosed based on plasma glucose criteria, either the fasting plasma glucose (FPG) or the 2-h plasma glucose (2-h PG) value during a 75-g oral glucose tolerance test (OGTT), or A1C criteria (6) (Table 2.2).

     Many years I try to find out, how type of diabetes diagnosed. I still try, but no result. Both types diagnostic based on the level of sugar in blood. So, how one type of diabetes different from another? No difference. The normal range is the same. The abnormal range is very different, from normal such as 100 mg/dl up to 700 mg/dl, and higher. Still, if size of body is wide then it is type 2 diabetes, regardless of the level of sugar in blood. If size of the body is normal then .... then it still type 2 diabetes. Only children diagnosed with type 1 diabetes, or VIP. The rest of us type 2, non-VIP population.
      There is nothing new to define the stages of diabetes. They simple does not have place to be. All attention to diagnose diabetes. The diagnose of diabetes based on level of sugar in blood, just above the range level. In reality no one of us ever was diagnosed with this level of sugar. But the level 'above range' is so warred. To get my point just think about the temperature of body of Blood Pressure. Every one of us do know very well that flu and pneumonia is not the same. Every one of us do know that 140/80 is not the same as 220/100. If so then why ADA has no any classification how to define stages of diabetes type 2? 200mg/dl is not the same as it is 370 mg/dl fasting, or 599 mg/dl random. There still no any info on this matter. So, when reader take a look then one think that type 1 diabetics do have high blood sugar. This is why they need insulin. Type 2 diabetics do not have high blood sugar. They just have elevated blood sugar and this can be easily
  worked out with activity, work outs, and diet. No one think that 700 mg/dl is the ordinary blood sugar level for people with diabetes type 2. This is why diabetics type 2 die due to diabetes, number 7 cause of Death in America.

 The recommendation regarding the use of metformin in the prevention of prediabetes was reworded to better reflect the data from the Diabetes Prevention Program.

Metformin work perfectly to prevent diabetes type 2. But in any cases when someone pretend that one is diabetic and takes Metformin no one MD will consider this diabetic as diabetic. It is only  for prevention. It works for every 9 person out of ten. One out of ten is diabetic. Metformin fail to prevent it. So, regardless one takes Metformin or not, diabetes would be developed or not. Classic Prevention.

New recommendations for antihyperglycemic therapy for adults with type 2 diabetes have been added to reflect recent cardiovascular outcomes trial (CVOT) data, indicating that people with atherosclerotic cardiovascular disease (ASCVD) should begin with lifestyle management and metformin and subsequently incorporate an agent proven to reduce major adverse cardiovascular events and/or cardiovascular mortality after considering drug-specific and patient factors.     

So, if Metformin fail to prevent diabetes type 2 then it is time to Rx Metformin as treatment for diabetes type 2.
      Metformin was discovered almost at the same time as Insulin. But only later, about 1950 it was active in treatment of diabetes. There were three generation of this medicine which were discontinued due to high toxic effect. Last one, Metformin, stay longer then any of them. It is considered to first MD choice to treat diabetes type 2. To see, if Metformin really work or not, just stop to take it and see, now level of sugar going up or down. BTW, Medical Pro do not like to take Metformin. They also do not like to take SU. They do not like to lost B-cells. For the rest of us it is OK. We are not VIP.

Many patients with type 2 diabetes eventually require and benefit from insulin therapy. The progressive nature of type 2 diabetes should be regularly and objectively explained to patients. Providers should avoid using insulin as a threat or describing it as a sign of personal failure or punishment.

    Now the question is, if diabetic type 2 would start to take insulin, would this diabetic considered as 'insulin dependent' or one would stay 'non insulin dependent diabetic'? And if diabetic type 2 who takes insulin considered as insulin dependent diabetic then what is difference between two types of diabetes? No difference.
     Now back to the starting point. If initially diabetics type 2 would require insulin therapy then why do not start with  this therapy as first line of treatment? Long before the rest of insulin secreting B-cells would be lost, let us to preserve our health and well being. Just start with insulin rather then Metformin. No one has benefits form Metformin but company which manufacture it and sell.
     Still, it is not the first line of therapy for diabetics type 2. It is diabetes as cause of death stand on spot number 7. Diabetics type 2 stand first in all spots in all cause of death. We cannot live without medicine. We need insulin. Then wider gap between insulin in demand and insulin available in secretion then wider our middle area. Insulin would shrink this size. Insulin let us live longer.

via Ravenvoron

Higher Dose of Insulin, less low sugar. January 25, 2018

Ordinary day.
Right now I work to organize my records, my log books. I put all data in PC in spread sheet. Yesterday I finished up 2016. It is really interesting to take a look back and see, how all was at time. I usually put all what I can in my log book, and when book is closed I do not take a look at back. In my log book there are all info: blood sugar reading, insulin dose injected at time of injection, trip to camp, or to Lincoln center, order of books or medical supply on Amazon, Walmart orders, all what I do have in every day life. It is not diary, it is log book. There are not too much thoughts or expression. It is simple memory book, things to remember.
     To look at this book is difficult to see how treatment or progression of diabetes going. In reason to follow the medical history best way is to organize all data in spreadsheet. I prefer to keep it  separately. PC can be broken at any moment. I use Dell, good PC. Still, no one of them can work forever, and because of I am not very professional user, I easy to lost all my info. In hard copy, in paper log book, there is nothing what can be lost. But.... it is too many of them to keep. LOL! I need bigger library!!!!!!!!!!!!
     So, back to business. I finished to put in spreadsheet 2016. It turned out very very interesting.
In table it is looks like the same, nothing unusual. But I just organized 2017. In my memory still that numbers. Now I really surprise to see level of sugar very often go above 300 mg/dl. 
     Another interesting point. In my log book very often there are mark, 'low sugar'. The level of sugar is the same as I do have right now every morning, and I do not mark it as 'low'. It is usual, ordinary number. I really do not worry about this numbers too much. In 2016 it was all the time marked as 'low' The numbers were actually higher then right now. Still, they are marked as 'low'. Why? Because of I do mark my health condition. It is not about reall number as it is in education. I can have 100 mg/dl and feel 'low' in contrary that it is simple perfect level of sugar.
     Why this is so different? Because of if sugar drops from 600 mg/dl down to 100 mg/dl, it is really too fast, and too danger. Now I do not have this numbers on my meter. The matter of fact, it is rare to see number above 200 mg/dl.
      Also I wish to say, the dose of insulin is really high. A few days ago I injected 534 units Lantus Solo Star within 24 hours. What I suppose to see? Low sugar. What is in reality? The sugar is usual. Yes, it is about 52 mg/dl a little bit above 50 mg/dl. But really it is not dangerously low that we die with this level of sugar in blood. Dangerously low sugar below 38 mg/dl. I do not have it now. I used to have this number on my meter, but not right now. At that time I did not take dose of insulin I inject now.

2016	month	Ave sugar	ave units day	total/month
		mg/dl	units	units
	Junuary	160	300	8608
	February	140	280	7638
	March	147	300	9378
	April	150	300	8816
	May	128	243	6568
	June	137	195	5823
	July	149	145	4200
	August	150	170	5117
	September	141	170	4691
	October	192	190	5852
	November	171	232	6949
	December	159	241	7458

via Ravenvoron

Crisis! (Averted)

'AAAAH CRISIS'

That text arrived around 11:30 the other morning.

Having a 16 year old girl, lots of possibilities came to mind. Forgotten clarinet on a band day, wardrobe malfunction, unexpected test? Turns out it was a diabetes crisis.

'I bolused 10.8 for lunch then 2 more for muffins so then I looked at Dexi and I was skyrocketing and then I looked at history to see if I had bolused and I only saw the 2 units so then I bolused 8.8 more ahhhhh'

So, I confirmed with her via text, she had bolused 8.8 units of insulin with no matching food? She had forgotten that she had bolused for the main part of her lunch, panicked at the rapidly rising blood sugar, and therefore given insulin for it twice?

'YES I RLY SCREWED UP'

While she freaked out, knowing that an overdose of insulin had the potential to be catastrophic, I trusted that her friends would take care of her mental health while I focused on how to fix the problem.

'What's the current insulin to carb ratio?'

'1:8.'

If 1 unit of insulin covers 8 carbs, I reasoned, then 8 units covers 64 carbs, 9 units covers 72 carbs- essentially reverse-engineering of the math to figure out a game plan. She would need to consume some serious carbs to balance out the equation.

'I'm currently eating a tootsie roll pop which is 15 carbs.' (There's a teacher who sells these, essentially at cost, in his classroom...a little mysterious but very helpful at that particular moment.)
'And then I need how many more? Math for me.'

I'll spare you some details, but because to it turned out she was, indeed, skyrocketing we decided that the tootsie pop, one juice box and the pretzels which were to be her snack after school before play rehearsal would be a sufficient start as long as she kept a close eye on the Dexcom. It was a total of about 50 carbs.

It worked out pretty well. At the two hour mark from the error, she was about 150 and continued a slow downward trajectory during play rehearsal but was over 100 when she got home- hungry because she'd eaten her afternoon snack at 11:30 a.m.









via Adventures in Diabetes Parenting

Wound Care and amputation prevention. January 23, 2018

I do not know if the way how I am dealing with wounds on my leg will prevent amputation or not. I just post all in time line, what I am doing and what I am thinking, and what I wish to see. So, it is just my personal experience, nothing more. Do not call me Troll. I do not ask anyone to follow me. If I will see someone who honesty post diabetes progression or reverse I would be happy to follow that blog. So far I did mot meet any.
     I do not follow any diet. I do not think that any diet, Starvation diet including would reverse diabetes type 2. This never worked for anyone, my self including.The reason that no food or meal will reverse diabetes type 2 is that there are so many different food we eat, and so different one day from another, it is not possible to follow one diet or one plan how to eat. No one doctor every would be able to give right recommendations.
    Dealing with diabetes we do have constant number, the level of sugar in blood. yeas, it is range, still we have to have it in control. So, all range can be routhly taken as "A", just one number.
A = F (c) - Ac (activity when calories burned out) If "A" is constant, then when we change our activity we must change our calorie intake. But according to MD we have to take constant number of calories, 2 000 calories for man, 1800 calories for women. Is so, then when we go to work out we have to adjust calories intake.If we do not have activity today as work out but go to beating, we have to adjust this activity to the calories intake. Say me how. One hour work out really very different then 2 hours. Also one done work out in very intense level, and another one is very slow.
      Now there are another question. Does MD never mistake in diagnose? In treatment options? If so, then is this really true that with promise of Dr. Oz or Professor Taylor how to eat we really will be happy live without diabetes Type 2? I do not think so.
    I take my life in my hands, and keep it close to my control.

      Now about wounds. One year ago wounds started open on my legs. I posted pictures of them. I went to Hospital. There were not too much help. Then I went to Wound Care clinic. Wounds started to close. Now my legs are dry. Still, wounds are close and ready to surface at any moment. To prevent wounds from getting back to surface and to open, my man wrap my legs every day, sometimes twice a day if wrap become loose.
     It is poor circulation. This is why wounds developed. Wound started to develop deep inside, DVT, when clot stopped inside veins and block blood supply. Blood vessel raptures, and wound develops. Something like that.
    One day I thought that wrap is bad idea. It is stop circulation, and this is why there are so much pain. So, we stopped to wrap legs. Two days later wounds started to open. Color of skin darkened, almost blacked. Pain started to come in and do not go away. Three days later w returned back to wrapping. Now skin light, dry. No pain. No discomfort. Wrap is good for my legs. I sleep well, no pain.
    Why and how it happened?

 Reduced blood flow can slow wound healing. It can also make your body less effective at fighting infection. As a result, your wound may not heal. Tissue damage or death (gangrene) may occur, and any existing infection may spread to your bone.

I do not know. Still I do have a theory.
     It is Edema, Water Retention. Why diabetics make water still not known. At least I never crossed that study like that were conducted. This water retention leads us to severe obesity. At night, for what reason, Edema getting worse. This is why when I sleep the pain in leg became unbearable. I have to take wrap off. But with time Edema got slow down. So, when I sleep legs are pain-free, and I sleep all night vice and sound.
    Now the question is, why I did not have this treatment when I was in hospital? DO they know how to address to the treatment of diabetic's wounds? Looks like not. I was discharged from hospital in the same condition I was admitted. Only sugar changed. It run up and up. They refused to give me insulin shots, so blood sugar raised. They easy to Ex physical therapy, or water pills. They never take any look how does their treatment works? If it works at all.

 In 2010, 73,000 American adults who have diabetes and are over age 20 had amputations.

100 million people in the United States have diabetes or prediabetes.

It is real fear for me. I can be in these 73,000 at any year. Now I try my best to keep all aprts of my body at the same place there were all my life.

via Ravenvoron

Dose of insulin, water retention, and wounds in diabetes type 2. January 22, 2018

Sugar is 55mg/dl.
Yesterday it was 400 units of insulin. All day was good, no low sugar. Early in the morning I woke up with 55 mg/dl. It is nice to have coffee handily, so I could take it right away, just spread my hand, and grab a bottle. To go to kitchen is too far.
     It is very complicated with high sugar and insulin. Worst at all, there is nothing info about I can find. There are all info how to reverse blood sugar with starvation diet or one food or another. Every one post it. There is no one evidence that Diabetes type 2 was reversed. Simple, blood sugar can be dropped. It does not mean, there is no diabetes.
      I tried many ways. Because of to deal with low sugar is so scare, it is like dyeing every time,  To avoid low sugar I dropped dose of insulin. Follow up was sugar getting up and up. I increased dose of insulin and ... sugar dropped too low. Swing.
     I felt low sugar with sugar 98mg/dl, perfect sugar I will say. I had all symptoms low blood sugar. It  is hard to accept this, low sugar when number just perfect. Now I do have 52 mg/dl. I do feel it is low blood sugar, still it is not scare, no shaking or sweating, just uncomfortable. I prefer do not hold it, and take actions right away. I take coffee.
      Usually it is suggested to keep hard candy. It does not work for me. Simple, sugar would drop too low, even I take this candy one after another. Soda, sweet soda, also does not work. Actually it  makes me hungry. Very uncomfortably hungry.
     Now I started to take big dose of insulin in one shot. I do inject 200 units in one shot, and no low sugar. Of cause it would be low sugar if daily dose is too high for my needs. Right now it is OK, and I take this shot. It is only long acting insulin, only one in my medical box. So, there is no way I can take short acting insulin in dose of long acting insulin.
     My another problem is my legs right now. I tried to stop to wrap my legs. They got burgundy in color, many dark, almost black spots, and wound started to open. So, we return to wrap, and my man do it every day, even twice daily. It is interesting, twice daily, why? Because of a few hours after legs were wrapped, wrap started to get loose. This never happened before. Usually  afew hours after wrap was placed, there was pain, sometimes unbearable pain. I never could sleep with wrap. Pain one hour after I fall asleep. Now I do seep all night, and both my legs are wrapped.
     Really, what does it mean?It mean that water started to go out. It is pressed, compressed, and go out of body. It does not mean right now I loose weight, I am not. But there is light at the end of the tunnel. Swelling started to go down.
     I afraid even to believe I am right. It mean that the process started.

via Ravenvoron

Diabecell Research Closes Out (With Comments on Encapsulation In General)

Diabecell is an encapsulated pig beta cell treatment aimed at curing type-1 diabetes.  This research started in the 1990s, and was part of a group of encapsulated stem cell cures which were developed at the same time by different companies/research groups.  Most of the others ended in the late 1990s and early 2000s, but LCT continued and is still operating today.  I've blogged many times on this research: https://cureresearch4type1diabetes.blogspot.com/search/label/LCT

The last two running studies on Diabecell were marked as "completed" in October 2017.  The most recent clinical trial started in 2011, and published some results in 2016, but they were not strong.  Since it has been two years since their last results, and they have not started a new trial in that time, and also because the results of their trials have been lack-luster for years before that, I'm going to drop them from active coverage here.

Discussion

This should serve as a cautionary tale for all encapsulated beta cell cure research.  There were at least 4 companies trying to cure type-1 diabetes this way in the 1990s, and it looks like all of those were unsuccessful.  There was another crop of these in the 2000s, and most of those have been unsuccessful as well.  (Although Viacyte, founded in 1999 as Novocell, is still in active development and may yet cure type-1 diabetes.)  More recently, in the 2010s there has been another batch of start ups in this area (Dr. Melton's Semma Therapeutics, Beta-O2 Technologies, etc.), and also an even larger batch of new academic research (such as recently reported at Cornell, UCSF, etc.)

I'm positive about all this research. I'm positive about all research aimed at curing type-1 diabetes. I hope it all works. I hope any of it works (because it only takes one cure). However, I do think it is important not to get to overly excited about encapsulated beta cell research (even as it sounds straight forward), because it's obviously more complex than it sounds.

Especially, it is clear to me that the hard part is the encapsulation part, not the beta cell part.  The pig beta cells used by LCT generate the insulin that people with type-1 diabetes injected for decades (from the 1920s to the 1970s).  Those cells work just fine, so LCT's problems are encapsulation.  Other companies have used human beta cells from cadavers.  Those cells worked just fine for their previous owners, which reinforces my belief that the breakthrough that makes encapsulated beta cells successful is going to be on the encapsulation side, not the beta cell sourcing side.

Recent Clinical Trial Records:
http://ift.tt/2DWSAqP
http://ift.tt/2DnFj9G
http://ift.tt/2DWSBen

Academic encapsulation research in the news:
http://ift.tt/2CFfRwS
http://ift.tt/2DVwOnf


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


via Cure Research

Puccy Terror. 120.000 Useful Idiots on NYC streets January 20, 2018

They are Protesting. Really, what they want.

I tied to be poor! Let DACA stay in America!

If DACA stay, and bring there parents and all other people from outside, (chain migration) would that woman rich or wealthy? Think twice before you wish for.
In Toronto woman with legs, both legs amputated hold poster

"I cannot believe I still have to protest!"

Say me, she protest what? American President Trump? Not your business  old lady. Go home. I do not protest who is your President in Canada. I even have no one idea who is it?
Some girls like to show,

"It is my body"

Really? As women we all do have highest responsibility  to bring in to light next generation. So, before swing from one gender to another back and forth, think twice who would be your baby after that swings. For those mothers who change gender their kids from girl to boy and vice versa, what kind mothers you are? Let kid grow, and love your child regardless it is boy or girl. No. They bring child to clinic and re-gender little one. are they women? Not at all. They are Monsters.
This is the freedom they want.
     Millions on the streets. Good army of sheep. No bran. No responsibility. well organized Army og  Useful Idiots. Do you really wish to have one of them to be American President? I do not. They are really noisy, but to Puccy for me.
    Really, what they want?
It does not matter. They show how great they are gathered together.
 Puccy Pink Terror.
     Last year I did not pay attention to those in red hats. Today there are more of them. Today they still organized and harmless. Very Well Controlled. What would be next? They are very Well Controlled, strong by great number, brainless, and aggressive.
They hate.
What they hate?
Whom they hate?
Why they hate?

No my voice for woman to be American President!!!!!!!!!!!! Never!!!!!!!!!!!!!!!!!

via Ravenvoron

Puccy Hat in NYC. Ganuary 20, 2018

Donald J. Trump ✔ @realDonaldTrump

Beautiful weather all over our great country, a perfect day for all Women to March. Get out there now to celebrate the historic milestones and unprecedented economic success and wealth creation that has taken place over the last 12 months. Lowest female unemployment in 18 years!

The weather is really very beautiful today. It is sunny, worm, no wind. We went out early in the morning from Brooklyn to Manhattan to The Metropolitan Opera. We do have tickets to Cavaleria Rusticana & Pagliacci. It takes time to find parking around Lincoln Center, so we arrive early. Forget about free parking today!!!!!!!!!!!!! People in red hats all around. Thousands of them. It is March. Women Gathering January 20, 2018. The inauguration day of President Trump January 20, 2017. So, they  all gathered to celebrate this event. They wear red Puccy Hats. Even little one as little as one year, wear Puccy Hats. They are Protestors. What they protest? 

      Thanks to great work of NYC police department there were no big problems to cross the Central Park, so we arrived to The Met on time. DH parked car in garage. Cost money BTW. 

     We did still have time, so I ride outside looking to the March from distance. Girls were dancing in groups. Speeches could be heard from distance.  Puccy Hats walked around The Met after they left March. They still hold posters in hands. But here they were very very calm. More then usual police officers, but not too much, and even police cars were not parked around.

      It was really very nice sunny day to spend outside.

     Puccy Hats were inside too. I think after the Opera they will go back to Gathering to continue Walk. When we headed home back to Brooklyn, Puccy Hat still around on the streets. 

     Now I try to find out, what they are up to? 

"Make America Smart"

"My body my choice"

"Make America Humble Again"

"Justice For All"

"Freedom For All".

and of cause , "Impeachment for President Trump".

Really, what is all this about? Freedom? Of cause not. Women easy to follow leader. So, it is easy to manipulate this part of population. We are not so up to politics. If really woman devoted herself to politic or carrier then she does not have time for kids and home. Most of us prefer this choice, home, family. Education is important to get good work, independence. Still politics is not first women's choice. 

    I look at the 

Ms. Medina, of Clifton, N.J., cited the Time’s Up campaign against sexual harassment and Republicans’ attempts to defund Planned Parenthood as her reasons for protesting.

 Only one year and many high top officials lost their jobs because of there sexual attitude. James Levin is one of them %0 years carrier as Musical Director in Metropolitan Opera was stopped and he was forced to get off the wagon. 

I do not see reason to protest.

Desiree Joy Frias, 24, of the Bronx, and her grandmother, Daisy Vanderhorst, wore red capes and curved white hoods — the telltale outfits of the enslaved child-bearers of “The Handmaid’s Tale,” which was recently adapted for television from Margaret Atwood’s dystopian science fiction novel.

 “We both watch the show,” said Ms. Frias, a law school graduate who said she belongs to an activist group called the “Handmaid Coalition.” “We’re a group of men and women that believe fiction should not become reality.”

Still do not get point. Women all around the Globe suffer as sexual slaved when there is no bread on the table.  I have to take a look at this show, of cause. But how President Trump related with this show or future fiction became true?

       All what I see so far is only one. The day is nice, sunny and worm. Beautiful day to get out and put on Red Puccy Hat. President Trump got it right. Probably it is time to make March like this American Tradition to Celebrate American Presidency. Personally, I suggest to add to the traditional Puccy Hat Fashion Show for Obese women. It would be really nice to watch and feel to be Equal. 

via Ravenvoron

Immigration For Old Americans. January 19, 2018

I listen TB right now. So sensitive speakers!!!!!!!!!!!They so care for children for people in the all around the Globe! What about us, old, ill, not able to work? Do we have so sensitive senators who will say how we do suffer without medicine we need? No one speech! I am diabetic type 2. Only medicine, no medical clinics, tests or surgical supply I need, cost about $30,000 every year. Only medicine, insulin, blood pressure medicine, heart care medicine, Asthma medicine. Most medicine such as Insulin or Asthma medicine brand only. I have to pay co-payments. I do not have Medicaid. I do not have SSI. Nothing. Only support my family and my man. every time when insulin delivery approaches I am depressed and in great fear. Would it come? What if tomorrow I will look at my account and see, my account closed. No insulin delivery.
         I need from 300 to 500 units daily dose.Cost of 5 pen 300 units each $500. So, every day I need $100 to inject into my big belly. Every day. No exceptions.
     I do have severe Edema. I cannot take diuretics. So, only way for me to try to keep my legs not be amputated it to wrap them every day. $1 each leg. One wrap every day. Two legs. $2 daily. Wrap cannot be used twice. I need compressing boots. $400.
      My Asthma getting worse. I need Symbicort and recently I started to use Speriva. $30 each delivery for every one of them. It is brand, there are no generic for Asthma.
     Recently there was call. Someone called to ask me how I am doing. I did not know it is Educator. So, I answered to all questions.
------ Ed. Do you practice Diabetic Diet?
------ Me. No.
-------You have to.
Sure. In addition to wrap my leg, to help me with all daily needs, cooking and cleaning, my man must also care for diet for me. He is full time blue collar worker. He is older then I am.He is far away to be healthy man. It is nice he got the job he work right now. He lost a few of them not long time ago. That was how I lost Medicaid and SSI. Simple. Our income for two war too high, $1348 monthly. No medicine. No insulin. This is why today I am in panic a few days before insulin delivery. Not that I do not have insulin in my ref. I have it. I just cannot forget how does it loos like when there is no insulin and sugar higher then limit of meter, 599mg/dl. What next? Coma.
     It is easy to ask questions. It is not possible to stay calm when I have to answer to that questions.  I prefer no one call to me.There is no help, no hope. At least I can stop humaliation.
     On TV there are speeches. All about immigrants. Out Service Men so care. They ready to spent last penny boomers collected all life and paid high Taxes. Today only immigrants are important. For us Starvation Diet is Number One choice. How much cost every child 'dreamer'? No one ask this question. But all do know very well how expensive Diabetics type 2. There are Walks and combat on Floor how to save immigrants. American Diabetics type 2 stand proudly in line to grave on spot number 7. We are first in line due to heart attacks and stroke, Asthma and all what is possible to get. No discussions, why diabetics type 2 die less then 10 year after treatment started? Really, why?
     
I turned off  TV and started to play cards on my PC. I really do not care for Immigrants or Dreamers, even they are children. I will give my life for every child of mine. Do not ask me to support 'dreamers'. I do not. I need my supply, my insulin, my medicine, and my income to by my food. I do have nothing. Thanks God, I do have good family and Dear Man who care for me.

 God Bless President D. Trump.

via Ravenvoron