Day-by-Day. February 28, 2018

Sugar us 70 mg/dl today. Last night I took only 240 units. Why?
     I must go to clinic to see mound doctor. I almost get ready, and suddenly I was not able to move, ether walk nether stand. It come so suddenly, I just lost all energy I had. Why? What happened? Just 30 min ago I was OK and not I was not able to get to kitchen to grab some meal, or to bed. I took all energy I was able to collect and went to bed. When my man got home I was in bed. He cooked chicken and fed me. I was not able to hold folk or spoon. After meal I fall asleep instantly.
     I woke up, and looks all was OK. This is why I did not take 305 units as usual, but 240 only. Today in the morning I was going to inject 305 units because of to drop so many units at once can be not good idea. But soon after I woke up I started to feel that I am going 'low'. So, I injected 240 units. As day going one time after another I feel I do have low sugar.
   It is really very easy to educate diabetics that we have to eat half plate or just apples in stead of red meet. So easy to say. Apple does not give energy to move. I need real meal, meat preferable. No one educator will count how much we spend in walking, or standing, or any simple activities we have to do every day. No one see how many calories I spend when I try to stand from bed, or turn over in the bed. For me it is great work out now. I have breath a few minutes after move till my breath start to get smooth. We are ill people. No one looks remember that. Every one see pounds. No one see pain. So sad.
I missed appointment. I was going to ask doctor to send to insurance to order some supply for me. Supply to fight  edema is very expensive. Very often I order it, and it does not work.  So
 I pay for supply, and have to order another set of it.
     All the time I hope I will be better, and not. With every day I am worse. If last Spring I was able to walk out of home to the spot when our car was parked. Not I cannot. To move around apartment already is the challenge. Easy to say, close your mouth, lose weight, and all would be in right place. In contrary I have to force myself to eat more to avoid low sugar.Yesterday low was because I almost did not eat. I really did not want to eat. Big surprise of cause. Difficult to believe that with 400 pounds weight I do have low appetite. But the matter of fact I feel full very fast, and I do not eat without stopping. Probably some day this charlatanism and barbarian therapy would be over, and people would not cherish skeletons without brain over the obese smart and intelligence. But it is not the case right now. People see pounds only, and every one do know how to treat and reverse diabetes type 2. Not so many do know how to survive without medicine with diabetes. This education all the time out of discussion.
     If insulin supply was not stopped in 2014 I would not be in this situation today. But there is nothing what I can do. Just keep going as it is.

via Ravenvoron

Another Diabetes Option: Accu-Chek® Guide SimplePay Program

Another diabetes option ended up in my inbox a few weeks ago in the form of a Press Release re: Accu-Chek Guide SimplePay Program ( a cash discount program for Accu-Chek's Guide meter and test strips,) and info re: a recent Diabetes Care survey that reported that “more than half (52%) of Americans living with diabetes report the cost associated with managing their diabetes has negatively impacted their finances.” 

OK, not a shocker and an absolute no brainer if you’re a person/family living with diabetes - but kudos to them for getting actual statistics on the subject.

Yes, the cost of living with diabetes keeps us up at night, as does the quality of care re: our diabetes tools of the trade. We worry, we cut back in all aspects of our lives so that we can afford diabetes tools that keep us healthy and keep us alive - the more affordable and accurate options, the better! 

Answers to some potential questions re: the Accu-chek Guide® Simple Pay Program and Simple Pay program card. 

How do you find out if you're eligible for the program and how do you get the card?  

Got online, answer some questions, see if you qualify. 

If you do, downloaded the card for free online at SimplePaySaves.com .

Is Accu-Chek® Guide SimplePay Program/Card insurance? No, it’s a cash discount program and it cannot be combined with any form of health insurance -And not everyone qualifies.

What if you're insured by a government healthcare program? 

If you are a Medicare/Medicaid recipient, are in the military or VA, you’re not eligible for the program. 

If you meet the requirements, the Accu-Chek® Guide SimplePay Program test-strip breakdown is listed in the graphic below. 

Bottom line: Life and life with diabetes is all about options, so take a beat, do the research in all dimensions, and see if the Accu-Chek® Guide SimplePay Program is a diabetes option that might work for you. 

via Diabetesaliciousness

Day-by-Day. February 26, 2018

         Every day I inject 610 units, one shot in the morning, 305 units, one pen, and one shot in the eve before bedtime, 305 units, the entire pen. Sometimes I used to inject higher dose then my usual dose of insulin, but it happened only once and then dose of injections got down, back to normal dose. Now it is 610 units, and I have to inject it every day, one day after another. Hard to believe, but it is true.
        I hoped that with time sugar would go down and dose of insulin would dropping. The first part of this believe worked, and now sugar is down. Sugar is all the time really good. In the morning it can be around 50 mg/dl, never lower then 50 mg/dl. Then it can go up but not higher then 150 mg/dl. even when we go to Lincoln Center to Metropolitan Opera or Other concerts, I inject my usual dose, 305 units, and second shot I inject after concert when we back home. Even more then that. Yesterday we went to Starr Theater, and I had only one meal in the morning. Then 305 units of insulin, and at 3 pm we left for Manhattan. I simple did not took another meal. No low sugar. When we returned home sugar was 115 mg/dl, just perfect sugar. I took my eve meal and injected another 305 units.
      I write in such details because of I am in great surprise. With sugar really going down, dose of insulin to keep this level of sugar going up. I do not have so devastated 'low' as it used to be. All going smooth and nice. I am just very tired. I sleep a lot. There is no so severe headache, but tiredness and weakness. Also I do not know why, there is discharge from both my eyes. What is it? I do not know. I thought it is because of I sleep with Bi Pop. But right now pressure is so low that there is no escape from under mask. Well, I just place the fact what is it and no any explanation, because of I have no one idea what is it and why.
      So strange. Where insulin go? All what I can say, there is not so simple that insulin just metabolized. It is more complicated job done by insulin.  I will have next appointment to doctor in September. I am really very interesting, how it would go? Would my level of sugar drops down to A1c=4.5%  - 5.0%? Would it be that I am diabetes-free?
      It is really very surprising how all system works. With so many publications and books, and education materials, it is looks like no one really know what is diabetes and why it happened?
     We all do know that Diabetes type 2 can be reversed with starvation diet. At leas ADA sure about its statement. We just have no one idea how it is looks like and how it can be done one day after another. Starvation 11 days, or 8 weeks, or any number of time cannot happen. Simple, we all do have different numbers on glucose meter, different stages of diabetes development. So, how it is possible that with so different condition we can get healthy for the same time? There is no logic in that. So, it is not true. It took different time for every one of us to get to the point where we are, so to recovery we need also different time. Professor Taylor and Dr. Oz simple con men.
        What also is very interesting that together with level of sugar getting down to the normal range, all other blood work marks getting to the normal level. So, slow and very very slow, system recovery. If today I was not so deep in crisis, I would recovery pretty fast. But I dropped so low, so down, to the fatal end. Really I was in 'near-death' condition, and now all my vital organs effected by diabetes and this life experience. There is not too much I can do right now, just keep going and then will see what happen.

via Ravenvoron

Coloring Books for Adults. February 24. 2018

      Coloring books for adults very popular right now. One purpose is stress relieve. It helps  to fight depression.  There are many types of coloring books. Some with big space to color. Other with many small details. Flowers and kittens, gods and wild animals, state parks and warships, there is something for every one.
      Books can be with images printed on both sides of page. In this case more images printed for the same price. The price depend on number of pages, and difficulty of design. So, if printed on both sides then there are more pictures to chose to color. The problem is, if one page colored then there is shades of colors on the opposite site of page. Coloring would be difficult and not accurate. Also it is not nicely done, regardless how good colorist tried to do the job. This is con of two side printed pages. Personally I prefer to buy one side printed images. But because of there is not all images I wish to color, maybe it is OK when print on both side of page. One would be colored, another would be  left grey.
    Pages can be taken off the book and colored separately. Then colored picture can be frames and put on display.  Also one book maybe used by a few children, or adults, of man and wife, the choice is one who own the coloring book.
    In coloring books for children usually one page is colored to be used as sample. Another is grey to be colored. In coloring books for adults there is no colored samples. In some books such as flowers or birds, there are can be small colored images on cover with name of flower and usual colors of it. Mandalas are not colored to let imagination to flow. At first it is weird and I wish I do have samples.  But then after one page after another I colored in my way, I do not need any samples. Just my imagination.
      I use coloring books to fight depression. It works. When grey picture colored, it looks so nice and beautiful, (every one love own colors and work and proud what pictures looks like,) the feeling satisfaction and  proud come to colorist. At leas this is how do I feel. No one picture can looks ugly. The matter of fact, it turns surprisingly good and beautiful.
     Coloring books are good for many medical conditions. It is widely used for old and elderly  population. There is no need in special skills, no special equipment, just coloring book and coloring pencils, or gel pens, or markers if papers are good,  and so on. Usually it is not used for painting. Just pencils or pens. Corolla is good to start.
     Because of color would be penetrate to opposite site, it is good to use something to put under coloring page, something like box site  from the coloring pencil.
     I own many coloring books. Not because of I colored them fast, but to keep my interest. I is bore to do the same job over and over. So, if today I color flowers, then next day I color birds, or animals. Best at all I love Mandalas.

via Ravenvoron

A Scientific Diabetes Sea Shanty: Banting's Imparted Years -A Capella Science

THIS = AWESOME. 

I literally just watched this and I'm so damn impressed and cannot get this D Shanty out of my head - and now neither will you!

Watch until the end and learn about Leonard Thompson - the first person to ever receive an insulin injection, our beloved Dr. Banting & Co, the fact that insulin isn't actually a cure, diabetes orgs, and the amazing Tim Blais and his A Capella Science !
Shoutout to Erin from Sea Peptide for originally posting on her personal facebook page!
Also: HAPPY FRIDAY.

via Diabetesaliciousness

Flu

Neither of us felt great on Tuesday a week and a half ago. By mid-day Wednesday we were camped out on the couch coughing, feverish and watching the Olympics.

We visited our respective primary care providers on Thursday. Both were out of diagnostic swabs but our symptoms of fever, aches, cough and utter exhaustion led both to diagnose us the old-school way.

Despite getting flu shots and obsessive hand washing and hand sanitizing, we ended up with the flu.

Because of the afore-mentioned flu shots, the experience was allegedly less awful than it could have been. Nevertheless we spent Wednesday through Monday pretty much immobilized in front of the television.

Diabetes, needless to say, did not like the flu. The night before it hit was a multi-juice box night, which is consistent with my daughter's pattern when she's coming down with a virus. Despite no medical information to back me up, I've always assumed these pre-symptom lows were caused by her body waging a last-minute battle against whatever germs have invaded.

Then the blood sugars headed up. And stayed there. Days would usually start out okay- higher than usual but nothing crazy. Then, despite temp basals, corrections, and a diet consisting mostly of chicken soup, she'd crest 300 by mid-afternoon.

By bedtime (which was before 9 several nights- when sitting on the couch became too exhausting) she was sliding back into an acceptable-for-being-sick range. My saintly husband took overnight duty a few nights in a row, each of which required at least one correction bolus.

By Sunday afternoon and Monday the highs weren't SO high and the correction boluses began to actually work a little.  She was on the mend.

We've done diabetes + colds, stomach viruses, strep, pneumonia, chicken pox, dental surgery, ear infections and more, but never flu. There was quite a bit of transferrable information from our experiences with other ailments. We knew about the necessity of frequent glances at the CGM, setting increased temporary basal rates on the pump, and aggressive correction boluses for highs. We knew that with patience and perseverance blood sugar would return to normal as the illness passed.

The primary novelty of the flu compared to our countless other illness + diabetes experiences was the duration of being really sick. With the illness lingering, in a serious way, for nearly a week it was a long wait for blood sugars to look more like they usually do. The silver lining was that both of us were too sick to expend any energy worrying about it. It took everything we had just to keep our tea mugs full.






via Adventures in Diabetes Parenting

610 units of Insulin daily dose. February 23, 2018

       610 units of insulin daily dose. It is difficult for me to even think I can take it. But the matter of fact, I do inject 610 units day after day. Probably I will not inject so high dose and soon it would be dropped. At least now is February, Spring in over the corner. In Spring and in Summer sugar all the time go down. Still today it is 610 units. No low sugar.
      Well, right now today I woke up with 52 mg/dl. Is this 'low'? Yes, it is. If I would not take my coffee right away soon I would feel, I am in 'low'. But because of I woke up, took my meal, or usually cold cappuccino stand on my deck, so, I am OK and no any problem with low. With less dose of insulin and higher number on glucose meter there can be feeling, I am very very 'low'. I was in that situation with 110 mg/dl, hardly was able to walk and to get home. Now with 52 mg/dl I am pretty OK.
       A few years ago I had friend. He was obese, very ill. One day I saw him, and he lost a lot of pounds. The matter of fact he lost 137 pounds. But it was later. I asked him, how he got there. TaiSlim. So I ordered this drink, and I lost 60 pounds, from size 3WX doen to 18W. I did not take insulin at that time, only oral medicine.
     "How is your sugar?" I asked him.
     "Great" - he answered. -"I woke up with 48 mg/dl"
     "But it is very low!"
      "Not at all. I woke up and start to eat,sugar getting up."
     "I woke up and start to work. Sugar dropping."  _ said I .
As I said, I took Metformin and Glipizide at that time.  He took insulin.
Soon he stopped to take insulin, and was really very very great. His daughter also stopped to take insulin. Now she perfectly fit, very beautiful lady. I contrary, two years ;later I got MI, stroke, rapture in one side, clot in another side. Only my Gardian Angel do know hos did I survived.  All pounds returned.  And I'm getting bigger and bigger with every day.  Soon would be in full bloom of 400 pounds. Happily I do have scooter now.
     Finally in 2011 I stopped to take all Trash Medicine at once. No Metformin. No Glipizide. Insulin, and insulin only. At first I took both, long acting insulin and rapid acting insulin. I did not work for me good. So, I stopped to take any insulin, but Lantus Solo Star only. At least I could survive. Without this modifications in my treatment I would  not.
       I started with 11 units. Then dose of insulin got up and up. My only limit, low sugar. If sugar getting low one day after another, and it is hurt, I start to reduce dose of insulin, to be comfortable and functional. So, dose of 610 units right now is OK. I am not in pain, now low sugar feelings.
     Usually with low sugar we start to drop dose of insulin. I did it many times. It is all the time back-and-forth. But I realized, to drop dose of insulin before time lead to crash. At first it is low sugar, and then right after low sugar skyrocke. So, in stead to drop insulin I try to be on the same dose as long as I can. It is really difficult to enplane how to do so. I just got filling of  it.
      Now dose of insulin getting over 600 units. In contrary of my believes. I expected that in Spring sugar will go down, the dose of insulin would drop. Not as I hoped. Right opposite. I stepped over 300 units, then 400 units, and not it is 600 units and I am OK with that.So happy I do have Insulin Supply. Even 300 units was $2000. How much it would be not? Fear to say.
     A few days ago I had clinic in Sleep Center. Doctor said, Sleep Aphnea getting better. I have severe shortness of breath. I try to less move because of my legs. They are like water columns. Knees are very wide. But good news, legs are dry, no wounds. They are burgundy in color. Circulation is poor. But no wounds. It is already good news. They are wrapped all the time. Supply of wraps so expensive. $49 for 18 rolls, if I am lucky to get this price. My man use one wrap twice. It is presented that one warp can stay on place for 7 days. Not for me. At first, it start to fall, because of water go away and legs getting smaller. And second, it is itching. So, one wrap for 7 days, but two times to re-wrap it.

via Ravenvoron

Diagnose of diabetes. Cabbohydrate Tolerance test. February 21, 2018

There are many different tests to diagnose diabetes. ......
Why there are so many tests? Simple. They are all not reliable. No one of them show the real condition of insulin secretion. All tests looking to level of sugar in blood or urine. No one test run to diagnose the condition of pancreas, or Beta insulin secreting cells. So, regardless of  the number if tests, the diagnose of diabetes  is wrong. Diabetes is not the level of sugar in blood which is all the time different, but the level of insulin secretion. This test never run.
         Most used test to diagnose diabetes is Glucose Tolerance Test.
Well, when this test would be run? There are people in rick group to became diabetics  or to be diabetics. Test run, and they are on the border line of diabetes development, still they are not diabetics yet. At the same time millions of diabetic live with diabetes, fully established, fully developed stage of diabetes,  and glucose tolerance test never run to test if they are diabetics of not. Why? They are not obese. They are not in group of risk. No one of them has treatment till diabetes get into final stage, close to the fatal level of sugar in blood. Probably at  that time diagnose would made. Not every time. Many diabetics die without ever being diagnosed being diabetics. Stroke. Heart attacks. Lung complications.
       In best way, patient come to clinic, blood sugar tested and then Rx to Glucose tolerance test ordered. Patient come to clinic fasting. Here glucose would be given to patient. And then test for level of sugar in blood would be taken 30 mn, 60 min, and so on. Something like that. Now the question is, why this test given? What this test accomplished? Nothing.
      It is assumed that sugar rise after glucose loading. It is, but is this highest rise in blood sugar after loading with glucose? How many of us eat glucose? No one. We eat normal meal, fat, protein, and carbohydrates, but never pure glucose. Glucose tolerance test what suppose to show?
       In nondiabetic sugar level return to normal two hours after 100Gr glucose loading.
What happened in diabetic? Test is differ in different clinics. Test is differ if glucose given or protein driven.  Test is expensive but not clear picture of diabetes.
What effect to the test results?
Improper feeding prior the test.
Obesity.
Infection.
Bed rest before the test.
 and so so on. Is test reliable? What this test accomplished? What test show? What test diagnosed? Nothing.
Results of the test run differently with difference in age. ????? If age effect to result then why test run in first place the same as for little one and for old one?
Interpretation of test results. 
This is what about? MD see the result  is normal with different number on glucose meter? Really what is this about? Now diagnose of diabetes can be effected by one who provide diagnose? I think that all above has no any value if diagnose of test depend on one who interpreter the test results. There is no one test really needed. What test for?
As I said, there is no one need in test.
The result of testing, millions of diabetic live without being diagnosed with diabetes, having treatment for potentially fatal disease, and die from simple infection or any other conditions, 100% treatable. All those 70, 000 lives lose every year due to diabetes 100&% preventable.

100 years after insulin discovery American Medicine still Barbarian. Victims treated with life style Modifications as it was 100 years before, and most effective treatment still Starvation Diet.

via Ravenvoron

Definition of Diabetes published by Lily Research Library, 1980. February 20, 2018

Diabetes mellitus is a chronic systemic disease characterized by disorders in

•  metabolism of insulin and  carbohydrate, fat, and protein and 
• the structure and function of blood vessels,

The principle early symptoms and sings are usually related to the metabolic defects, findings late in the disease are linked with complications resulting from vascular defects.
Diabetes Mellitus
Eighth edition published by Lily Research Libraries, 1980

         So, according to Lilly Research Libraries diabetes is disorders in metabolism of insulin among with fat, protein and carbs. But still, it is abnormal metabolism of insulin. Now it is soon to be 100 years since insulin discovery. The first successful treatment of diabetes was treatment with insulin added in injections. If so, then how insulin possibly would metabolize if there is no insulin at all secreted by patient's pancreas? Simple, obvious, but still out of any effect and logic. Regardless if there is insulin secreted by patient's ill pancreas, or if even pancreas is absent, still diabetes is metabolic disorder of insulin, right?
      There is no logic in this definition of diabetes mellitus.It is not possible to use what we do not have. We cannot buy food if we do not have money; we cannot eat if there is no food available to eat, and no one human body can metabolize insulin if there is no insulin secretion.
     Second part of definition even more falling apart from the reality. How structure of blood vessels effect metabolism of fat, carbs, and proteins? What wrong with blood vessels in diabetics body? If there is disorder then test must be run to find out if this disorder present or not, right? How structure or defect in blood vessel structure identified or diagnosed? Otherwise there is not possible to see if treatment applied effective or not.
      One of most effective test to diagnose diabetes is Glucose Tolerance test. At the same time before glucose tolerance test would be Rx patient must be identified as diabetic. Test on glucose tolerance only to confirm diagnose, not to make it is initial identification.
      So, patient come to clinic, fasting, and test for level of sugar in blood taken. Now I am lost. In diabetic body there is no insulin to be metabolized; the fat, carbs and protein also absent because of fasting stage, and it is identified if patient diabetic or not. The problem is not that there would not be high level of sugar in blood. The matter of fact, blood sugar is high. What is diagnose? In all education official medical recommendation is to find out if one diabetic, pre-diabetic, or diabetes already fully established. Still, there is big difference between early stage any disease and late stage of the same medical condition. What is it? with what level of sugar in blood diabetic is in critical condition and must be treated in ICU in hospital?
      When blood sugar is high there is no time to order glucose tolerance test. Anyway, what is this test about? How diabetic metabolize carbohydrates? What about fat and proteins? And what about blood vessel structure and function? This test does not give any answers to any one of these questions. If so, then how disorder identified? How treatment effect would be controlled? How to see if disease was cured or controlled with treatment?
     Most effective test to diagnose disease diagnose nothing. Even more then that, this test does not show the stage of disease development. Test developed to find out only if sugar in blood go up after eating carbs. Still, it is not diagnose yet. In the same part of book authors publish that many factors can effect blood sugar level, even rain outside. On the other hand, this test does not show if diabetes in full bloom and fatal stage of development. Test created only for lowest numbers of abnormal level in blood. There is no any recommendations or diagnosis if stage of diabetes already critical.

via Ravenvoron

Definition and diagnoses of Diabetes 1. February 19,2018

Definition and diagnoses of Diabetes.

Diabetes is a wonderful affection , not very friquent among men, being a melting down of flesh ans limbs into urine. Its cause is of cold and humid nature, as in dropsy. The course is the collon one, namely, the kidney and bladder, for the patients never stop making water, but the few incessant, as if from the opening of aqueducts. The nature of the disease, then, is choronic, and it takes a long peiod to form; but the patient is short -lived, if the constitution of the disease be completely established; for the melting is rapid, the death speedy.

Aretaus Cappadocian, A.D. 81-138.

After insulin discovery diabetes is no longer so danger and so terrifying as it used to be before insulin era. But only if insulin treatment started on time. Unfortunately for 95% of diabetics population, the treatment with insulin come too late if ever. They are Diabetics type 2. This mysterious disease has no identification what is it, or tools how it is diagnosed. At first it is level of sugar in blood to identify diabetes. After diabetes was diagnosed there is type of diabetes must be identified. But no one diagnostic marks to identify what types of diabetes.

Someone will say, there are many marks to diagnose type of diabetes, if it is Type 1, Type 2, or LADA, or MODY. Unfortunately, no one of these mark is reliable. Even level of sugar in blood cannot be used to identify diabetes. Surprise? Not at all. If diabetic takes insulin, and with insulin diabetic control blood sugar in healthy non-diabetic range, how diabetic would be diagnosed, or confirmed, one is diabetic? Diabetic come to clinic at first time, and his/her blood sugar level is great. Even A1c is perfect. So, one is diabetic or not? Patient insist, he/she is diabetic and takes 500 units of insulin daly dose. Now he/she run out of insulin and need insulin supply. The cost of supply for so high dose of insulin would be over $3,000 monthly. But there is no one evidence that patient is diabetic. So, even screening is out of question.

This is real tragedy with diabetes. I would not say that diabetes does not have any second marks beside of level of sugar in blood. Not at all. Good endocrinologist would see these marks even without any blood sugar tests. The problem is, not so many good endocrinologists in our clinics. Every one see the obesity. No one see yellow teeth and wide gaps between teeth. No one see big size of hands and puffy feet. It is all applied to obesity, but never to diabetes.

Someone will say, there are insulin level in blood. Diabetics type 1 do not have insulin secretion in contrary with diabetics type 2 who has high level of insulin secretion.

Well, at first, insulin level never tested in diabetics blood. It is C Peptides level which usually present as level of insulin. In many cases people just misuse the level of sugar and the level of insulin.

Second, C Peptide level diabetics type 2 do have is not the level of insulin their bodies secret. Usually diabetics type 2 have treatment, Metformin and SU. SU is type of medicine which forse diabetic’s type 2 ill pancreas to secret more insulin. The result of the test for C Peptides would be wrong. It is not healthy level of insulin secretion but forced by treatment. It is usually high. With time Beta Cells distracted and there is no longer insulin secretion. If diabetic takes insulin then insulin in injections do not show up high level of C Peptides. These proteins come only with natural insulin. But for diabetic type 2 who take SU insulin is natural, so it come with C Peptides.

Third, usually it is said that diabetics type 1 do have anti-bodies in system. The question is, when they do have them? As soon as Diabetics type 1 start to take insulin in injections anti-bodies go away. But for type 2 diabetics this test never run. Diabetics type 2 stamped with first visit to clinic, type 2. So, there are no test for anti-bodies, or C Peptide level, or even A1c very often out of diagnostic need.

There are another definition to identify type of diabetes. It was recognized as ketosis-prone type 1, or ketosis-resistant type 2. What does it mean I still not get. How resistance to ketosis was identified?

via Ravenvoron

Day-by-Day. February 17,2018

What our diabetes educators do really know about diabetes? Good question I would say. Today I posted Anne Peters education what to chose as CGM system. Important question if one never stick needle into own belly. Absolutely useless if one is diabetic. I do know many diabetics type 1 use these systems. It is not or diabetics type 2. So, I use my old trusted glucose meter year after year. Why health plan pay for type 1 diabetics and do not pay it for type 2 diabetics? Because of there is no definition what diabetes type 2 is, and really diabetes what is it? In all education materials diabetes is

In type 1 diabetes, the body does not produce insulin.

 It is diabetes definition by ADA.

If you have type 2 diabetes your body does not use insulin properly.

This is another definition for diabetes by ADA. Say me, what are the evidence that diabetic's  type 1 body does not secret insulin? In diabetic's type 2 body how insulin used? Do not even try to ask Anne Peters or any ADA educator. They have no one idea what is diabetes and how to diagnose any type of diabetes. There are no tools for diagnostic of diabetes but level of sugar in blood. So, why in one case it is limit in insulin secretion and in another case it is type of use of insulin? Try to read all papers and all diagnostic by ADA or WHO. No answer to these simple and very logical questions. After that really, what educator educate us about?
       Now, why CGM is useless for diabetics? The answer is, what to do with all those data, continues glucose readings? Who suppose to use that data and how and for what? The goal of any treatment is to cure or at least to maintain the health condition if one is chronically ill. We take our readings a few times daily, more often if there is critical time, and less often if we are in our common state.We need to see this readings to find out how treatment go on. If we need more medicine or we are getting better, recovering. In case of diabetes type 2 we can say that we reversed diabetes type 2. This is why we need to take glucose readings.
       Now it is CGM. All day long, one day after another there are different numbers run from low sugar such as 32 mg/dl and up to over 600 mg/dl,. What to do with all those numbers? No one educator ever said what to do when sugar is high, or low. They simple say, calibrate, but there is no one idea how to calibrate the system. Do I have to take highest number? Or lowest number?
      I tried to read Anne Peters. All what she said, we can calibrate the dose of insulin. No one idea how.
      Almost 100 years insulin on market. What our educators do know about insulin? What do they really know about diabetes? Not Anne Peters for sure. She would educate how to inject insulin from pen into belly, to remove cap from pen and so on. She never published how to dose insulin. Never.
      In my first days I was looking for info how dose insulin. Really, how do I know what amount of units to inject every day, day after day? What I found just mystery. It is weight in pound to divide for 4 and it is total  daily dose of insulin. After that my own sensitivity to insulin would be fount. Finally, I have to find out how many units to inject according to amount of carbs I am going to eat.  To get picture more clear, it is size of Earth divide to the wide of Universe, and then multiply on the amount of Oceans. Something like that. No questions, diabetes still not curable. It never will. Way too profitable for MD to loose.
     I take insulin not for long. In 2011 I injected first 11 units. Now I inject over 600 units within 24 hours. I do not know what limit of insulin dose I do have. But I do feel good. Big surprise. Over 600 units a day. I hardly able to believe it is true. Where insulin go? How it is used?
     I am diabetic type 2. I am not diabetic type 1. It is presented that diabetics type 2 insulin resistant. We do not use insulin properly. Really? I do not see so. Just recently my kidney were very ill. Bloody urine. Now all the problem is edema. It is getting better when I wrap my legs. If I will have wrap to full body pounds will drop and edema would go down. Easy to say, difficult to do. And very very expensive. I do not have so much money.
       Not long time ago I suffered with headache. I had stroke, and there was rapture of artery. Probably that scar still hurt. Suddenly I realized, the spot does not hurt me any longer. What if insulin used to recovery old wounds inside I collected full my life? What if?
      First time ever my A1c=5.9%. I wish to ask, is this really true that professor R. Toylor reversed diabetes type 2? The point is, every time when I read about type 2 reversal it is all the time sugar level taken into account, but not A1c. Also after diabetes was reversed for how long patient stay diabetes-free? Let us take a look at the R.Toylor's patients who reversed diabetes type 2,, where they now? No info. If so, then they really never reversed diabetes type 2. This is Scam, and ADA aggressively push this scam.
No donations to ADA. Or there are no donations but money laundry?

via Ravenvoron

CGM Vs simple glucose monitr. Whis is better to use? February 16, 2018

Which CGM for Which Diabetes Patient?
CGM is continuous glucose monitoring.
So, at first before try to take a look at which system is best for different type of diabetics I wish to take a look at, why it is good to use this system?

Both of these products are continuous glucose monitors (CGMs), and both are designated by the US Food and Drug Administration as replacements for finger sticks, which means that people can calculate their insulin dose from the glucose values they obtain from the CGM. With both devices, however, a backup finger stick should be available in case there is some discordance between the clinical setting and the glucose value from the CGM.

Did someone got the humor? I have to carry on that monitor attached to my belly, and when I need to inject insulin, .... I have to stick my finger.  For those who read but do not very well familiar with all staff diabetics face every day I wish to say, reading are wary all the time, and the difference can be up to 20 points even when we take the same miter, the same finger, at the same time. So, when I need to inject insulin, what number of glucose in my blood? No one system will answer to this question. The readings are approximate, never the same.

The Dexcom has been available for the longest period of time. It requires the patient to check the finger-stick blood glucose level twice a day to calibrate the device. The Dexcom then "speaks" to a receiver or to a smartphone and transmits the glucose level to the Tandem t:slim insulin pump and, in the future, to other devices.

Now back to the question, why do I need this device on my body? Also pay attention that it is diabetic who needs to calibrate the device twice a day. What is the reason for this calibration? I use simple way. I take reading, all the time with the same meter. As I said reading is approximate. So, if I take reading with the same meter then there is no gap between meters to take into consideration. After reading I inject insulin, the dose I calculated according to the reading I just got right now, and according to the dose of insulin I inject in daily base.
      That's right. No one can inject dose of insulin according to the reading in this moment. Why? Well, it is simple to understand. I take insulin every day, a few times daily. Because of insulin is very effective readings effected by many shots of insulin I already injected yesterday, and many days before. Today my reading is 55 mg/dl. What dose of insulin I have to inject? I injected 240 units in the morning, and then 240 after dinner. Now I need one shot more. But reading on the meter are normal. According to the meter I do not need insulin at all. With this strategy tomorrow my level of sugar would be under 100 mg/dl.
     So, what really author talking about? Does she know the subject she try to discuss and educated diabetics? I do not think so.

The Dexcom provides alarms and alerts to patients to let them know if their glucose levels are going high, if they are falling fast, and if they reach a certain low level or a certain high level. Specific levels can be programmed into the device by the patient. It gives these alarms to the patient and to people who are following the patient, in real time.

Alarm, what is for? Alarm is very important signal. If we do have any alarm in any system then what we have to do? Take actions.This is what "ALARM"stand for. But there is glucose monitoring system. When alarm must sound? What the number must be alarmed? Good question to ask A. Peters, the author of publication. I bet, she has no one idea what I do try to ask.
Really, what is the number on glucose meter that sugar is 'low' or 'high' that alarm must sound?
     For those who is not very well familiar with diabetes and insulin, or those who just educated by Anne Peters I wish to say, no one of us, diabetic who takes insulin every day, day after day, has so alarming number on glucose meter. This is what insulin stand for. We can have high or low numbers but it is not life threatening. No alarm needed. Diabetic must be very well prepared for any low at any time without alarm, long before very low sugar will strike. Also, if we take insulin, and very well know what dose to inject, sugar never would run fatally low.

The FreeStyle Libre is factory calibrated, so people don't have to calibrate the device.

 This part I did not get at all. How device calibrated on factory?So, I am lost. As I said, the dose of insulin is not so simple to find out. It is snot the proportion between level of sugar in blood and the dose of insulin in units to inject. If this system used as to add-on insulin when sugar get above some number, then what after number dropped? Diabetic must add some carbs? To ride on swings up-and-down? Really, I did not get this point, so I better to move on. At least I am not one who will trust to any factory to manipulate my life.

       Anyone who is on a complicated insulin regimen and is at risk for hypoglycemia will receive an alert or alarm when the blood glucose levels change. I love that feature.

I worry if I would relay on the alarm what about my awareness of high or low sugar? Would this natural alarms work for me? And if I do have those natural alarms, then why do I need factory calibrated alarms? No reason. Well, of cause there is good reason. Both system more costly then simple glucose meter. So, The choice is not for diabetic which system to use, but insurance company, which system they pay.  No one diabetic would pay for this system out of pocket. I simple do not need it. I relay on my trusted meter, and glucose strips. Then there is very convenient to use pen with pre-filled insulin, Lantus Solo Star. In this case no one strip lost, and every one of them cost $1. No insulin lost in useless system. All insulin from pen go to my body system, and do perfect job. 
Comments to the article:

Exactly, she really has no interest in helping diabetics, I've tried to help her many times with no response.

 Nothing more to say. All what is good for A. Peters just how much she got in $$$$$. She will say that Metformin is better then Invocana, and that insulin is not good for Diabetics type 2. All what someone ready to pay, she will say, just the matter of price.
 https://www.medscape.com/viewarticle/892267?src=wnl_mdplsnews_180216_mscpedit_wir&uac=164666HZ&impID=1561022&faf=1

via Ravenvoron

Update On Two AAT Clinical Trials

This is a update on two AAT (Alpha-1 Antitrypsin) clinical trials, with a little more general summary of AAT status at the end.  AAT is an anti-inflammatory/immunomodulatory drug, which the body makes naturally, and which is already FDA approved for people who have a rare condition where they don't make enough of it on their own. Using AAT to treat type-1 diabetes is based on the idea that one of AAT's effects (lowering inflammation, immune modulation, or wound healing) can cure/prevent/treat the disease.  My previous blogging on AAT is here:
http://cureresearch4type1diabetes.blogspot.com/search/label/AAT

Grifols' Phase-II AAT Clinical Trial is Unsuccessful

Grifols terminated their Phase-II AAT Clinical Trial in October 2017.  "Terminated" in the sense that they ended it earlier than expected.  Their official comment was "Wk 52 primary endpoint results would be unaffected by follow-up data so trial was discontinued prior to wk 104. No safety data was collected after wk 52."  I have unofficially been told by a participant, that they were told "it was found not to be beneficial enough".

I interpret Grifols termination statement to mean: The primary results (after 52 weeks) were bad enough, so that no matter what the results from 104 weeks, it is not worth it to them to complete the trial.

Discussion
In my opinion, it is morally wrong (and should be illegal), for a company to stop safety monitoring during a trial.  Even if the efficiency results are bad enough such that they don't care about that data any more, they still have a commitment to the patients in the trial to continue the promised safety monitoring.  The patients have already gotten the experimental treatment, so bad side effects or safety issues could still happen.

Clinical Trial Record: https://clinicaltrials.gov/ct2/show/NCT02093221

Kamada Announces Results From Their Phase-II AAT Clinical Trial

This trial had three groups: a "low dose" group, a "high dose" group, and an untreated (placebo) group.  The primary end point was change in C-peptide generation, and secondary end points included A1c, insulin dose, and safety data.  The results have not yet been published, so I'm working off of a Kamada Press release and email interactions with the team at Kamada.  The basic results are:

• No statistically significant results for the primary or secondary outcomes for the study as a whole (ie. "No significant treatment effect was observed in the overall study population").
• For one subgroup (patients aged 12 to 18), there were "close to" significant results for the primary and some secondary results.  The researchers call this a "positive trend".  The full quote is "Efficacy trend was demonstrated in the pre-determined sub-group of patients between the ages of 12 to 18, treated with the higher dose of 120mg/kg.  The positive trend was observed in this age group for all three key efficacy measures of Type-1 Diabetes".

I consider this trial unsuccessful, because the primary end point was not met.  I would not consider the subgroup data to be successful either, because none of it was statistically significant.  You can read a lot more about my definition of study success here:

https://cureresearch4type1diabetes.blogspot.com/p/recently-on-couple-of-occasions-ive.html

However, the researchers do consider it successful; successful enough to continue the work on a follow on trial aimed more specifically at the 12 to 18 year old group that had the best results here.

Discussion

Differences of Opinion on Success

So, why do I think this study is unsuccessful, while the researchers think that there is a success in there, and another clinical trial will find it?  To understand this, let's look at the three results that they consider most important:

• Better preservation of beta-cell function, as measured by less loss of C-peptide during the honeymoon (p =0.543).  
• Lower average HbA1c and more patients with A1c below 7%  (p=0.052, p=0.048, p=0.073).
• Lower insulin daily dose, for the higher dose treatment group versus placebo (p=0.086).

The standard cut off for statistical significance is p=0.05 or below.  So if you look at the numbers above, one is just in that range, three are close, and one is way out of range.  My view is out of range is out of range, and also the most important number (C-peptide) is not even close to an acceptable p-value.  C-peptide is most important for me, because it's the one that the FDA has previously said is the appropriate measure for curing type-1 diabetes.  A1c and insulin usage can be impacted by eating fewer carbs and having better control during the trial, but the C-peptide that they measured is inherent to how much insulin the body is producing itself.  The fact that they got the worst p-value there makes me profoundly nervous.

The researchers point out that they see good trends in three different measurements: insulin measurements, A1c, and C-peptide, and it is unlikely that you'd get three good trends in the same group of people, just by luck. P-value is designed (more or less) to show the chance that you got a good result by luck, rather than by the effectiveness of the treatment. P-values above 0.05 are considered too likely to be due to luck. However, in this case, the researchers point out, there are three different results, all of which are slightly above the cut-off. Even if one was due to luck, it is unlikely that all three would be due to luck. So the researchers look at all three together and view that as sufficiently unlikely to happen by luck, that it must be due to effectiveness. Most statisticians would look at each measurement separately, and say that each of them looked like it was due to luck, rather than effectiveness.

Since this was a phase-II trial, it was not large to begin with, and focusing on just the 12-18 year olds makes size even smaller, which is a handicap in a study like this.  Another way to view this conflict is as follows: was the clinical trial unsuccessful (poor p values) because the treatment was not effective, or was it unsuccessful (poor p values) because it was small?  Basically, if the trial were larger, would the p values have improved or would the effectiveness have diminished?

However, the path forward is the same in any case.  The researchers must do a follow on trial, which specifically recruits enough people between the ages of 12 and 18, to if the treatment is effective or not.  It is the success of that follow on study which will determine if the research continues or not.

Clinical Trial Record: https://www.clinicaltrials.gov/ct2/show/NCT02005848
Press Release: https://globenewswire.com/news-release/2017/11/01/1172203/0/en/Kamada-Announces-Top-line-Results-of-Phase-2-Trial-of-Alpha-1-Antitrypsin-in-Newly-Diagnosed-Type-1-Diabetes-Patients.html

The Scorecard

However, there is another issue with AAT.  This is not the first data we've seen on this treatment.  Part of the reason I'm nervous about the results from this study, is that I know the results from previous studies, and none of them are particularly good.

Study Number  Phase Size Sponsor   Duration  Completion Date Results
NCT01304537     I    24  Kamada    1 year    November 2012   No strong results
NCT01319331     I    15  Omni Bio  2 years   September 2013  No strong results
NCT01183468    II    16  NIAID     2 years   November 2014   Terminated
NCT01183455    II    66  NIAID     2 years   November 2014   Withdrawn
NCT01661192    II    12  Kamada    3 years   December 2016   Future publication
NCT02005848    II    71  Kamada    1 year    December 2017   This study
NCT02093221    II    76  Grifols   1 year    November 2017   Unsuccessful

Here is my previous blogging on the first two:
http://cureresearch4type1diabetes.blogspot.com/2015/09/aat-completes-phase-i-trial-no-strong.html
http://cureresearch4type1diabetes.blogspot.com/2012/06/possible-cures-for-type-1-in-news-june.html


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

How much insulin our body needs daily? February 16, 2018

Sugar is 69 mg/dl at 2;10 am.
Perfect sugar.
      Yesterday it was 623 units injected in my belly. It is highest dose of insulin I injected so far. Why did I take that dose? How did I counted it? Simple. I counted 240 first shot, plus 240 second shot, and then add-on 142 after supper. In my opinion it was 500 units. It is nothing unusual. I already injected over 500 units. Then I calculated it, and big surprise, it was 623 units. WOW!
Right now sugar is good. I just woke up. I went o bed early. I took this habit recently. I sleep a lot. I take nap at day time, so at night I usually wake up early.
     I wandering, insulin, where it id going? How it is used by body system? All time we educated that insulin needed to convert carbs into source of energy. We educated to count dose of insulin according to the amount of carbs we are going to eat. There is no difference in my diet. I am not hungry, do not eat more then usual. The matter of fact, I eat even less then usual. Also, what is important, my A1c=5.9%, which means there is less gap between insulin in secretion and insulin in demand. At least aas I do understand it. 5.9% is not diabetes.
      All what I can say, the quantity turned into different quality. I do not see that my weight going up right now. Nether it started to drop. I did not have flu shot for many years. So, I did not have flu shot in this season. Now I am sick. My lungs too heavy to move. Only Bi Pop help to do the job. I cannot breath without it. I take Nitrostat every day. It is comprehensive fear of nearby Death. Of cause there is no Death around me. But my heart does not feel in this way.
      In all other points all the same, as usual.
So, now I wandering, why dose of insulin so dramatically up? If I take such dose without being diabetic I probably would not survive. I took less dose of insulin, and then it was low sugar. Yesterday it was 623 units. No low sugar.No even sing of low sugar. I am perfectly OK.
     I do not pretend that now and on I can take 600 units, and I would be fine. I do not believe in that. What I do believe that insulin do much more job then simple convert carbs.What if right now the sugar which was stored in my bones and tissue started to go out? What if it is recovery process which started with such high dose of insulin? What if...?
    As usual, all what I want to say, if you are going through Hell, just keep going. So, I do, I keep going, as far as I can.

via Ravenvoron

People With Diabetes Account for a Quarter of ER Visits in US. February 15, 2018

About one in four people aged 45 and older who made emergency department (ED) visits in 2015 in the United States had diabetes, new government data show.
 People With Diabetes Account for a Quarter of ER Visits in US
by  Miriam E Tucker
 https://www.medscape.com/viewarticle/892439?nlid=120673_1521&src=WNL_mdplsfeat_180213_mscpedit_wir&uac=164666HZ&spon=17&impID=1558491&faf=1

What is this article about? No, do not say I did not understand what I read. I do. But what is this really about? Why it is so important to study and to publish to let people know who visits ED? What about private information?  Of cause it is easy to say that there is no my name and it is no problem with privacy. Really? I come to clinic in my local hospital and all what they see just my visits to ER. Now barking therapy in full bloom. You do not have to go to ED. When last time did you see the doctor!!!!!!!!!!!!!!!!!!!!!!My doctor work in another hospital. When my man call 911 they transfer me to my local hospital. I usually do not have clinic in this hospital. So, do not say this is not private for me. The matter of fact, it is.
      But let us to take closer look, why it is so important to study who and how many visits has to local ED?  Is healthy people often visit local hospitals? Or it is ill people  such as diabetics who are most often visitors to ER? So difficult to find the answer. It needed hard work by author.
     Now let us see, what diabetics have in hospitals, in ER? How often we have to go from one hospital to another, then to try another one, and so so on? Does visit to ER solve the problem with out health? Not at all. We come, we visit, and so home, in the same condition we come. I would better accept if author tried to find out how many visits to ER were beneficial? How many of them sent patient to another ER? How many of us die after visit to ER and no medical attention fwas given to us?
      I went to ER. I could not breath. I am diabetic. I am always ill person. So what? Sugar in urine 1000mg/dl. Sample with blood. Sugar in blood over 400 mg/dl. What doctor said? Go home. In another hospital was the same. Three in the row did not find what was wrong. It was stroke. I survived somehow.
      There are many comments after article.
What type of diabetes they are, type 1 or type 2?
      Really, it is important because of type 1 are ill people with immune system attacking own master. Type 2 are those who eat too much sugar and this is why we do have sugar in blood. Every one do know it. Our doctors even do know that we cannot have ketons in blood when with very high  level of sugar in blood there is no glucose to eat by cells, so fat burned as source of energy. It is usual for type 1, no one ever know how usual is it? And it is not happened in diabetics type 2 because of no one ever checked up urine of diabetic type 2 for ketons. So simple. We do not have problem, so let us do not see if there are any.
      Why authors did not take a look at what condition diabetic come to ER? In what condition diabetic left ER? For how long diabetic survived after visit ER? There are no any studies like that. Never. Every one study visits to ER. No one study the effect of that visits. I did. I studied. The effect was only one. Bill over $2000 soon after visit. What they done for those $2000? Checked up BP, T, BS, and provided treatment with Barking Therapy:Lose weight, it is all because of weight, there is nothing what we can do, you have to close your mouth!!!!!!!!!!!!!! Anyway, Bathroom Scale Therapy is most effective way to keep diabetics type 2 away from ED and Any medical clinic.

       Yes obesity is one of the cause. It is good to start education in school
        Diabetes start from kitchen not from school

And many many like that. Why diabetes started form kitchen?  There is no studies what really diabetes is. There are no definition diabetes type 2 what is it? All what is people who commented, MD including, just diabetes is the level of sugar in blood. Why level of sugar in blood is high? As it is known, the cause of diabetes is not known. So, why it is taken for granted  that diabetes started from kitchen? Or that is caused by obesity? No one evidence like that.
    This article is not first time published by Medscape. Looks like Eric Topol has nothing more to study just visits to ED, or eatery from NY to Honolulu, or output facilities from Bronx to Manhattan.

via Ravenvoron

#SpareARose - Save A Child

It's Valentine's Day - a day when people break bank to show their love.

Here's the thing, you don't have to break bank in order to show your love - or save a child with t1 diabetes. 

For $5, the cost of one rose - you can provide one month of lifesaving insulin, blood glucose tools, and life enhancing diabetes education to a t1 child in a developing country.

Many children living with t1 in developing countries don't have access to all of the above. 

YOU CAN CHANGE THAT.

To learn about Spare A Rose, lifeforachildusa.org and to #sparearose and make a donation, click HERE. 

 No child should living with diabetes should die because they don't have access to life saving insulin, diabetes supplies, and diabetes education. 

Be the the change you wish to see. 

#SpareARose, save a child. 

via Diabetesaliciousness

Fake Studies by Hopkins Medicine. February 13, 2015

A new Johns Hopkins study of mice with the rodent equivalent of metabolic syndrome has added to evidence that the intestinal microbiome -- a "garden" of bacterial, viral and fungal genes -- plays a substantial role in the development of obesity and insulin resistance in mammals, including humans.
 Mouse study adds to evidence linking gut bacteria and obesity by Johns Hopkins Medicine
 https://www.sciencedaily.com/releases/2018/02/180212100618.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

        It is interesting all in study. Most interesting, hat is the level of BP in rodents?  There is diagnose that rodent has Metabolic Syndrome. To diagnose this condition there are three marks must come together:
 high blood sugar;
high blood pressure;
obesity;
High cholesterol;
high TG.
It is understandable that rodent is obese. It can be checked what sugar in blood volunteered rodent has. Anyway, is the level of sugar, BP and TG the same in rats or mice? And what about BP? Anyway we have to know what BMI mice do have before pretend they are obese, right? I never met BMI level for mice.
     In past I was trained in philosophy. So,
if A is true and B is true then A + B is true.
If A is false and B is true then A+B is false.
So, if rodent has obesity, but there is no evidence that rodent has high BP then there is no evidence that obesity development in rodent and humans the same.
Fake Studies by Hopkins Medicine.
   Really, what they all study? There is no study how insulin in injections effects human body. No one publication in this direction. It is really easy to do today. Just take study humans, and check it up, how many diabetics type 2 recovered with Invokana therapy? No one. How many diabetics type 2 hot heart attack when they take Invokana? Many. But no publications how Invokana effect life of diabetics type 2.    Still, there are plenty of publications how rodents develop obesity. You must be kidding! Leave rats and mice where they are.take a study how Junk Medicine kill Americans. And publish it. What Medicine is Number one Killer in America?
     Of cause, it is easy to put fingers to opioids. They kill. What about Metformin?  There is no killing by Metformin, right? Wrong. Diabetes type 2 is number 7 cause of Death in America. All diabetics type 2 take Metformin. ADA recommend Metformin as First Line treatment for Diabetics type 2. Use you brain, open your mind, what is number one killing medicine in America?

via Ravenvoron

U.S. life expectancy and why it is dropping. February 12, 2018

U.S. life expectancy has decreased for the second year in a row, and an editorial in the BMJ points to three contributing factors: drugs, alcohol and suicides, particularly among middle-age white Americans and those living in rural communities.
 Drugs, Alcohol and Suicide Are Causing Life Expectancy in America to Drop Dramatically 
By Amanda MacMillan

February 8, 2018 

 http://time.com/5138349/drugs-alcohol-suicide-life-expectancy/?utm_source=time.com&utm_medium=email&utm_campaign=the-brief&utm_content=2018021211am&xid=newsletter-brief

       According to article American's life expectancy started to get shorter after 1980. To big surprise, it was the year when WHO adapted diagnose of diabetes type 2, the type of diabetes which was presented as insulin independent type of diabetes. Follow up more and more diabetics were  diagnosed with this mysterious medical condition which has no diagnostic tools. The same as any type of diabetes diagnose based on the abnormally elevated level of sugar in blood. Then type of diabetes diagnosed according to BMI, another mystery of diagnostic development based on the body under-nutrition formula developed back in 1850. No any mystery that diabetes type 2 became first epidemic, and now it is already pandemic.

        As to why U.S. life expectancy is declining, Woolf (Steven Woolf, director of the Center on Society and Health at Virginia Commonwealth University) says that many people point toward the current opioid epidemic. “That’s certainly a big factor, but it’s also a larger problem that’s been going on for decades,” he says. “We know there are deeper systemic causes, that paint a picture of hopelessness and despair and struggling with difficult living conditions.”

      Opioid epidemic, why it is commoners, people who is not drug addicts, started suddenly take drugs?  There are two factors: one it is pain we live and when it strike we will do everything to get rid of it; and second, it is MD who Rx opioids as pain killers as early as it is possible to get patient to the hook. In America where millions of Americans do not have health insurance it is very important to 'go fishing' early. Then this victim would be on hook for many many years. Where this opioids come from? Most of them come from medical clinics.  So simple. We trust in MD. Then we are hooked.

In 2013, Woolf and his co-author Laudan Aron, a senior fellow at the Urban Institute, published a study that found that Americans have poorer health in many areas—including birth outcomes, injuries, homicides, adolescent pregnancies, HIV/AIDS rates, obesity, diabetes and heart disease—when compared to other high-income countries. They also cite lifestyle factors such as high-calorie diets, drug abuse, gun ownership, living in cities designed for cars instead of pedestrians and lack of universal health care as likely contributors.

        WOW! so many contributors! It is interesting to know that gun ownership shorten lives of Americans. Is this really true? Or this is one of the brain washing tools to fool Americans? Really, how my diagnose of diabetes type 2 connected with  gun ownership in Taxes?The matter of fact, maybe gun ownership saved many lives, prevented crimes to overtake the country? It is often published how 2 years old kill someone. Why there is no one killed in homes where open fire every day used to cook? Let us start to get rid of fire because of it is very danger and kids can play with it easily. Do they? No. Kids do not play with fire. The same I would say about gun. In many homes there are kids who grow up with guns at home. They do not play with guns. Only with toy guns. Kids are not so stupid how it is presented. In it adults who let kids play with guns. But those adults would find any other ways. In NYC there was fire. Kid has history to play with stove. Did adult knew it? They did.
      High calorie diet, where this come from? Of cause, if we are obese then it is because of our diet, right? No attention that it is severe edema. And diabetes type 2, this mysterious diabetes type 2, number one killer in America. Give to diabetic type 2 Lantus Solo Star in stead of all that Trash Medicine, and no obesity, no pain, no heart attacks or strokes in middle life.
      Recently I read someone posted that price to insulin raised from $21 to $225 for one vial. Really? What type of insulin is that? Lantus is number one medicine in present time to treat diabetes type 2. Lantus can be in vial or in pen. In pen it is Lantus Solostar , 300 units each pen, 5 pens in one box, less then $100 each pen. I would not say insulin is cheap. Still it is affordable if treatment started early. The problem is not in price of insulin but in ADA recommendations that diabetes type 2 can be prevented or reverse with life style modifications and diets. Never. Diabetes must be treated as soon as it was diagnosed and with insulin, regardless of size of middle area and age.
      Finally,  alcohol. Who recommend alcohol in moderate amount to take one glass red wine every day? MD.

Between 1999 and 2014, the suicide rate rose by 24%, with the sharpest increases among white Americans ages 25 to 59, people with limited education, women and people in rural counties.

 Obesity. Edema. Diabetes type 2. What all is this? Abuse. Mocking. Everywhere we go. Say me, how edema treated? No treatment for edema. How kidney or heart failure treated? Diuretics. Water pills. Body get wider and wider. Barking Therapy and Bathroom Scale Therapy. This is all what we do have. Most popular is Weight Loss Surgery. MD recommend alcohol after surgery to reduce hunger. After three years suffering many victims gain weight. Hope lost. Depression.
     It is easy to blame victims that it is limited education. IS that really true that it is I must be educated? What about MD? MD do have own interests, and we have to fight for our lives and confront MD. How many of us can do it?

But experts have suggested that economic hardships, the collapse of local industries, and the loss of security held by previous generations have hit white Americans harder in recent years.

Social Security collect most taxes. What Americans able to get back? Medicaid for those who do have low income. No one weight American has qualifications to meet these rule. The income for two must be less then $1100 in NYC. Even after family lost income the unemployment check is higher then  requirements. No Medicaid. No Medicine. No Insulin. This who has low income, SSI would be $750 for each of two, $1500 total. Medicaid. Free. Insulin without co=pay.

 “Its social contract is weaker than in other countries—those in need have less access to social services, healthcare, or the prevention and treatment of mental illness and addiction. The ‘American dream’ is increasingly out of reach, as social mobility declines and fewer children face a better future than their parents.”

 As fake as it is. It is middle class Americans who has no health care. Those without income has all what they need, housing health care, and food stamps. We have nothing. BE honest at once.

via Ravenvoron

Diabetes type 2 surprise finding. February 11, 2018

       It is already taken for granted that Diabetes type 2 is progressive condition. with type numbers go up and up till finally Diabetes claim its victim. The question is, does it is Diabetes type 2 progressive, or it is wrong treatment of diabetics type 2?
      I do my studies. I do have one diabetic type 2 to observe, myself. A few days ago it was clinic and blood work was done. My sugar A1c=5.9%. Hard to believe. Just May 2017 A1c =7.3% and March 2017 it was A1c = 7.5%. Now it is 5.9%It is greatest progress I never expected to have. But it is in my lab tests, and I am proud and pleased withe results.
      Today we went to Lincoln center. Yesterday we went to NY Phill, and today it is Chamber Music concert. Today I injected 128 units in the morning, and forgot to take second shot before we went to concert. It is easy to assume, sugar would be high. Not at all. Sugar only 114 mg/dl. It was 96 in the morning. Ether night nether low all day long.
      Of cause it is easy to say that with A1c=5.9% I really do not need high dose of insulin. It is time to get insulin dose down. The reality is right opposite. Dose of insulin is up. One day after another it is over 500 units. Yesterday it was 534 units. Today of cause I will take all what I missed. Right now I already injected 240 units, in one shot, no meal so far. Before bed I will inject another dose, and probably it would be over 500 units total. Still, today there is no high sugar even full dose of insulin 160 units missed.
     About Yesterday I assumed that sugar would be low. I took 240 in the morning, and then 160 before the concert. It was already 400 units. I was out oh home for long time. We returned home, sugar was 150 mg/dl. 400 units already injected, and sugar was 150 mg/dl. Really, what's going on? I do not know. And I am not going to speculate. All what I can say, more studies needed. Most important and most obvious, diabetes type 2 is not progressive. When treated right, not with Barking Therapy or Bathroom Scale Therapy or Junk Medicine but with proper regime of proper type of insulin, diabetes type 2 can be cured.Most important to start treatment early, before diabetes took over the victim. Any delay or Life style Modifications just lead to deeper destroy important vital organs.  This is the fact. There is no need for any studies. Just take it for granted. Diabetes type 2 is not the sugar in blood. It is deeper. Blood sugar just indicator of stage of diabetes type 2. Then higher numbers on glucose meter then deeper diabetes type 2 progressed, so it would take longer time to recovery.
    

via Ravenvoron

Lantus Solo Star is Number 1 MD Choise. February 10,2018

It is important to see what medicine Rx to Americans so we can see what are most spread disease in present time in America that need Medical Treatment. When it is Life style modification recommended by MD it mean the same as we go to Witch for treatment or to Shamans. They also treated people with dancing, meal, drinks, and tea. So, as it is easy to see for millions years passed by we still need Shamans and Witches to treat our most fatal medical conditions such as Diabetes type 2, Edema, Blood Circulation, and so on.
     Still, there is no longer time when medicine was not available. If we are lucky we can get Rx and probably get much better, even be cured, or at list live longer.
      First in rank is Synthroid, medicine for Thyroid health condition.
Then it is Crestor, medicine for Cholesterol and TG.
Nexium, medicine used  for liver condition.
Cymbolta used to treat depression.
Ventolin, Advair  and Spirive used to threat Asthma.
Lirica used to treat nerve pain. And number 11 is Lantus Solo Star, long acting type of insulin.
So, Asthma, COPD, Diabetes, Depression and nerve damage, cholesterol and Thyroid, ranked Top of medical conditions Americans try to fight. These are ranked medicine by monthly Rx, so it is not by sale when the most expensive medicine would be ranked higher even it is less spread among patients.
      I can say, I was really very pleased to see that finally Insulin took number one doctor's choice. It is easy to present that number one medicine to treat diabetics type 2 is Metformin. The reality is different. It is not Metformin that number one doctor's choice but insulin, long acting insulin Lantus Solo Star. Solo Star mean it is insulin in pen, easy to be used at any place, at any spot, at any time. It is easy to carry in handbag, do not need to be refrigerated when pen is in use. Finally Insulin take over the Junk Medicine.
     All that Januvia and Invokana still on market, and many MD still Rx it. But regardless of all brain washing propaganda, it is Insulin taken first place in rank to treat high blood sugar.  Very important difference in modern medicine. Lantus next in line. Lantus usually used in hospitals. Many people take Lantus. I think they are the same, but Lantus Solo Star more convenient to use by single patient.
     I just had clinic and blood work results already posted on my account. All the results are almost fine. There are some little out of range, such as Cholesterol and TG, Vit. D and kidney testing. But the difference is really very very small.
     TG I used to have over 900. It is very very high. The normal ranger is under 150. Now I do have under 200. Still a little bit up over the normal, but very very insignificant. It is all the time told by all MD and nurses that TG and cholesterol only because of diet. Right? Wrong. It is difficult to have any changes in my diet. I practice only one type of diet:
I eat what I want to eat;
when I want to eat;
I eat as much as I want to eat.
So, why today my cholesterol is OK or even good?
When I took Metformin and Glipizide my cholesterol all the time was high, very very high. I took Atrovastatin or Provastatine, all types of statins, and numbers never dropped. Now with insulin I am almost withing normal ranger. I takeLipitor, 80 mg daily dose. I all the time on this dose. But I used to take other statins, and they did not do the job. Cholesterol stay high. Lipitor is doing perfect job. Together with insulin finally all my numbers almost withing normal healthy range.
       I still need medicine. I still take it. I take 80 mg Lipitor daily. Hope one day I no longer would need it. But today it is in my medical box.

via Ravenvoron

Shine On, Judy Reich

The DOC received the news late Wednesday night/early Thursday morning that we’d lost our friend Judy Reich, 

It’s hit many hard - me included. I’m a mess.

I am devastated over Judy’s passing - every time I tried to put something into words I burst into tears.

This one's for you, Judy~ 

####

Dear Judy - 

I found out the news just as I was getting ready to go bed late Wednesday night/early Thursday morning. 

It was weird - I’d just said out loud to myself, “today was better so much better than yesterday,” and I looked at my facebook feed one last time - and then it wasn’t. 

A mutual friend’s facebook status announced your passing along with a link to 8 News Now's video tribute. 

I yelled "NO" at my phone, clicked on the link and burst into tears and I couldn’t stop crying. 

I was up for hours, crying and talking online with our friends trying to piece together the how and they whys, and trying to make sense of it, trying to find out what happened with other DOC friends. 

And I’m still crying, I’m numb - and the tears keep falling.

Judy - you were a kind; funny, talented, beautiful, and phenomenal woman, I was so lucky to call you my friend, and I’m really going to miss you.

We met online first - and I’ll admit to being a little bit reserved at first- because I'm from New Jersey. 

Then we met in real life at the very first UnConference - and you were so full of love and light, I was like: WOW, THIS WOMAN IS AMAZING. 

We bonded over our love of entertaining; theater, being the caretaker for our parents, my struggle to get over the loss of my mother, and both of us being maternal women with diabetes who weren’t mothers. 

That last part was big - it connected it us - and other women (and some men,) in DOC who needed feel that we not only existed - that we mattered. 

And Judy, you were a mother  - you mothered and mentored so many whose lives were touched by your sparkled and joy.  

Always kind and filled with love, always making sure your friends were doing OK.

These past few days I’ve read beautiful facebook statuses and blog posts that are true testaments and tributes to the woman you were and the impact you had. 

Judy, you made a world of difference - you helped and you encouraged - and you showed that 50 years living with diabetes could be done with style; grace, humor tenacity, a bit of bawdy, and boatloads of showwomanship! 

Your instant messages always seemed to flash across my screen just when I needed them most. When I was struggling; when I was feeling down, or whenever I was feeling lonely - intuitively you knew it - and you started a conversation that would always make me laugh and feel inspired. 

The last time we chatted was after the holidays -both of us were short for time - it was a quick check-in with a promise to “catch-up soon, and a mutual hope that a real life meet up in 2018 was in the cards.“ 

We never got that chance and that is another reason I grieve. 

And really mad that we won't get the chance to hangout again in real life. 

Judy, thank you for being my friend and for always making me smile. 

Shine bright and shine on, because you truly are a star!

I will never forget you and will miss you always.   

Xoxo

Kelly

And to my Diabetes Online Community Family - No matter the diabetes type and in memory of Judy, I’m asking that you schedule an appointment with a cardiologist. 

I don’t have the all the specifics, but I do know that Judy’s death was cardiac related.

February is Heart Month - diabetes and heart issues go hand-in-hand - no matter what type of diabetes you live with, because diabetes and heart disease isn't just a type 2 issue.

PLEASE schedule up an appointment with a cardiologist and get checked out. 

Do it for yourself, for your family, and do it for Judy.

If want to send Judy's husband Gary and her mom Arlene Reich condolences, 

send your cards to the Diabetes Sisters offices by the end of February - they will be forwarding them in bulk to the family. 

DiabetesSisters, 

319 N Weber Road, pmb 163, 

Bolingbrook, IL 60490

via Diabetesaliciousness