NIDDK Information Clearinghouses

Source: National Institute of Diabetes and Digestive and Kidney Diseases -

via Diabetes

Blood Sugar and Dose of Insulin, May 28, 2018

69 mf/dl fasting sugar today.
445 units of Insulin Lantus Solo Star in May 27, 2018
130 ,h/dl fasting sugar in May 27, 2018
200 units of Insulin in May 27, 2018
What I try to say? It is difficult to keep all under control, be tight in regime, and do one thing after another the same one day after another. In adult life it practically not possible.
      As adults we do have many things which do differently day after day. We work overtime, and we do have weekend and working days, which is far away to be with the same regime.We get ill, or child get ill. All our regime is broken. There are so many instability in our lives that to attempt to live stable life bring instability by itself. So, what is the solution?
     Let us take into consideration, if healthy people live stable life day after day? Not at all. Do they eat the same food day after day? Not at all. Do they eat healthy day after day? Show me how. If so then why they do have normal level of sugar and I do not have it? Because of I am ill, I am diabetic type 2. As diabetic type 2 do I have any privileges that help me to be in position better then healthy people? Not at all.
         In addition to my instability of daily life as every one do have, I have pain and suffering my medical condition bring me every day, and plus I have to fight instability of my life to bring this life to be stable, eat right (no one do know how), find time to work out (where to find it), and find time to deal with everyday pain. Also I have to have time to deal with wounds care, take medication, do not even think it is easy, just put it in mouth. Most time after Insulin shot I have to go to bed, to take some sleep. I am not going to put here all the differences of my life compare with healthy people lives. The question is, why I have to straggle to live healthy if I am ill?
       I do have pretty much straggle and not interesting  to add more. I do not need it. I prefer to live fighting-free. So, in stead to try to live healthy life i try to get as healthy as I can. A little bit confusing, right? When I try to live healthy life but I am ill, it is only put me deeper into illness. Try to go to do something with severe headache. Just try. I do. I used to work in this condition. I do not think it help me to get healthier. Or try to run marathon when your legs covered by wounds. I did not try it. I went to hospital. When many people on forums pretend how they fight diabetes with diet and intensive work outs, they are not diabetics. If they are diabetics then they do not help themselves. With time they will skip into deeper limit of insulin secretion.
      I take another path. I do not fight. Take a look at the top of the page. Why dose of Insulin was only 200 units? I was in Lincoln Center in NY Phill. I did not have time and opportunity to inject Insulin. It is not the case I could not put needle into my belly. It is not the problem. I could do it easy in restroom or even in house. No one will see it. But after shot I have to take short rest. Also there is no meal, and I may have low sugaar. Also in present time I do not know why but I do have severe headache.  Anyway, I did not take shot. Only 200 units for full day. Next morning sugar 130 mg/dl. It is pretty high for me. I try to keep sugar under 100 mg/dl.
      So, next day I injected 240 units right in the morning before first meal. Then 120 units with second meal. And finally 80 units before bed. Sugar is 69 mg/dl, fasting. But difference in insulin dose very high. I take it. I am OK with that.

via Ravenvoron

Sugar Free Sponge Ca

Sugar Free Sponge Cake- the recipe for how to make sugar free sponge cake. #recipe #sugarfree #cake #easy

via Taylor

No Bake Paleo Vegan

No Bake Paleo Vegan Chocolate Hazelnut Cookies without peanut butter and needing just 4 ingredients. Homemade 'Nutella' and coconut flour are used to make these fudgy cookies which taste like a Ferrero Rocher chocolate! Keto, Sugar Free, Low Carb.

via Taylor

Diabetes type 2 and Kidney Damage. May 25, 2018

I had clinic this week. My endo run blood test. A1c=5.6%. WOW!!!!!!!!!!!! I did it! Well, it is not that I do diabetes-free, I am not. I take from 300 to 600 units Insulin daily dose, depending on level of sugar. Still, to have A1c 5.6% is great achievement. I used to have 1000 mg/dl sugar in urine. I was in hospital. They gave me urine test, but reduced to show blood test. So, I have no idea what sugar was in blood. They simple sent me out of ER back at home. At home sugar was 599 mg/dl, limit glucose meter. So, the level of sugar in blood at that time still mystery. Highest A1c = 9.4% was when I re-started to take Insulin. Now it is 5.6%. Finally, I did it!
      It is all in my blog. I try to post my numbers to other people to see that it is possible to get numbers fixed and diabetes stop to be progressive. Diabetes type 2 progressive only because of there is not right treatment. If treatment right, diabetes type 2 will getting down, and even go away. Of cause, I still do not have prove of it. With so good numbers I still need Insulin, and high dose of it. But if sugar dropped from 9.4% down to 5.6% then why dose of insulin cannot drop down? It is already started. I do not inject 600 units of Insulin daily. Some days I do, but not every day. Some days I inject only 300 or 460 units. So this is way to go.
      I was in big stress when dose of Insulin got up. It is almost doubled, from 300 up to 600 and even 700 units. I could not believe in that. All my hopes were down. This started in December 2017. I hoped that in Spring sugar will get better. It did not. Dose of Insulin raised. But I did not feel worse, and this was some sort of confront. If sugar get up, dose of Insulin get up, so I have to have other vitals getting down. In general, it did not happen.
       Now I do have very good cholesterol. Usually it is all the time very elevated. But not right now. Right now it is normal. I take Lipitor 80 mg daily dose. No one statin ever worked for me. Lipitor done the job. Still TG is high. Usually in clinic nurse used to say to me that TG is only what we do eat. Work out diet, and numbers will get better. Not at all. TG is show case of Heart. If heart is in poor shape, TG all time high. I do have problem with heart. Actually, it is very poor condition. But there is nothing what can be done.
      First suggest when I come to any clinic or any cardio clinic, is to take Weight Loss Surgery. I refuse. After that MD lost all interest on me, so I have no other treatments. I am 380 pounds. It is easy to see where from my heart problems rooted. Not all what is easy to see is true. I had heart problem since I was little girl. I had shortness of breath when I was in 5th grade. At that time I was perfectly fit. So, there is nothing different between me in 5th grade and now. So, if I survived with this heart till my 65 birthday, there is nothing to worry that I will not survive next ten years.
       What is interesting today, how my kidney work. This is really very very interesting. Last time I went to clinic, and I did not visited restroom in clinic! For those who has problem with kidney this is huge to achieve. In clinic as usual there were line, and we waited our turn. Then we went to lab (another line to take) to do blood work. Finally when we went home we took detour to Medical Supply. Also it is to say, our home about 30 min away from clinic (on car) without traffic. In other words, I was away from home between 4 and 5 hours. No restroom visits. This is great!
      Kidney still damaged. It is in blood work and in Urine test. No any treatment for kidney. Usually it is water pills, and I refuse to take this medicine. I cannot imagine, why there are so little medicine to work to prevent kidney damage? There are  3 fatty text books in my library, all about kidney. The question is, why do I need all that tests and diagnoses if all the treatment MD can suggest only water pills?
      As I said, I do my studies. And I do my homework very well. I am well organized. I put in my log book all what I am facing. And I keep all blood work if I do have copy. Very often MD refuse to give Copy.

via Ravenvoron

What to Say?

We currently have more than one family in our lives with a recently diagnosed blood-sugar-challenged person. While we're hoping this isn't becoming a trend, I'm working on my own initial reaction conversation, and reflecting on some I had 15 or so years ago.

We were fortunate to be hooked up with a local group of diabetes parents shortly after my daughter's diagnosis. When I called for details about their meetings, the group's facilitator - both a CDE and a diabetes mom herself - stayed on the phone for almost an hour, offering support and encouragement, with lots of, "slowly but surely it'll get easier," and "it sounds like you're doing well, considering how little she is and all you've been through," and "I'll bring you some resources when you come to support group." She then asked if she could have a member of the group call me since this member's daughter had been diagnosed at about the same age as mine. The phone rang a few days later.

"Oh... I'm so sorry this is happening to you," the well-meaning mom began, "Having diabetes is terrible. It's the hardest thing we've ever done."

We had other conversations with fellow diabetes families over those first few months, some from that support group and some from other parts of our lives, but I think those two interactions mark the extreme opposite answers to the question, "What should I say to the newly diagnosed?" Should I assume they're in a place of despair, or should I begin with hope?

Talking with the "diabetes is terrible" mom wasn't all bad. Simply chatting with someone with similar experiences was helpful. But I was left wondering why, 3 weeks in, I seemed to have a better level of acceptance of my new normal than she did after a few years.

So in my interactions, even on days when I'm feeling like diabetes is particularly terrible, I've decided to aim for encouragement: offering and answering questions, listening, and providing information or resources if I can.  If the conversation flows towards the terrible parts, I'm not opposed to supportive commiserating, but want the end message to be, "but we survived those first months, we're surviving now, and you will to."

I don't think there's anything much more helpful than a real live person saying, "I've been in your shoes. I'm still standing, and even thriving. It's going to be okay, and I'm here to help."





via Adventures in Diabetes Parenting

Intermittent fasting diets and Diabetes type 2. May 22, 2018

Date: May 20, 2018

Source: European Society of Endocrinology

Summary:

Fasting every other day to lose weight impairs the action of sugar-regulating hormone, insulin, which may increase diabetes risk. These findings suggest that fasting-based diets may be associated with long-term health risks and careful consideration should be made before starting such weight loss programs.

So simple. If today we do not eat, would we die? Not at all. We use the meal which was stored in body after many other well sunny days when food was available for us. Very often it is presented that if Diabetic type 1 skip one dose of Insulin diabetic type 1 can die. True? Not at all. Diabetic type 1 will not die after skipped dose of insulin, does not matter how high this dose of insulin is. I mean, it is ordinary day, not the time in ICU. The same with everything. We will not get in deep problem if we do not have money for one day. we can survive day without food and water. And so so on.
     Why intermittent fasting diets so danger for diabetics and for everyone? Because of this diet leads to stress. Every other day meal is not available. Put yourself in this situation. What would you feel if every other paycheck would be skipped? If it is so obvious with paycheck then why it is so different suppose to be with meal body must have every day, day after day?
      This is why I can say, diet is not solution to solve the problems with high blood sugar numbers, or pounds. Every time after fasting body will take more and convert it into fat,  to be used in future rainy days.
        Every one do know that Diabetes type 2 resulted by bad food choice. Also it is very well known that diabetics type 2 do have wider body, middle area. Why? Because of bad food choice? Millions use wrong food choice? To difficult to take it for granted. Still, if we take into mind that there are some link broken in diabetic's type 2 bodies. Storage for processed food, then probably it will light some light to the dark side of the problem.
      It is presented by Med Pro that pancreas start to secret insulin after man eat. How the question, how it works? If we need to produce more medicine we have build new medicine producing factories. The same about any meal, any food, anything. If we need to increase production of anything, we have to have a new sourse to produce new things.
     Where is that souse in body? Which one? There is no one explanation, how pancreas increase its capacity to secret more insulin after we start to eat.
        There is another way to increase insulin in blood stream.
        Pancreas secret insulin in the same level, small one. Part of this insulin used to  immediate needs, and part of insulin goes to storage. When we start to eat, the storage opened, and insulin enter into blood stream.
      Really, how many of us go shopping? Everyone. We do not buy what we need only what we need to be used right away. No. We put it in storage, and take it when we need it.
      This is the problem with diabetes type 2. There is no storage facilities in our body. Probably pancreas works, and works very well. But insulin is not stored. So, when we start to eat, we get more and more hungry. The shot of Insulin will solve the problem. Just start dinner with shot of Insulin, and then all in its own place. Simple. Work perfectly for me.

Could intermittent fasting diets increase diabetes risk?
https://www.sciencedaily.com/releases/2018/05/180520090903.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

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Insulin and Diabetes. May 21, 2018

Usually when we start to take Insulin to control blood sugar numbers, we reduce dose of Insulin as soon as number getting down. This is how we all educated. This is what Med Pro study in school and med text books. Also, if sugar getting low then the dose of insulin must go down right away.
      My practice show different pattern.
      At first, when sugar getting down .... I take Insulin right before my first bite, why? If I do not then I will overeat, take more food then usually I need to take. After first bite I am getting so hungry, extremely hungry. There is no way to stop to eat, and then more I eat then more hungry I am. Finally I try another way. When sugar is low I have to eat right away, no question about it. So, I inject some dose of Insulin, Lantus Solo Star because of I take only one type of Insulin, and then start to eat. When sugar is very low such as 49 mg/dl and less it is very scare to inject Insulin. Sugar is already low, so low that sometimes I cannot eat by myself, and take insulin? You must be kidding! I am not. I really take it. Use to. Right now I do not have this problem.
      Second, when sugar getting down, I do still take the same dose of Insulin as it was before, as usually every day.The same as with low sugar after sugar got down, but not too low, next day sugar can get high. It is not easy to calculate dose of Insulin. It is all the time Up and Down, and never the same. So, I try to keep the same dose of Insulin even numbers getting down.  No any changes in Insulin dose.
      Third, the numbers must be even, ether high nether low. Only with this numbers it is possible to start to take a look at the correction of dose of Insulin. Till numbers getting high, or low, there is no any revere in diabetes, no cure, and even no recovery. Numbers do not go only Up. As I posted many times, then higher high number then low it drops. When high numbers curbed low numbers still present. This mean, diabetes still out of control. Probably dose of Insulin must be elevated rather then reduced.
    There is no way to calculate dose of Insulin by using any formula. In Math formula we can use only constant numbers or data. In diabetes there are no constant numbers. All numbers in constant change.
   

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Calculating Dose of Insulin. May 21, 2018

       As I posted before it is difficult to calculate dose of insulin. Now I can say, it is not possible to use math to calculate dose of insulin. Simple, it is not possible. What else is most important, regardless of so many explanation how pancreas work and what job insulin does, we still in deep darkness, diabetes really what is it? It is obvious diabetes is not level of sugar in blood, normal or abnormal. This number is in constant change, so at one moment it can be normal, and the next time it is very abnormal. Just take into consideration, we do have high blood sugar, take Insulin shot, and sugar dropped down to low sugar. Was the moment when sugar was normal? Of cause, no doubt in that. But was it really normal sugar, or it was just continues way of abnormality? 
       Is there some way to find, what is diabetes? I am not scholar. I am not looking to study theory. What I do study, the practice. Because of there is not possible to create formula how to calculate dose of insulin, and I have to inject Insulin a few times every day, so I have to know what dose to inject, I use my observation skills.
     70 mg/dl fasting sugar today. Is the dose of Insulin I have to inject today the same as it was Yesterday? No. Yesterday it was 160 units, only one shot. I went to bed so early that I forgot to take second shot, and I was in deep sleep so there were no third shot. Only one shot for full day, 160 units. Day before Yesterday it was 460 units, and next morning fasting sugar was 88 mg/dl. Do your math, if you can. I cannot.  I have to inject today Insulin I skipped Yesterday.
      Honesty to say, I do not feel bad today, and there is no elevated sugar. All seems regular, as usual. I wish I can keep things in this way.
     

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Results from a Phase-II ATG and GCSF Combination Trial

I'm embarrassed about this blog posting, because it is very late.  It reports on news announced about 18 months ago.  I was digging through some old emails, and found it.

ATG is Anti-Thymocyte Globulin, a biological agent used to lower immune reactions.
GCSF is Granulocyte Colony-Stimulating Factor, a biological agent which causes bone marrow to generate more stem cells and more immune cells, and put them into the blood stream.

So the two of them together could make an effective combination therapy against type-1 diabetes. ATG would lower the autoimmune attack, and GCSF would help the body regrow beta cells. At least, that is the hope. I wrote about the start of this trial here, and it contains a lot of background material:
https://cureresearch4type1diabetes.blogspot.com/2010/08/atg-gcsf-starts-phase-i-clinical-trial.html

In brief: this study took 25 people, 2/3s got the treatment, and 1/3 got a placebo.  The treatment was spread out over 12 weeks.  The primary result was C-peptide results after 1 year, but this paper reported on extended results after 2 years.

Results from a Phase-II ATG and GCSF Combination Trial

The following graph is from the paper, and you can see that for the first year the treated group did noticeably better.  (Meaning they generated the same C-peptide at the end as at the beginning, while the placebo group dropped over time.)  The 3 to 6 month time period was particularly strong, with the treatment group generating more C-peptide while the control group generated less.  The first year change was statistically significant.  However, during the second year, C-peptide numbers continued to drop for both the treated and placebo groups, and the separation between the two of them shrunk, so that the difference was not statistically significant.

Research Paper:
http://diabetes.diabetesjournals.org/content/65/12/3765?etoc
http://diabetes.diabetesjournals.org/content/early/2016/09/26/db16-0823?papetoc

Clinical Trial Registration: https://clinicaltrials.gov/ct2/show/NCT01106157

Discussion

This is one of several studies which preserved beta cell function for a year during the honeymoon.  Early on, these studies gave me a lot of hope that they could be improved on, and eventually even lead to a cure.  However, so far I haven't seen any movement in that direction.  Treatments that preserved beta cells for one year, have (so far) not been extended to last longer.

Earlier results from this trial were strong enough so that this team started a follow on trial for honeymoon type-1s (people in their first 4 months after diagnosis):
Recruiting Site: http://www.diabetestrialnet.org/ATG-GCSF/index.htm
Clinical Trial Record: https://clinicaltrials.gov/ct2/show/NCT02215200

There are two obvious questions in this research:
1. If this treatment were started prior to diagnosis (in people who had several autoantibodies, for example, but were not showing any symptoms of type-1 diabetes), would it prevent the onset of symptoms?
2. If this treatment were repeated on a yearly, or every two year basis, could it prevent type-1 diabetes completely?  And would the hassle and side effects of the retreating on a regular basis be worth it?

Unfortunately, the new study (in honeymooners) will not answer these questions.  But it is three times as large, so it will confirm that this study was not a fluke, and the results should be available very soon.  Recruiting was completed before July 2016, so primary data should have been collected by July 2017, and publication should be imminent.

Since this study started, there is now a new hope for this level of result ("preserving beta cells for one year").  Those results could be applied to presymptomatics: people who had two or more autoantibodies, but no symptoms of type-1.  Preserving beta cells for these people would have the effect of delaying the diagnosis of type-1 diabetes.  That would be great.  However, identifying presymptomatics to test this on has just happened in the last few years, and few studies have looked into this.  But I will be looking forward to seeing the results of these studies (as prevention).

Joshua Levy 
https://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

Calculating Insulin Dose. May 19, 2018

For those diabetics, type 2, type 1, or any other types, who inject insulin, the calculating dose of insulin is most complicated task. There are some sites where we can find how to do so. Also nurse and doctors will give some guidance. Still, calculating dose on Insulin is very difficult to do.

Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 15-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.

well, today my blood sugar, fasting, 135 mg/dl. I need 100 mg/dl. So 35mg/dl I have to correct, right?
If I take 1 unit of Insulin them my blood sugar would drop by 50 mg/dl, and so it would be less then 100 mg/dl. Perfect sugar.
So what? After sugar dropped down to the perfect number then what?  Would sugar stay in this  number? Would sugar go up? Would sugar getting down?
Now there is another question. If sugar drops fron 15 to 100 mg/dl, then what if it is not 50 mg/dl but 100 mg/dl? Just one unit of insulin, and sugar get down to the low blood sugar, 35 mg/dl. Just trust me, it is not the case. This never will happen with one unit of insulin. Usually no one, diabetic or not, will have any difference if one take from 1 to 10 units of insulin. It is not danger. Dr. Banting proved it on his own body.
     And this statement fake for one unit, is this possible to trust it will be true to 100 units? Not at all. It is simple logic. And even if one pretend that this statement can be true to 100 units, but still fake for one units, then what about 99 units and 101 units? Consistency is broken.

Generally, one unit of rapid-acting insulin will dispose of 12-15 grams of carbohydrate. This range can vary from 4-30 grams or more of carbohydrate depending on an individual’s sensitivity to insulin. Insulin sensitivity can vary according to the time of day, from person to person, and is affected by physical activity and stress.    

The difference between 4 and 30 is big. So, it is better to start with sensitivity to insulin, and how to find it.

The general calculation for the body’s daily insulin requirement is:

 Total Daily Insulin Requirement(in units of insulin)
= Weight in Pounds ÷ 4

So, if I am 400 Pounds then I need 100 units of Insulin Daily dose. I take 610 units daily.

 If your body is very resistant to insulin, you may require a higher dose. If your body is sensitive to insulin, you may require a lower insulin dose.

It is best place I found how to calculate dose of insulin. Finally, there is conclusion:

Please keep in mind, the estimated insulin regimen is an initial “best guess” and the dose may need to be modified to keep your blood sugar on target.
Also, there are many variations of insulin therapy. You will need to work out your specific insulin requirements and dose regimen with your medical provider and diabetes team.

 Regardless how hard I try to calculate the number units I am going to inject, I fail. What I did not fail is, to take my blood sugar under control. I dropped numbers down from A1c=9.4% down to 5.99% This is what I did not fail. Probably now numbers are lover. I have incoming visit to the Endo. I am no longer see 599 mg/dl on my meter. The matter of fact I do not see numbers higher then 200 mg/dl. In other words, numbers are perfect. If take a look at the numbers, just numbers, I am no longer diabetic. The same if take it into consideration that I have to inject dose of insulin according to numbers on my glucose meter. 

      So, am I diabetic or not? What dose of insulin I have to inject to keep my numbers under tight control? BTW, it was said, Tight Control is not possible, or it is danger for diabetics. Really? Yes, It is danger, but now for diabetics  but for Medical Care system. What they will do if there is no diabetics in their offices? I do have this Tight Control. With time my numbers would be perfect, no diabetes, even I have to live on Insulin Injections. 

       Now there is question, if one control blood sugar numbers with Insulin in injections, and only with Insulin in injections, does one diabetic or not? How to count dose of insulin for this diabetic?

https://dtc.ucsf.edu/types-of-diabetes/type2/treatment-of-type-2-diabetes/medications-and-therapies/type-2-insulin-rx/calculating-insulin-dose/

via Ravenvoron

Drag Market, Price, and distribution to the patients. May 17,2018

Price for medicine is over the sly level. Of cause, there are many publications how to reduce price to medicine, and how to increase wellness.
When there is little or no competition, however, generic-drug manufacturers can substantially increase prices, and drug shortages may occur. Such market failures can compromise care and negatively affect patients, health care providers, government insurance programs, and private health plans.

 Addressing Generic-Drug Market Failures — The Case for Establishing a Nonprofit Manufacturer
 by Dan Liljenquist, J.D.,Ge Bai, Ph.D., C.P.A.,and Gerard F. Anderson, Ph.D.
https://www.nejm.org/doi/full/10.1056/NEJMp1800861?query=TOC

Price for medicine is not only genetic. This medicine usually very not-expensive.  What about Brand Medicine? It is all up to manufacturers, regardless how many of them and if they do have competitors or not. This is why every Big Pharma manufacture try to develop medicine as fast as they do, and get FDA approval in front of competitors. Now take a trip back in time when Insulin was developed and first diabetics were treated with Insulin. There was only one company which manufactured Insulin, still within one year, just one year, price to Insulin dropped by 95%. They did not have competitors. Why price was dropped in first place?
       Today there are 80,000 Death every year due to high blood sugar, result of absence of insulin secretion. They are not diabetics type 1, these diabetics take Insulin in injections from the time they are diagnosed with diabetes and then they live over the 60 years after. It is diabetics type 2, insulin independent type of diabetes which, as presented by Med.Pro. do not need to take Insulin in injections. The question is, do they wish, or do they need to die timelessly, to live in pain and fear day after day? Do they? Well, no one ever asked them what they want. Tha matter of fact, there is no place for us to say express ourselves. No one listen. All is, what MD said, and never what diabetic or some other patients, I think we all in the same boat, think, feel, or how do we live.

In 2010, for example, Valeant acquired the rights to Syprine (trientine hydrochloride), a drug invented in the 1960s to treat Wilson’s disease, a rare condition, and subsequently raised its price by more than 3000% for a monthly supply, from $652 to $21,267. Similarly, in 2015 Turing acquired the rights to Daraprim (pyrimethamine), a drug used to treat toxoplasmosis, which has a market of only 6000 patients in the United States, so that one manufacturer could supply the entire market. Turing then raised the price of Daraprim by more than 5000% for one tablet, from $13.50 to $750. In these and other cases, policymakers and economists have asked, “Why don’t other manufacturers enter this seemingly lucrative market?”

        Would competition solve the problem? Really? In this example  rare condition, and I am sure it is not these drugs so skyrocket the profit of manufactures companies and Big Pharma. Let us take a look at the common drug, Insulin. There are many competition. Different companies, different types of Insulin developed and still under developing. Why price is so high? One box 5 pens of Insulin cost about $400. It is medicine which if diabetic left without it, will lead to severe complications, and Death. So, diabetic will pay for this medicine, in expense of any other medicine diabetic needs. And we need a lot more.  
      Many complications accompany our condition: CVD, Asthma, COPD, Sleep aphnea, Carpal Syndrome. vision, headaches, severe obesity, mobility reduction, and so so on, you name it, we do have it. Also do not forget the never healing wounds every diabetic suffer. It is dressing supply, very very expensive. Is dressing supply Brand Medicine? Not at all. Why it is so expensive? Because of we need it. Even after part of body amputated wounds do not heal. They still spread all over the body, inside and outside. Dressing supply never used twice. One roll of wrap I use every day cost $4-$5. It is only one roll, and I need two of them, one for every leg. If I do not wrap my legs, wounds will return.
      When we diagnosed with diabetes the first line treatment is Diet and work out, life style modifications. This part of diabetes therapy cost nothing to diabetic. Diabetic even can safe money if one stop to eat. As ADA recommend, Starvation is way to recovery, to reverse diabetes type 2.  I will except this treatment. Just stop to ask donations for those who suffer Hunger and Starvation. Really, why there are so many organizations ask to help to Africa where kids die from Starvation? They suppose to be healthy compare with American kids. Sorry, it is not mu intention to use other people suffering. But the question is, why so many people in America, and all Med. Pro suggest to me to step on Starvation way?
      BTW, there were studies conducted in areas where real Starvation happened during war or natural disaster, and  ... survivors developed diabetes later after problems were solved. This is my suggest to ADA. Before publish so happy way to cure diabetes type 2, why do not read what is already published?
    What I suggest, to divide Medicine and Pharmacy for two parts. Leave those who already developed fatty account on people suffering, pain, and deaths. Organize another Medicine where  doctors work  not like ghost under cover someone who command what to do and best way to work out its profit. Let administration to do the job, and doctors to do job they were trained to do. Do we really have doctors in clinics? Not at all. They are business persons. They do know all about business. They do know also, what medicine is good for them to Rx.This is why we all do have medicine we do not need, and do have no medicine we do need. In clinic there are doctors who do what? And there are another doctors who committed suicide because of it is not the way of life they wish to live. So sad. Best gone first.

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Drag Market, price, and distribution to the patients.

via Ravenvoron

Arificial Doctors as home physician. May 15, 2018

       Nothing interesting today. Day after day go on the same way. I wake up, take reading, take shot of insulin, and after that I am free to do nothing. Simple plain life. The result of so much free time I am all the time thinking about something. Best way to analyze my readings and try to get any idea if I am ever will get better. So, what now?
      Today I forgot to take shot in the morning. Usually I take shot after I take a reading. The sugar was 63, and I felt 'low'. I decided to weight a little bit to let sugar get up. This is why really I forgot to take a shot. After 12 pm I took reading, it was 280 mg/dl. Pretty high, if take into consideration my resent numbers. So, I injected insulin right away. It is good that I do not need to take meal when I inject Insulin. It is slow release insulin, it works all day long, no any demand on food.
      Some day I read that artificial doctors under way. Is this really possible to have them in our lives? It is really very very interesting. But I am hardly able to believe in that opportunity. Say me, what for these doctors would be needed? If so then with short time every one of us will have doctor like that in our household, as it is with car today. How many cars household does have? Good question, right? So, to have regular MD with common medical degree would bot be so much problems. At least they are in every movie right now. Poor doctors! What they suppose to do?
      Just take a look at the regular clinic visits today. So many people around, and what all they are doing? We come out with the same pain as we come in. In many cases it is not big deal to solve the problem, and cure patient. What for? Healthy patient no longer patient. No client, no money. It is simple and obvious.
     A few days ago I posted that ADA publish every year a new guidance how to treat and diagnose diabetes. The same publications year after year. There are a few differences such as A1c >8% or A1c < 5.5%. BMI or first line medicine to treat diabetes. What I never new, how that guidance were developed. And only in this year I finally discovered that they study publications, literature. WOW! After I got all what Amazon suggested there is nothing more to buy or to read. The same pages ane after another be it Joslin Boston Diabetes Center or any other with different names. They all suggest the same:
eat right;
work out regularly;
stop smoking. Very difficult to accomplish if one never did.
take medicine as MD Rx it.
 What is interesting, read all other publications, and they are the same, to any medical condition. Is not this bore to publish?
     I am very wish to have my own doctor. This doctor will do wrap for me at any time I need, smooth and even.
     I all the time will have my own drink if I got cold.
     All my appointment would be booked. Car will take me on time, and no weight in full day long line in smelly clinic.
O,  My God! So nice to have this dream!!!!!!!!!!!!!!!!!
But I have wake up and take my medicine.

via Ravenvoron

Diabetes type 2 medicine and Wounds development. May 15, 2018

NVOKANA^® can cause important side effects, including:

• Amputations. INVOKANA^® may increase your risk of lower-limb amputations. Amputations mainly involve removal of the toe or part of the foot; however, amputations involving the leg, below and above the knee, have also occurred. Some people had more than one amputation, some on both sides of the body. You may be at a higher risk of lower-limb amputation if you: have a history of amputation, have heart disease or are at risk for heart disease, have had blocked or narrowed blood vessels (usually in leg), have damage to the nerves (neuropathy) in the leg, or have had diabetic foot ulcers or sores. Call your doctor right away if you have new pain or tenderness, any sores, ulcers, or infections in your leg or foot. Your doctor may decide to stop
  your INVOKANA^®. Talk to your doctor about proper foot care

• Dehydration. INVOKANA^® can cause some people to become dehydrated (the loss of too much body water), which may cause you to feel dizzy, faint, lightheaded, or weak, especially when you stand up (orthostatic hypotension). You may be at higher risk of dehydration if you have low blood pressure, take medicines to lower your blood pressure (including diuretics [water pills]), are on a low sodium (salt) diet, have kidney problems, or are 65 years of age or older
• Vaginal yeast infection. Women who take INVOKANA^® may get vaginal yeast infections. Symptoms include: vaginal odor, white or yellowish vaginal discharge (discharge may be lumpy or look like cottage cheese), or vaginal itching
• Yeast infection of the penis (balanitis or balanoposthitis). Men who take INVOKANA^® may get a yeast infection of the skin around the penis. Symptoms include: redness, itching, or swelling of the penis; rash of the penis; foul-smelling discharge from the penis; or pain in the skin around penis

       This is Invocana. Diabetes type 2 preventable. How? Eat right. Work out regularly. Take your medicine. Now say me, how to prevent amputation if Invocana, medicine to reduce level of sugar in blood, leads to amputation? No prevention to this side effect of this medicine.  Now there is the question, why take this medicine if this medicine leads to so severe side effect? Really, why take this medicine?
        I can say, at first, why MD Rx this medicine? Every sore on our bodies lead to profit. Not mine as diabetic but to MD or Medical Industry. So, why do not Rx it? This is why there is not only one medicne with this name as Invocana but a few of them. If Invocana does not work, there are the same medicine under different name, just take a different color of package.

Both legs are effected. It was more then year ago. Now finally both legs are dry. Still, the color of legs are purple. Every tome when I take shower I have to remove wrap on both legs, and then put it back.
      Do not try to get to hospital. They do not help. In hospital it is policy that bandage must not give pressure on wounds. So, as soon as dressing applied and nurse left room, dressing fall. Without dressing wound get infected. It leads to amputation.
     This side effect cannot be prevented or treated. or cured. Amputation also is not final. Because of cause of wounds did not addressed properly, wounds never stopping to develop. After leg removed above the knee, wounds start to get higher, taking more and more flesh.
     As it is obvious, it is easy to prevent diabetes type 2. Why so simple problem as wounds on body, not preventable and not treatable? Profit. Simple, plain profit. Then more our suffering then more money to studies, to developing Junk Medicine, to propaganda, how good they try, how bad we are. All what we have to do just stop eating, and no wounds, no amputations, no suffering. Simple.
      I do not go to hospital. My man wrap my legs, and I am all the time have legs wrapped very very tight. I still not able to get wrap, so my man pay for it to order it on Amazon. As I just said, my legs are dry, no wounds. Even color started to get lighter. No pain inside the wounds. Looks like it is possible to cure, no amputation needed.
     Well, I do not take Invocana, never did, never will. No any diuretics. I am OK to have fatty body. I do not care for skinny coffin.

via Ravenvoron

Is Diabetes type 2 curable? Why not? May 14, 2018

Deaths: Diabetes remains the 7th leading cause of death in the United States in 2015, with 79,535 death certificates listing it as the underlying cause of death, and a total of 252,806 death certificates listing diabetes as an underlying or contributing cause of death.
 http://www.diabetes.org/diabetes-basics/statistics/?loc=db-slabnav

       Why today Diabetes is number 7th leading  cause of Death in the US?  Really why? With diabetes type 2 which counted 95% of diabetics population, it is type 2 diabetes which caused death, not type 1 diabetes. It is diabetics type 2 who lost limbs before death. And it is diabetics type 2 who developed all the complications diabetics accounted. Why it is type 2 diabetics  who carry on so severe and devastated danger of medical condition which can be successfully treated today?
       Probably to find the answer we have to take a look at what difference in treatment diabetics do have. Diabetics type 1 must take insulin. Why? What makes diabetics type 2 so special that they must take Insulin, and Insulin only? when we take a look at the many medicine developed to treat diabetes we will see that all these medicine developed for type 2 diabetes, and never must be taken by diabetics type 1. Why?

Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. Only 5% of people with diabetes have this form of the disease.

      Diabetics can be at any ages. Diabetes can be diagnosed at any age. What makes it so special that  diabetes diagnosed in children and adult different in type? Nothing. But age play important role in society. The same as money. It is just said that children diagnosed with type 1 diabetes. But if take it more deeper then we will see that Noble society does not have diabetes type 2. And most important. diabetes type has no diagnostic tools. All types of diabetes diagnosed with the same, abnormally elevated level of sugar in blood. So, what is the reason for all those types, regardless it is type 1, type 2, 3,4,5, and many to come? Nothing. Diabetes is the insulin secretion which is not sufficient. It can be due to severe illness, or many other couse. Still, the treatment is the same. If there is elevated level of sugar in blood then there must be Insulin added in injections. No any way around found so far.
      As soon as this definition of diabetes would be taken the any idea that any treatment such as Invocana or Metformin or any other oral medicine would be rejected. No one of this medicine will every work. If there is no insulin in blood stream then Insulin must be added in injections. As soon as this treatment will be taken as first line of therapy, diabetes type 2 will start to be successfully treated and cured. There is no need to find the cure for diabetes. It is already developed, very nice, very effective. It is Insulin in injections.

via Ravenvoron

MD choice to treat diabetes type 2. May 13, 2018

      The dose of insulin injections is most complicated to find. It is easy with any other medicine for diabetes. Metformin which has no effect to level of sugar, can be taken by any one, diabetic or not. SU I do not know how they dose, but the dose is really very very small, 5mg or 10 mg. Most important, diabetics stop to take this medicine soon after we have sugar dropping too low. With MD direction we just do not know that it is SU, such as Glipizide, reduce level of sugar. We think, it is Metformin which work to fight diabetes, it is not. As MD present to us, SU, glipizide or other names of this family, 'just make us stronger'. In contrary, it is not the case, and with short time we are getting so weak that we no longer able to keep taking this med. Then sugar get up and up, and we have to return to take SU.
       Probably I am wrong, and it is only I am who used this practice. I do have no one connection with other diabetics, or medical providers. I just used to be regular diabetic type 2 who try to get better. I walked to Bally four or five times a week, and I worked out very very hard. No pounds off. MY MD told that after work out I eat too much, and I have do not. The matter of fact I did not eat at all. I was so weak, just come back, and try to get some sleep. A few times I collapsed on my way home. Some times it was black out when I was on treadmill. This was when finally I give up and stopped to go to fitness club.
       To say about eating too much, it is easy to say but try to do so if stomach is small. I never was obese, was really very fit, did gymnastic. For me it was too complicated to get extra meal. The same as it is now for those after weight loss surgery. It takes time to work out stomack to accomplish to take extra meal.That time was really very difficult. I took Metformin, poison for me. I simple did not know abut it, trusted in MD with all my heart and hoped that if I do what MD said, I will be better, and I will not need to take Insulin.
       This is what actually happen with us. We think, we are not really diabetics if MD Rx oral med. It is those who take Insulin, they are diabetics. we are not. MD very supportive in this idea. All is good, if we come to clinic monthly. At that time my heart was monitored every time, and many other tests were run. No one of those tests run right now. Only after I started to study in Brooklyn college and was able to read in English, one after another papers and books, and articles, I started understand, how naive I was to trust in MD I was patient almost ten years. I am nothing for him. He really does not care. As soon as my heart started to give up, MD stopped to take EKG and other tests. Soon I got MI. I already took another MD. Step by step I started to recovery.
        SU is type of medicine which force diabetic's pancreas to secret more insulin. This is why after pill taken sugar dropped. At this time I go to clinic, and all my tests are very good. But sugar does not stop dropping. It go down and low and low. My sugar at that time dropped down to 38 mg/dl. When I try to say to MD what level of sugar I do have I LOLed. Not possible, he will say. With this number you need outside assistance to be back. I never was in hospital with low sugar. But my man often helps me to recover. With Insulin if I do know I will be outside for some time and no meal available then I will simple reduce the dose of insulin. With SU dose is the same. If at that time I did know what medicine I take then probably I could figure out how to take it. But at that time I even did not know what is it and what medicine really reduce numbers on my glucose meter.
       Now all my body dry, no water on my skin. With SU I all the time was wet, like in shower. Not like after shower, but like in shower.  Water run through my body, face and back, even when it was cold outside in snowy NYC Winter. Blood run from my nose. My underwear was bloody. The list of medicine I took was spreading on two pages. Pain did not go away. One test after another confirmed, I do not have this..l and that... . One day I stopped to go to clinics, any one of them. I stopped to take almost all medicine, but for heart only, and took my analyzing, what do I need and what I do not.
      Actually, it worked. This was how I stopped to take Metformin. I started to be Better! I do not need it! I never returned to this medicine. Even MD, different of them all the time try to push me back, I never do. It is easy when I am home. It is not possible when I am in hospital. In hospital they all the time push Metformin and Diuretics. This is why I never go to hospital if I am not in severe condition.
      Together with Metformin I stopped to take SU, Glipizide, and started to take Insulin. Today my level of sugar is great. I do not have Progressive Diabetes Type 2. Diabetes type 2 regressing. It dropped from A1c =9.4 % down to A1c = 5.9% Good progress as I do see.

via Ravenvoron

A Mother's Day Gift

A poem written especially for moms of young kids with diabetes:

Not flowers, nor chocolate - not even fine tea!
What I want is a break from the numbers, you see.

For three sixty four they've been swirling around
'Til I fear on some days that my brains will be drowned.

So this Sunday for Mothers, I ask for a rest
From basal and bolus, from 'What are you- test!'

From site change and carb counts, from dexcoms that blare,
Insurance and phone calls and 'the juice boxes are there.'

So Sunday at lunch and the walk by the lake,
I ask that from d-stuff I get a quick break.

I'll be back on Monday, raring to go,
To support my sweet hero in her diabetes show.






via Adventures in Diabetes Parenting

Diabetes type 2. Sensitivity to insulin. May 11, 2018

        Sensitivity to insulin is one of the most important tools to count dose of insulin or sugar to take in case of low sugar for diabetics type 2 who takes Insulin in injections.What is biggest surprise, as usual, there are a lot of talking about sensitivity to insulin, and ... there is no real understanding, what is it and what to do with this condition, every one of us do have. One time it was that every one did know what it is and every one counted own sensitivity to insulin. Now when I try to find out this formula, it is no longer on ADA web. Why? What happened with this mysterious sensitivity? Where it gone and why? Do we no longer have this sensitivity? No, we still have it. Simple. formula no longer effective to count every one of us sensitivity to insulin.
       The formula was very simple. It took weight in pounds and divided for 4. So, if I am 400 pounds then my sensitivity to insulin was 4.  I never used that formula and now I am really surprised, why it is not on web of ADA.
       There is no any formula which can count this condition. If it was possible to develop then it was easy to count dose of insulin every one of us need to inject every day. It is not possible. There is no one day which is the same as another day. There is no one person which is the same as another person. We are all different. This is why dose of insulin is different for every one of us, personal.
       I cannot sleep tonight. I slept all day, pain, so I do not sleep at night.
sugar 139mg/dl at 12'38 am.
no meal, no insulin. I play cards.
sugar 92 mg/dl at 2'53 am.
Say me, why sugar dripped so fast?
sugar is 82 mg/dl at 3'29 am
The dropping in sugar slowed.
I can say that there is no one day that rise in sugar and drop in it the same. Tonight there is no any difference in activity. It is night, and I try to be quiet. Everyone is sleeping.
      There is the point, how diet can be the same to reverse diabetes type 2? Is this possible to reverse diabetes type 2? I can say, the same as with Insulin Sensitivity soon no one will see on any web or any blog that people reversed diabetes type 2 with diet and work out. Today every one of them do it. The tragedy is, the number of us who lost lives to diabetes is the same, and go up and every attempt to control high numbers with any diet. It simple does not work, never did, never will.
      But insulin do perfect job. In present time more and more doctors Rx insulin rater then SU or Invocana.  Insulin not only keep us alive, but prevent developing different complications. We can safe our limps. No gangrene. No amputations. Less pain. Pain from needle entered into my belly is nothing compare with pain of slow rottening flesh.

via Ravenvoron

Diabetes Type 2 Myths and Facts. Part 3. May 10, 2018

      According to ADA definition of diabetes type 2 biabetic's body make extra insulin. No one do know how many extra insulin diabetic's type 2 body make, or for how long it still make extra insulin, but it is presented as it is fact, and let us take a look at, if this really fact and how this fact would look like in reality.
      Every one MD do know very well that Insulin in injection leads to low blood sugar. This is the first barrier why Insulin rejected by MD. They simple have no one idea how Rx insulin, how to prevent low blood sugar. In reality, it is not possible if one wish to go to progress in diabetes treatment and cure. If diabetic type 2 die because of high blood sugar, it is Diabetic's type 2 fate. At least diabetic could stop to eat, lose weight, and reverse diabetes type 2. If diabetic die because of low blood sugar, it is only because of dose of insulin was injected wrong, too high, and it is MD to blame. No one wish to be responsible, so diabetics type 2 usually sent out of clinic or hospital as soos as it is possible. There is no treatment for us.
      Now there is the question, how diabetic type 2 live with extra insulin secretion by own body system? It is easy to pretend that Insulin in injections work differently then own insulin which body system makes. On the contrary, there are children in hospitals who born with low blood sugar. These children do not have Insulin injections. Still, blood sugar is low. What treatment for that babies? Pancreas removal. And prospective life on Insulin in injections.
      It is not the case I am going to discuss babied born with extra insulin secretion. The point only, regardless if insulin secreted by body, or injected, insulin reduce level of sugar, and sugar would be low. There is no low sugar in diabetic's type 2. We all do have high blood sugar at the time of diagnose. The matter of fact, the diagnose of diabetes type 2 based on the elevated level of sugar in blood, regardless it is type 1 diabetes, type 2, LADA, Mody, and any other types of diabetes. It is time to except, diabetes is not elevated level of sugar but the condition when insulin secretion is not sufficient for body function. If so, then Insulin must be added in injections. There is no other way around.
      All our medical industry support this claim, this point. Just take a look at the treatment for diabetes type 2 which presented by Big Pharma.
SU - type of medicine which force diabetic's type 2 ill pancreas to secret more insulin.
         This type of medicine most effective to reduce numbers on the glucose meter. Simple, take one pill, and go to clinic. Level of sugar is normal. MD satisfied. Patient deeply fooled. At the way back to home sugar dropped down to the below normal level. Diabetic hardly able to function. But patient naive. It takes time to get to the reality, it is wrong treatment, and better do stay out of it then force ill pancreas to work too hard.  Many of us do it, we just cannot take this medicine, so we stop it, and do not say it to MD. In own turn, MD pretend that it is Metformin which is treatment to reduce blood sugar level. It is not. Diabetics fooled for way too long. Some of us never able to get to the real understanding what kills us, our medical condition, or it is treatment we naively take.

Metformin - type of medicine which is number one MD choice, and it never reduce blood sugar level.
         Simple, take a look at how MD Rx medicine? At first it is all the time Metformin. Two weeks after it is SU, why? Metformin does not effect blood sugar level. Metformin works to 'prevent' diabetes type 2, why not? 9 out of 10 Americans not diabetics. So, if the take Metformin then they would not develop diabetes type 2. Prevention worked perfectly. If one has high blood sugar numbers, take off Metformin and see, would that number go up or, probably, down? I do these tests  all the time with all medicine I need to take. If I skipped one shot of Insulin then next reading would be higher then usual. If another shot skipped, numbers go higher up. So, I have to inject Insulin  to control blood sugar. If I do have headache, I take Excedrin.    If I do not, pain increases and finally I would have severe crisis. So, Excedrin is all the time handy. The same with Nitrostat. And so so on.
       Metformin is type of medicine which, according to developers, work to reduce glucagon enter into blood stream. Glucagon used by our body system as fuel between meals. So, if Glucagon prevented from enter into blood stream, but stored after meal in liver, then why it is diabetic to blame we do have fatty liver? This is why every diabetic type 2 has non alcoholic fatty liver. We all take Metformin.
       Another action Metformin provide is, it is increases sensitivity of muscles on insulin. So, if insulin secretion is limited and there is no insulin available for body function, then increased sensitivity to insulin what provide? It is increases gap between insulin available in secretion and insulin needed for body function.
      Both these actions effect every one diabetic, and we all have symptoms of it. In addition to this Metformin ia highly toxic. This is why three generations of this medicine were removed from market. Now one time after another there is Black Box in the label. But soon after it company work it out, and Black Box get removed for the next time.
      Finally about Metformin. we take it for so long, that this poison deposited in our bodies.With time effected mucsles started develop severe pain. So severe that we cannot sit, or be in bed or any place without pain. Every muscle in pain, severe pain.  I took Metformin for 10 years before finally I get rid of it. Now every MD still try to pit me back to this Trash. It took years for me to get rid of muscle pain. And a lot of different medicine.

So, treatment for Diabetes type 2 is, to increase insulin secretion by already ill pancreas, or another medicine which does not help to reduce blood sugar numbers. Of cause, there are most effective treatment to reduce level of sugaar. Probably I am right, but maybe I am wrong. It is diet.
      Diet. If we do not eat then we do not have elevated sugar in blood. So, stop to eat, and sugar will return to the normal level, right? Wrong.
      I already posted. I got dental problems. I was in such pain, could not eat or drink, or sleep. If I cannot eat then I cannot take insulin to be sure I do not have low blood sugar. Now there are numbers.
May 1, 2018
53mg/dl at 5:44am
54 mg/dl at 9:10 am Visit to dental office. Teeth extracted. Pain. Sleep all day after affice visit.
May 2, 2018
123 mg/dl at 6:06 am
no meal
202 at 7:60 am
Pain. All face swollen
May 3, 2018
256 mg/dl at 6;52 am
251 mg/dl at  7:52 am
284 mg/dl at 7:36 pm
Lantus Solo Star 160 units.
This is fact, it is not someone imagination how it suppose to be. This is why when MD suggest I have to undergo Weight Loss Surgery, so I would not be diabetic type 2, I am too skeptical for that, and all the take I say "NO!" I do know my numbers. I do know how do I eat, and why I am diabetic type 2. I am not diabetic type 1 because of I am 66 years old, and I need more then 200 units of insulin daily dose to control my numbers. Also my level of C Peptides less then 3. Well, it is normal level of C Peptide level. Say me, when this level abnormally low? Normal level from "0" to "5". LOL!  At least as I did see in my blood work papers. Try to trust MD more then yourself. I do not.

via Ravenvoron

Diabetes Type 2 Myths and Facts. Part 2. May 9, 2018

      Now, there is definition that diabetic type 2 body system does not use insulin properly. This condition leads to a few possible outcomes.
      At first, if insulin does not used properly, it means that insulin left in blood and do not open cell to use glucose as source of fuel. Without glucose body system cannot function, ether properly nether in-properly. If glucose cannot be used people die. The same was as people die if there is no glucose available to be used. And the same condition when blood sugar is high but there is no insulin which pancreas secreted, so people die. Properly or not, if glucose stay in blood and cannot enter into cell there is no one way human body can survive. We cannot live without glucose. Glucose used to push blood from heart, to push air, and for every cell to live and function. For some time our body can use fat as source of energy. Brain uses only glucose. This is why people skip into coma when sugar is too high or too low, the same outcome.
      If insulin stay in blood but for some unknown reason does not used properly then there are must be some complications developed which are different from those diabetics who are not type 2 diabetics. The fact is, the complications of diabetes the same, as any type of diabetes. Then higher level of sugar in blood then faster diabetic progress to the final stage of life. What is important and the same as for any type of diabetes, if Insulin injected on-time and in right regime, diabetic will survive, regardless of any type diagnosed by Med. Pro.
    So, what is the reason to talk about all that types of diabetes if:
diagnose the same;
treatment the same;
 outcome the same;
so the medical condition is the same, Just Diabetes, Problem with insulin secretion.
      Diabetes is not the elevated level of sugar in blood. Sugar elevated as a result of deficit in insulin. Add Insulin in injections, and sugar dropping to the normal level. In contrary, if treatment of diabetes with SU then with time diabetic's pancreas lost ability to recovery, and less then 10 years diabetic will lost life. Any diabetic, any type of diabetes. With Insulin in injections every diabetic live. any type of diabetes can be supported with Insulin injections, and prolong diabetic's life, old, or not so old. fat or obese, or fit and slim.

       Second what I wish to say, take a look at the media and medical publications. What can we read and listen? That there are plenty of diabetics type 2 who reverse diabetes type 2 with diet and work out. What we never able to listen, how many diabetics type 1 skipping dose of insulin they pretend they will die if they do. At least I never read any one post or blog that one stopped to take Insulin in injections, and now no longer consider him/herself diabetic. Only one person was published she did it, Hallie Berry. She published she won herself and now she is not diabetic type 1 but diabetic type 2.  Med. Pro confront, it is not possible. Two types of diabetes are different medical conditions, and so it is not possible to be diagnosed with one condition and became another type of diabetes. It is like being diagnosed with diabetes and then it turned to be a flu.
       I would happy to take it as it is presented, but I cannot. How many people wrongly diagnosed? No counting like that. Hallie Berry took Insulin. With Insulin in injections many people stop to take injections, someone for short time, other for long time, and someone who is very lucky, never return back to injections. These people have normal level of sugar. They do have well working pancreas, even they were diagnosed with diabetes as children and took insulin for many many years.
       There is no one diabetic type 2 who are on oral medication, who recovered. Diabetes type 2 progressive. It is fact published in Medical journals that diabetics type 2 gone less then 10 years after being diagnosed with diabetes type 2.  We can say, people posted, they reversed diabetes type 2 with proper diet and extreme workouts, say me how they do know it? If today they do have normal fasting blood sugar it is not the case tomorrow they would not have elevated level of sugar. To matter of fact, it is possible to be. Pregnant women have diabetes, and after delivery baby they no longer have elevated level of sugar in blood,why? Probably after delivery baby woman no longer have medical attention, many do not have health insurance, so they do not have diabetes.
      BTW, if some people present they reversed diabetes type 2 with diet and work out, then why it is not said, they "Cured" themselves? As usual, many play and dark waters to hide the truth, the facts.
      Finally, what I wish to say, why there are no one observation how treatment of diabetes, either type of it, go? One day after another, one patient after another, and so so on. In past there were books published, observations of cases how doctors treated diabetes and what was result of treatment. Today we even do not know how many diabetics die every year. Yes, there are number of death resulted by high or low blood sugar, diabetes. There is no one mention, if it is diabetes type 1, type 2, LADA, MODY, or any other types of it. In table we are all together, and people have pity of diabetics type 1 that they are suffering, and no one attention that it is diabetics type 2 who stand first in line. What age do we die? How long we took treatment, all that Junk medicine very aggressively pushed on market. Does someone crossed studies like these? Please, let me know.
       Every year there are thousands of amputations, and there is no one mention, who they are, those diabetics who lost limbs to diabetes? Why? Let us take a look at the numbers. If it is mostly diabetics type 2 who became amputees, then why it is not diabetics type 1? Probably, it is not diet or body fat, but treatment, Insulin Vs non Insulin. I take 610 units of insulin daily. I did not gain weight more then year ago. Why? Because of I did not have break in insulin supply, and I take dose of insulin I need every day, day after day, as many units as I need. When there is no insulin then at first there is weight gain. Then sugar is extremely high, and there is no longer diabetes hunger. Thirst. Siphon effect. We lost weight, dramatically and fast. I do not know what would be next. I got my insulin.

via Ravenvoron

Nurse Perks

Happy National Nurse's Week!

My daughter has, for over 10 years, almost always enjoyed going to the nurse's office.

The minutes she was late for lunch in elementary and middle school were hard, and she never enjoys being low or needing a site change. But there are upsides to those nurse visits:

There's often something interesting going on in the office. An overheard phone call to a parent who doesn't want to pick up a sick kid. Or a bizarre gym injury. Or an update on the current plague, be it flu or lice or a lingering cold.

There's a kind, interested adult there. When the office is quiet, there's conversation. Our school nurses have known more about my daughter than most of her teachers and even some of her friends. And vice-versa. While killing the time it takes for a low blood sugar to come up they talk about family, vacations, restaurants, afterschool activities and more.

Teachers and other staff stop by. My daughter has overheard, and often been included in, conversations amongst school staff. It's pretty interesting to hear the 'grown-ups' talk. Some nurse's offices are adjacent to the main office, providing yet another interesting source of conversation and information.

There's air conditioning. This is no small plus in September or June around here. On elementary school field day, or as an escape from the south-facing third floor middle school classroom, a low-ish blood sugar was a free ticket to relief.

I'm incredibly grateful for the nurses who've sat in those offices over the years. Being concerned about and dealing with my child's medical needs are line items in their job descriptions. The relationships they've built with her, and the extra kindnesses along the way have been above and beyond.

Thank you, this Nurse's Week, to all the school nurses who make their offices a safe, pleasant and even desirable place for their kids with diabetes.




via Adventures in Diabetes Parenting

Spring Travel; Diabetes, High Ketones, Normal Blood Sugars, And The Stomach Bug From Hell

OK-first and foremost  — spring has finally sprung. YAY!

Secondly, sorry for the being MIA the last couple weeks. 

I came home from a work trip on the night of Tuesday, April 24th, with a 101.2 fever, Moderate to Large keynotes, and the stomach virus that has been the plague of spring 2018 for many — and it was horrible. 

It was the longest car ride home of my life and an hour after I walked in the door and 55 minutes I found out I did indeed have Moderate / Large ketones, (literally the color was somewhere between the two on the chart,) I Linda Blaired it, a'la "The Exorcist." 

I immediately felt slightly better and made a deal with myself. 

If my ketones went down to moderate in 80 minutes and I didn’t vomit again, 

I wouldn’t call 911. If either of those things happened, I would. 

I filled up my 24 once water bottle and immediately drank 1/2. 

15 minutes later I finished the other 1/2 and filled up the bottle again. 

I was scared but I was calm  — weirdly and mythodically so. 

I knew what goasl I needed to meet and had made peace with my plan B option. 

Yes, I was scared, but knowing that I had a plan helped me stay calm.

Luckily, 80 minutes later I checked my ketones and they were indeed  moderate, I didn’t vomit again and I downing drinking water. My blood sugars were normal with insulin on board. I drank a little juice and went to bed. 

I woke up in the middle of the night, checked my blood sugar and  keytones ( 109 bg and small to moderate Keytones on the color chart), downed 10 ounces of water and went back to sleep. 

I woke up Wednesday with small ketones, that quickly and thankfully moved Trace, and finally edged to Normal by Wednesday afternoon. My fever kept shrinking until it left me for good on Friday.

Which would be the exact day the whole, not being able to be too far away from the bathroom, thing kicked in with a vengeance. 

I continued surviving on Mixed Fruit flavored gatorade, saltines, and weak black tea because those were literally all I could stomach. 

After 5.5 days,I was finally was able to drink coffee (and leave my house,) Sunday, April 29th. 

The last day of April and the first day of May meant working on deadlines and I flew to Boston on May 2nd. 

Dealing with all of the above reminded me of some important things that I'm going to share with you. 

1. We ALWAYS need to bring Keytone Strips/Keytone Meter and thermometer when we  travel — and even if we're only going away overnight 
2. Why? because you can have normal-ish blood sugars and still have nasty keytones — even if you drink lots of water. And if those sneaky keytones get the upper hand, no good will come of it.

3. You can feel “off,” but because diabetes can be a tricky bitch, your blood sugars might not reflect that. I felt tired and in need of a nap early Monday afternoon - but my blood sugars were stellar and I wrote it off as  travel day fatigue. 

But it was an easy travel day by car. Looking back, feeling that tired was a sign of things to come.

Also: You can feel hot and blame the traveling and hotel air conditioning, but it might actually be a fever. I was walking around with a fever that alternated to the chills for a good part of Tuesday - and I blamed the forced air heating and air conditioning system. 

Here are my stats from Tuesday, April 24th. 

For the most part, everything looked "OK," numbers wise. 

Insulin total breakdown for 24 hours on 4/24 

Bolus history 4/25

4/24 bg from early in the morning.
Elevated morning bgs thanks to a low bg
in the middle of the night. 

4. ALWAYS make sure that you not only have regular ginger-ale in your pantry, but 3 or 4 bottles of your favorite flavored Gatorade and saltines, because if you end up with the stomach virus from hell, regular Gatorade is your best friend. It helps keep your hydration levels and electrolytes where they need to be, gives you drinkable carbs, and is the only thing (besides maybe a few saltines), that won’t add to the destruction of your gastrointestinal system.

5. Also, stomach viruses can be f^cking tricky, not to mention confusing. 

I had damn near normal blood sugars ( Bgs were constantly running on the low side of normal), for 5 days — it was like I was like my pancreas was messing with my head and I was this close to thinking that I was making insulin. But I was still “real people sick," and barely eating anything. 

6. Sleep is your friend and hydrate like your life depends on it — because it does.

7. Stomach viruses NEVER come at the right time and playing catch up is not easy — but you do it because you must. 

I’ve had trips scheduled the last two weeks and I travel again on Thursday. 

Sharing all of the above because it’s diabetes and life related and I think we need to be reminded that everything can look good on the surface, but there can be a literal shit storm (sorry I couldn't resist,) brewing - So check your blood sugars and your keytones!   

New blog posts re: what I learned on my travels soon!

***FTR, when I was down for the count being real people sick, I made sure to let a couple close friends and family know what was going. I live by myself and like to think I can handle it all - but when I'm under the weather, I let a few of my "go-to," friends know.... just in case I need help. It makes me feel better - and it makes them feel better. 

via Diabetesaliciousness