#diabetes management
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#diabetes#type 2 diabetes#blood sugar#insulin#insulin resistance#insulin sensitivity#health#healthy#healthy living#healthy lifestyle#food#diet#Nutrition#Disease fighting#disease management#diabetes management#diabetes prevention
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VITAMINS THAT CAN LOWER BLOOD SUGAR QUICKLY
Balancing blood sugar levels is crucial for maintaining overall health, especially for individuals with diabetes or those at risk of developing the condition. While diet, exercise, and medication play primary roles in managing blood sugar, certain vitamins and supplements can also significantly impact glucose control. This article explores vitamins known for their potential to lower blood sugar levels quickly and efficiently.
Vitamin D
Vitamin D plays a pivotal role in blood sugar regulation by enhancing the body's sensitivity to insulin, the hormone responsible for managing blood glucose levels. Insulin resistance is a common issue in individuals with type 2 diabetes, where the body fails to use insulin effectively, leading to elevated blood sugar levels. Studies suggest that maintaining adequate levels of vitamin D can improve insulin sensitivity and lower blood sugar, thus aiding in diabetes management.
Sources of Vitamin D:
Sunlight exposure
Fatty fish (salmon, mackerel, and sardines)
Fortified foods (milk, orange juice, and cereals)
Vitamin D supplements
Vitamin B1 (Thiamine)
Thiamine is essential for glucose metabolism, helping convert carbohydrates into energy. People with diabetes often have low levels of thiamine, which can contribute to higher blood sugar levels and complications. Thiamine supplements, particularly in the form of benfotiamine (a lipid-soluble derivative of thiamine), have been shown to improve glucose metabolism and reduce the risk of developing diabetes-related complications.
Sources of Vitamin B1:
Whole grains
Pork
Nuts and seeds
Legumes
Thiamine supplements, including benfotiamine
Vitamin B3 (Niacin)
Niacin, or vitamin B3, influences blood sugar control indirectly through its role in converting food into energy. However, high doses of niacin can increase blood sugar levels, making it necessary for individuals with diabetes or those at risk to consult a healthcare provider before taking niacin supplements.
Sources of Vitamin B3:
Turkey
Chicken breast
Peanuts
Mushrooms
Supplements, with medical guidance
Vitamin C
Vitamin C, an antioxidant, can lower blood sugar levels and help manage diabetes by improving glucose metabolism and protecting cells from damage caused by excess sugar in the blood. Research indicates that vitamin C supplementation can help reduce fasting blood sugar levels and improve blood sugar control in people with type 2 diabetes.
Sources of Vitamin C:
Citrus fruits (oranges, lemons, and grapefruits)
Kiwi
Strawberries
Bell peppers
Supplements
Magnesium
Though not a vitamin, magnesium is a crucial mineral that aids in blood sugar control. It plays a significant role in glucose metabolism and insulin action. Low levels of magnesium are linked to insulin resistance, a condition often preceding type 2 diabetes. Increasing magnesium intake through diet or supplements can improve insulin sensitivity and lower blood sugar levels.
Sources of Magnesium:
Spinach
Pumpkin seeds
Almonds
Avocado
Supplements
Chromium
Another essential mineral for blood sugar regulation is chromium. It enhances the action of insulin and is involved in carbohydrate, fat, and protein metabolism. Some studies suggest that chromium supplementation can have a beneficial effect on blood sugar levels, especially for those with diabetes.
Sources of Chromium:
Broccoli
Whole grains
Green beans
Nuts
Supplements
Conclusion
While vitamins and minerals can support blood sugar management, they should complement, not replace, standard treatments such as medication, a balanced diet, and regular physical activity. Always consult a healthcare provider before starting any new supplement, especially if you have diabetes or other health conditions, to ensure it's safe and appropriate for your specific health needs. By integrating these vitamins and minerals into a holistic approach to health, individuals can achieve better blood sugar control and improve their overall well-being.
#usascriphelpersofficial#diabetes care#diabetes treatment#diabetes mellitus#diabetes management#diabetes symptoms#insulin#diabetic#doctors#type 1 diabetic#type 2 diabetes
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Managing diabetes during pregnancy with insulin is crucial to ensure the health of both the mother and the baby. Proper insulin therapy can help control blood sugar levels and reduce the risk of complications, such as premature birth and birth defects.
Read More: https://www.drshubhragoyal.com/welcome/blogs/diabetes-management-during-pregnancy-with-insulin
#Insulin Dosage#Diabetes Management#Diabetes during the First Trimester#Prenatal Care#diabetes management during pregnancy#impact of diabetes on foetal development#Best Gynaecologist in Agra#Gynaecologist in Agra#Shubhra Goyal Gynecologist#Best Gynecologist Doctor In Agra#Top Gynaecologist In Agra
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Diabetes Lecture
Dr. Samaan
8/23/23
HgbA1c 5.7%-6.4% is prediabetes
HgbA1c 6.5% is diabetic
Normal HgbA1c 4.8-5.6% is normal
DM: A1c 6.5%, BG 126, random BG >200 with symptoms
The A1c has to be a lab draw in order for you to use it to make the diagnosis. So a POC HgbA1c doesn’t count to make the diagnosis.
Screen everyone age 40-70 who are overweight or have risk factors; younger than 40 and obese with risk factor; screen q1-3 years. Risk factors: HDL<35, TG >250, depression, on atypical antipsychotics, high risk populations (non-white), OSA/sleep issues, HIV+ for 15+ years on meds. Old HIV meds caused endocrine issues. Newer HIV meds don’t unless they’ve been on them for a long time.
You don’t need to be fasting to check HgbA1c. Not covered as screening by CMS. A1c not accurate in GDM, renal failure, anemias, renal failure, liver disease.
Prediabetes: 5-7% weight loss will cut the risk of progressing to diabetes by 1/2! Moderate exercise: of 150 minutes a week (e.g., brisk walking 3+ mph), water aerobics, bicycling 10 mph or less, tennis (doubles), gardening—OR 75 minutes of vigorous intensity exercise a week.
Metformin started in prediabetics decreases progression by 31%! Shown to decrease CVD risk. Works best for BMI>35. Metformin can cause low B12. We should use “med monitoring” code annually in pts on metformin. Diarrhea is a common adverse effect. If pt can’t leave the house because of the diarrhea, try the extended release form.
GLP1 agonists and SGLT2 inhibitors could be used in prediabetics. It’s in the works.
If A1c of 9 and BG >200, you will have less fatigue, polyuria, blurred visions, skin infections.
A1c <7.5 à improved quality of life and increased productivity at work
Goal A1c is <7%
Tighter control in younger pts is ok.
Older pts can have A1c goal of 8.0%; avoid hypoglycemia and side effects of increased meds.
Metformin and lifestyle modifications are first line management.
You can start with something other than metformin, but insurance might not cover it.
DM education can help drop A1c by 0.6% or more. WDH and PRH have diabetes education classes.
Diabetic Benchmarks/Screenings:
Statins! All diabetics over 40 should be on moderate to high intensity statin. Under 40 if additional CVD risk factors.
Pts with DM have increased number of small LDL particles which tend to be more associated with ASCVD.
DM is the leading cause of CKD. Check urine microalbumin yearly. ACE/ARB is HTN and proteinuria, urine Cr >300. Go yearly for dilated eye exam. DM is the #1 cause of blindness in the US.
Nerve damage causes the fat pad on the sole of the foot to move, leaving decreased cushioning which predisposes to diabetic foot ulcers. Foot exam should be every visit if loss of sensation. Should do a foot exam annually. Check the skin, document hammer toe, charcot foot, bunion, pes planus.
Get an Ankle Brachial Index (ABI) if you cannot palpate a pulse. Get Toe Brachial Index (TBI) if ABI is not accurate.
Document presence of diabetic neuropathy. Assess for B12 deficiency, TSH, metals, etc.
Metformin, statin, annual vision screen and urine microalbumin, foot exams, diabetes education.
Sulfonylureas (e.g., glipizide) have no long-term benefits, cause hypoglycemia.
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For any new (or not so new) doctors on wards being asked what to do about a patient's high blood sugars, this post is so helpful! Have a look at your trust guidelines as well but if they aren't clear this gives you some general rules
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The Best Blood Glucose Monitoring Device for Home Use in India: A Comprehensive Guide
Blood glucose monitoring is a crucial aspect of diabetes management. Regular monitoring of blood glucose levels can help diabetics maintain healthy blood sugar levels, prevent complications, and live a healthy life. In India, where diabetes is a growing health concern, the availability of various blood glucose monitoring devices can be overwhelming. In this article, we will discuss the best blood…
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#Accu-Chek Active#blood glucose monitoring#continuous glucose monitoring#diabetes management#Health#home use#India
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Finding Realistic Programs For Best Berberine Supplement Berbamax012
#berbamax#berberine supplement#blood sugar management#healthy blood sugar levels#prediabetes#stable blood sugar levels#berberine#blood sugar control#healthy lifestyle#natural health#blood sugar regulation#health & wellness#diabetes management#berbamax berberine supplement#berbamax blood sugar supplement#blood sugar#berbamax review#berbamax does it work#berbamax reviews
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Have you ever heard of "carrot cake?"
Yes... we have got a unique 'Vegan Carrot Cake" recipe for you.
It is an eggless cake recipe that does not even contain milk or milk products. You can also prepare cups cakes.
Diabetics are suggested to have 1-2 small pieces of this cake depending on their sugar levels.
#vegan#vegnews#vegan cake#carrot cake#diabetes-friendly cake#diabetes#diabetescontrol#cake recipe#homemade#homemade cake#sugar free cake#freedom from diabetes#diabetes management#type 2 diabetes#diabetesmanagement#diabetesawareness
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Eli Lilly's Tirzepatide Weight-Loss Drug Effective in New Trial
Eli Lilly’s Tirzepatide Weight-Loss Drug Effective in New Trial
Photo: Darron Cummings (PA)
Pharmaceutical company Eli Lilly last week disclosed the latest data from a phase III trial of its experimental type 2 diabetes and obesity drug, tirzepatide: People who took the drug lost up to 22% of their body weight and achieved far greater weight loss on average than the placebo group. The findings, while preliminary, suggest tirzepatide may become the second…
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#Anti-diabetic drugs#Anti-obesity medication#clinical medicine#Diabetes#Diabetes management#Diabetes medication#Eli Lilly#Elite Pharmaceuticals Inc.#Gizmodo#Health#Medical#Medical specialties#Michael Albert#Novo Nordisk#obesity#obesity drugs#Peptide hormones#Pharma#Samantha Harris#Semaglutide#Stephan Guyenet#Tirzepatide
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Lost Frontier Handbook Reviews: Is It Worth Your Money?
The Lost Frontier Handbook is an essential self-study handbook that reveals the skills of the ancestors and their knowledge of dealing with challenges.
Life is full of unexpected events, problems and emergencies, including financial problems, disasters and other problems. Overcoming challenges or unexpected consequences requires preparation, patience and determination. But the new technological age does not forget the great skills of our ancestors. As a result, the 21st generation is exploring the abyss of loss of valuable and age-old knowledge, including the processing of powerful herbs using herbs and the storage and preservation of food without refrigeration, among other important knowledge.
Suzanne Sherman's The Lost Frontier handbook reveals many secrets about the lives of ancestors and how they overcame disasters, emergencies, and hardships. It provides generations with self-learning skills in different ways to overcome all challenges. What's in the lost frontier handbook? This review gives more information about the book.
Click Here To Visit Lost Frontier Handbook Official Website For More Info
What Exactly Is The Lost Frontier Handbook?
The Lost Frontier Handbook is an essential self-workbook that unlocks parenting and coping skills. According to the author, the book also offers life-saving tips and tricks for every situation. Readers also learn how to develop various survival strategies and equip themselves with the necessary tools to overcome extraordinary situations in times of crisis. Some of the most important lessons in the handbook include tips on preservation, food storage, and medicine.
Additionally, the notes are supplemented with bold images, detailed diagrams and step-by-step instructions. Buyers can purchase a reference Lost Frontier Handbook or receive a physical copy by mail.
The Lost Frontier Handbook Content:
According to the creator, the Lost Frontier Handbook provides consumers with the necessary knowledge to overcome any crisis. Within the handbook, readers will discover a range of valuable lessons, including:
Rediscovering Powerful Remedies:
Readers will become well-versed in a variety of essential home-based remedies by following detailed instructions on how to:
Create potent disinfectants at home: Consumers will learn how to use simple substitutes to create antiseptics that have been historically proven to save lives, all through easy-to-follow instructions.
Produce highly effective painkillers: Individuals will learn how to make painkillers for chronic pain, toothaches, or injuries without the use of addictive substances.
Safely address fresh wounds and burns: Consumers will gain valuable insight into treating burns and wounds at home, ensuring proper care and healing.
Soothe a sore throat: Readers will discover how to make tasty remedies that effectively alleviate a sore throat without any bitter taste or discomfort.
Create frontier penicillin: This proven method of preventing infection can be prepared using common household products, as readers will learn in the handbook.
Additionally, consumers will acquire knowledge on treating various ailments such as cold sores, warts, fungal infections, arthritis, inflammation, and more.
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Creating A Food Stockpile That Doesn't Spoil:
In this informative guide, readers will discover various methods to preserve food without relying on electricity or chemical preservatives. They will gain valuable knowledge on how to extend the shelf life of meat through techniques such as smoking, curing, salting, dehydrating, and more. Additionally, consumers will learn the art of canning and pickling, ensuring that their food remains fresh and delicious for an extended period.
Furthermore, the creator of this guide shares insights on how to cultivate and maintain a sustainable garden, enabling individuals to have a continuous supply of fresh produce. The guide also provides techniques for refrigerating food without electricity, including the utilization of a root cellar, evaporation, and an 18th-century icehouse.
For those interested in hunting, the guide offers valuable information on how to properly tan and preserve wild meat. Additionally, readers will discover the benefits of raising chickens, which provide a consistent source of eggs, meat, and assistance in controlling garden pests.
In times of crisis, it is essential to have sufficient food supplies. This guide offers organizational hacks to ensure that individuals can maintain an adequate stockpile. Moreover, readers will learn how to grow a medicinal garden, providing them with essential herbs and plants for various health needs.
Thriving Through A Depression:
This Lost Frontier Handbook presents strategies for individuals to navigate through hunger crises without skipping meals. It provides practical tips on saving money monthly for food, allowing individuals to build up a substantial reserve. Furthermore, readers will explore the world of seasonal and delicious wild foods that are safe for consumption.
In addition to food preservation techniques, the guide includes instructions on making soda and ginger beer, enabling individuals to save a significant amount of money annually on soft drinks. Furthermore, it highlights the benefits of raising chickens, not only for their eggs and meat but also for their ability to control pests in the garden.
The guide also emphasizes the importance of recycling household items and transforming them into valuable and sellable products. By repurposing junk, individuals can not only reduce waste but also generate additional income.
Exclusive Superfoods Needed For Survival:
Within the pages of The Lost Frontier Handbook, readers will discover a collection of nutritional recipes that are ideal for times of hunger crisis. These recipes include the 100-year survival ration, which has been relied upon by native Americans, arctic explorers, and fur trappers during their long journeys. Additionally, readers will find an affordable and delicious instant soup recipe that was favored by mountain men.
A type of biscuit that never spoils despite any weather. The Viking comfort food that was consumed by millions to prevent malnutrition without spoilage. 22 long-lasting foods, including popcorn, soy sauce, and alcohol.
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75 Products That Have No Value Compared To Gold In Times of Need:
The person who started the program reveals things that seem worthless but are very useful in times of need. Cell phones, copper, coins, can openers, flying papers, coffee pot, old EMP-resistant truck, swing coaster are some of the items on the list. It creates and equips consumers with skills to use in times of crisis.
Pumping Water Into The Power Grid:
Consumers learn step by step how to make a water filter using easily available materials. The technology reduces energy bills and includes affordable, renewable resources for independent living. In addition, anti-smoke filters and gas masks are used as gas masks, and some tricks are used during the approach.
The Big Secret of How To Buy Land In America:
The Creator Reveals the Secret to Personal Satisfaction and Land Acquisition. This guide informs buyers about the best places near cities and other important amenities. Moreover, the creator says that 1/5 hectare can be good to provide people with what they need, using the necessary tactics. Some of the recommended regions are New York, Alaska, and Colorado, and each location has its pros and cons.
Price of Lost Frontier Handbook:
Consumers can access both the physical and the digital copies on the official website with the following price list:
Physical Copy: The physical handbook is available at $37 from a regular retail price of $50 + $8.99 shipping and handling fee.
Physical and Digital Copy: Both the digital product and the physical copy are selling at the best value of $37 + $8.99 for shipping.
Digital Copy: Consumers can access the Lost Frontier program after paying $37 on the professional website.
Lost Frontier Handbook Bonuses:
Consumers Get 3 Free Following Bonuses.
The 80 Square-Feet Medicinal Garden Guide:
The guide enlightens consumers on how to grow a medical garden with 80 sq. ft space. All the herbs create a regimen for an effective herbal apothecary. In addition, the guide provides a detailed planting blueprint to enable readers to know how, where, and what to plant. It’s perfect for patios, lawns, and rooftops. Consumers learn how to create a natural pharmacy with herbs for treating different health issues.
Guide For Economic Collapse Survival:
In this guide, consumers learn vital tips from people who overcame national tragedies. It explains how Luis, an Argentinean, and his 6-year-old daughter survived a crisis during a government collapse. Moreover, there were riots, 5000% inflation, 25% unemployed, and black-market gangsters that plagued the nation. Readers learn how Luis overcame the widespread food shortage and power outage.
Homestead Cooking Guide:
This guide reveals off-grid recipes and emergency cooking techniques, including using a car engine to cook meals during a blackout and baking bread without electricity. Consumers learn traditional methods, including the use of wood stoves instead of an electric stove.
With the cost of 3 bonuses included, consumers purchase the handbooks at $131, but the one-time offer of 72% saves consumers $94 with a price of $37.
Exclusive Discount: Order Now Lost Frontier Handbook For Lowest Price
Money Back Guarantee:
The creator provides a 60-day money-back guarantee for consumers who find the handbook unsatisfactory. Consumers need to send a notification within 2 months to get their full refund, less shipping and handling fee.
Consumers Testimonials:
⭐ ⭐ ⭐ ⭐ ⭐
"People need to know this stuff… it helps me teach my survival classes."
Kerry Ward, TX
⭐ ⭐ ⭐ ⭐ ⭐
"Everyone needs to develop these life skills ASAP."
Jim McBreen, 56, Fort Myers, Florida
⭐ ⭐ ⭐ ⭐ ⭐
"I don't look at the book as a survival manual but as a way of life that adds value to [the] present day."
Vern Moore, 68, Oklahoma
⭐ ⭐ ⭐ ⭐ ⭐
"So much useful info. It's necessary to have a kind of book!"
Jody Probst, 45, Streetsboro, Ohio
⭐ ⭐ ⭐ ⭐ ⭐
"It's the best way to learn how our Founding Fathers lived."
Kenneth McMillian, 60, Willis, Texas
⭐ ⭐ ⭐ ⭐ ⭐
"Very resourceful, whether you're camping, hiking, or going on an adventure, this book brings out the kid in you."
Amanda, 33, Texas
⭐ ⭐ ⭐ ⭐ ⭐
"Something to pass on to my children and grandchildren."
Linda, 73, Florida
⭐ ⭐ ⭐ ⭐ ⭐
"Love everything in the book."
Martha Pendergrass, 63, North Carolina
Conclusion:
In order to be prepared for unexpected crises and emergencies, it is crucial for individuals to take proactive measures. Mitigation strategies, such as stockpiling food, are essential in the face of natural disasters. The Lost Frontier Handbook, created with the intention of empowering consumers, draws upon ancestral skills and techniques to provide survival tips. This comprehensive guide offers insights on creating a medicinal garden, building a food stockpile, accessing off-grid water sources, and much more. Both digital and print copies of the handbook can be obtained through the official website. Additionally, the product comes with a two-month refund policy for customer satisfaction.
Disclaimer:
It is important to note that the advice and guidelines provided here should not be considered as a substitute for professional medical or financial advice from licensed healthcare providers or certified financial advisors. Prior to making any purchasing decisions, especially if you are taking medications or have specific concerns, it is advisable to consult with a qualified physician or financial consultant. Individual results may vary, and the statements made about these products have not been evaluated by the Food and Drug Administration or Health Canada. The efficacy of these products has not been confirmed through FDA or Health Canada approved research. These products are not intended to diagnose, treat, cure, or prevent any disease, nor do they offer any get-rich-quick schemes.
FAQs
Q. Can the Lost Frontier Handbook be a reliable resource for crafting medicinal remedies?
The Lost Frontier Handbook may provide guidance on natural remedies using common plants and materials. However, it is crucial to exercise caution. For the treatment of serious medical conditions, consulting a licensed healthcare professional is always recommended.
Q. How does the Lost Frontier Handbook address long-term food storage?
The handbook may cover various food preservation methods like drying, fermentation, and salting – all established techniques for extending shelf life. It's important to emphasize that proper food handling procedures are essential to avoid spoilage throughout the storage process.
Q. Does the Lost Frontier Handbook guarantee food preservation without spoilage?
No single method is foolproof. Even with the techniques outlined in the Lost Frontier Handbook, spoilage can still occur due to improper storage or contamination. The handbook likely focuses on minimizing spoilage risk and significantly extending food shelf life.
Q. Can I achieve complete off-grid access to fresh water using the Lost Frontier Handbook?
The handbook might cover methods like rainwater harvesting, natural spring collection, and water purification techniques. While these methods can be highly effective, achieving complete self-sufficiency may require additional considerations depending on your specific location and climate.
Q. What are the potential benefits of using the Lost Frontier Handbook?
The handbook can equip you with valuable skills for self-reliance, potentially including:
The ability to utilize natural resources for survival purposes.
Reduced dependence on external supplies for basic necessities.
A deeper connection with and appreciation for the natural world.
Q. Are there any limitations to the information provided in the Lost Frontier Handbook?
While the handbook offers valuable knowledge, it is important to understand its limitations:
It is not a substitute for professional medical advice.
The information may not be universally applicable to every environment or situation.
The handbook may not be completely comprehensive, and further research may be necessary depending on your specific needs.
Q. Where can I find more information about the Lost Frontier Handbook?
Consider searching online for reputable sources such as reviews, articles, or videos about the Lost Frontier Handbook. This will allow you to gain a well-rounded perspective on the handbook's content and its potential value for you.
Click Here To Purchase Lost Frontier Handbook From Official Site
#nutrition#ebook#lost frontier medicinal book#Home remedies#health & fitness#healthcare#healthy living#healthy eating#natural remedies#Herbal remedies#diabetes management#health and wellness#holistic health
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From OnlineMedEd
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Best Ayurvedic Medicine for Diabetes Patients | Saisa Medi LLP
Treat your diabetes naturally with Sairub Pre Diaba Care and Sairub Heal Diaba Care, the best Ayurvedic medicines for diabetes patients. Get them today!
For More Info Contact: 8091997900
#diabetes#herbal remedies#ayurvedicproducts#ayurvedicmedicine#diabetes care#holistichealth#healthcare#ayurvedic#wellness journey#naturalremedies#health and wellness#healthylifestyle#diabetes management#wellbeing
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Holistic Diabetes Management at Millennium Park Medical Associates
Discover exceptional diabetes management services at Millennium Park Medical Associates in Chicago. Our skilled healthcare professionals utilize advanced treatments, lifestyle modifications, and personalized care plans to help you effectively manage diabetes and lead a healthier life.
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🐾 Managing Your Pet's Diabetes: Essential Tips 🐾
Diabetes isn't just a human condition; our furry friends can suffer from it too! Here's how to ensure your pet stays happy and healthy:
👩⚕️ Veterinary Care: Regular vet visits are crucial to adjust their treatment as needed.
💉 Insulin: Always follow your vet's instructions for insulin injections.
🥘 Diet: Dogs benefit from high-fiber diets, while cats do best with low-carb food.
🕒 Feeding Schedule: Align feeding times with insulin shots to stabilize blood sugar.
🏃♂️ Exercise: Keep them active, but don't overdo it.
📊 Glucose Monitoring: Regularly check their blood sugar levels.
👀 Symptom Watch: Be vigilant for signs of high or low blood sugar.
⚖️ Weight Control: Help them maintain a healthy weight.
🎓 Educate Yourself: The more you know about pet diabetes, the better care you can provide.
Stay informed and keep your pet healthy! 🐕💗🐈
#diabetesinpets#petsdiabetes#dogsdiabetes#animalsdiabetes#diabetesinpetsawareness#diabetes care#diabetes management
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Type I DM = islet cells in pancreas are destroyed; can't make insulin. DM type 2 = insulin resistance.
Random plasma glucose greater than or equal to 200 mg/dL in a kid with polyuria, polydipsia, weight loss & HgbA1c to confirm = DM1. Tx is subcutaneous insulin.
Basal insulin mimics the insulin the pancreas normally makes throughout the day and bolus insulin mimics the insulin the body makes with meals. The basal/bolus approach comes with scheduled doses which can be determined by carb counting, qualitative modifier, or fixed dose that they have with meals. The fixed dose may come with a correctional dose.
The basal insulin is given every night and the bolus insulin is timed so it's given before meals so there can be a post-prandial spike.
The pt checks their BG and then eats.
The BG now depends on the mealtime and insulin before it. The BG at lunch time depends on the carbs and the bolus insulin taken at breakfast. If the BG is high at lunch, you'd add correctional insulin to the bolus insulin for the lunch time meal.
Look at BG levels over days. When BG is low, you reduce the amount of insulin at the meal time before that low BG level. So if your a.m. BG is low, you would decrease the basal insulin you got the night before.
When titrating, you titrate one insulin back. Target the BG that is consistently elevated and look back 1.
There is also mixed dosing which can be used when the pt can't do "4 clicks, 4 sticks" (checking BG 4 times and injecting insulin 4 times).
Mixed insulin dosing gives a suboptimal amount of insulin, but it's better than nothing. You can take mixed insulin q12 hrs. Mixed insulin is usually for type 2, not type 1 diabetics.
Carb counting = for every X amount of carbs, take X units of insulin. This is only done with bolus insulin. So if the carb to insulin ratio were 5:2 (for every 5 grams of carbs, take 2 units of insulin), and you were eating 10 grams of carbs, you would take 4 units of insulin (10 grams carbs x 2 units insulin/5 grams carbs = 4 units insulin).
Correctional insulin is also bolus. For every X mg/dL above a set value, take X units of insulin. There's also the X factor. For a standard order, it would be for every 50 mg/dL above 100 mg/dL, give 1 unit insulin. I made a post about this recently here. The sliding scale is the extra correctional insulin you give depending on the pt's BG. The X factor is based on the total daily insulin units. If it's less than 25, the X factor is 1. If it's greater than 75, the X factor is 3. If it's between 25 and 75, then the X factor is 3. If the X factor is 1, then the sliding scale would increment by 2. So for BG 150 to 200, you would add 2 units of insulin and for GB 201-250, you would add 4 units insulin, for BG 251 to 300, you would add 6 units insulin, etc. If total daily insulin is greater than 75, the X factor is 3, so the ISS would increment by 3; so for BG 151-200, you would add 3 units insulin, then for BG 251-300, you would add 6 units insulin, etc.
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