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The major advantage of carb counting is that it gives flexibility to eat a meal or snack when ever you wish and gives a freedom to choose any food you like.
The carbohydrate content of a meal is quantitatively a determining factor of the mealtime insulin doses. Initially carbohydrate counting and insulin dose calculation may sound like a difficult task. The good news is that the technology for the management of type 1 diabetes is moving fast and is making living with type 1 diabetes a lot easier.
At ACE diets we can help you to learn the differences between carbohydrate counting and general diabetes control. Today’s post centers around a discussion that one of my friends had with a nurse educator. How do you go about showing new innovations to patients so that they get to choose options that best suit their lifestyle? The list below is not comprehensive, does not allow for individual country differences and is only what I know of. For those of you reading this list, who have seen other innovations, feel free to share them in the comments. BD makes several different sizes, but their claim to fame is the 4mm nano needle which fits all pens.
Novotwist 5mm needle (32 gauge):  This needle fits only Novo Nordisk products but saves that annoying, screwing on of a needle.
Novopen 4: Not available in every country, but this pen is durable, made in Germany, and easy to use and hold.
Humapen:  Different in shape to the pen 4, most people using this non disposable pen also like it. Kwikpen: To be honest I am not a big fan of this pen simply because it gives no tactile feedback on when the dose is finished. Flextouch:  Having played with this pen (and used it, along with all the others), this pen is pretty cool.
If you knew of these innovations, then you truly have a great team of health professionals looking after you. Call a nurse educator you see and ask them to call their rep and ask for one on your behalf. Attend a conference that Novo Nordisk is working (the ADA is one, and see if you can’t score one there). This is a great example how a company, makes a great product, but bureaucracy and access prevent it getting in the hands of those who need it.
Don’t forget the memory of the echo pen, when I was using it, that was also a great feature.
DISCLAIMERIt seems a little silly that I even have to write this, but, in the interest of protecting yourself against yourself, The information contained within this blog should not be considered medical advice for you to follow. When I was 40 years old I had a unique opportunity to take part in a clinical trial to cure type 1 diabetes by receiving an islet cell transplant.
Of course, given the opportunity cure type 1 diabetes, to eradicate the condition causing me to take insulin injections twice a day, causing me to black out a few times a year, destroying my fingertips with blood sugar testing, and generally making my life unpleasant and inconvenient on one side of the scale and a living hell on the other, I leapt at it. Some months after the second of two transplants I made a ham sandwich and, on my own without consulting my doctors, didn’t take insulin to counteract the food. The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes. The irritation caused by any kind of skin infection leading to the inflammation of the feet and the constant urge to scratch and itch the area concerned is known as Itchy Feet. The symptoms of itchy feet as the very term of the disease suggests is mild or persistent and severe itching of the feet and the toes as well. Normally any kind of contact of the skin with bacterial or viral agents of infection can cause one to itch the skin in an insane manner. The fungi named Tinea pedis is responsible for causing the skin disease which is not only commonly sighted among athletes but also among all of us. This disease is characterized by an extremely itchy feet rash that is caused by a contagious pathogen called the Tunga penetrans that dwell in moist soil.
Excessive perspiration causes the emergence of small and shallow cavities over the soles of the feet or the palm of the hands.
Acroangiodermatitis is also a type of dermatitis that causes red itchy feet accompanied with the occurrence of purplish patches and ulcers over the affected area. Also known as Sweaty Sock Syndrome is supposed to be triggered by the constant friction of the feet with the uncomfortable shoe. It is a form of parasitic skin infection that is caused by the act of walking on sand or moist soil barefoot.
The encroachment of the skin surface by the tiny itch mite is highly responsible for causing itchy feet and hands at night. Besides these above mentioned causes for itchy feet, diabetes and itchy feet may also go hand in hand as several diabetic complications give rise to conditions related to body itching.
In case of Pruritic Urticarial Papules of Pregnancy (PUPP), this is a medical condition that characterizes the occurrence of itchy bumps on the stomach or the development of rashes on the skin. It is a common belief that women who suffer from cholestasis are actually at a greater risk of pregnancy.
It is a dysfunction of nerves and is a common cause for foot itchiness in diabetic individuals.
Fungal infections such as Athlete’s foot usually arise with an acute itchy red rash on the skin between the toes.
In some cases, patients may suffer from itchiness in their feet without the presence of any accompanying rashes. It is a cancerous condition of the blood that arises in the lymphatic system and may occur as either a Hodgkin or non-Hodgkin lymphoma. A failure of the kidneys due to underlying disorders such as high blood pressure or diabetes may leads to Acidosis in the late stages and result in itchiness. Medical attention should be sought on an immediate basis at the sight of itchy, inflamed feet. Many people also experience burning sensations in their feet, apart from the discomforting symptoms of itchiness. For those who desperately want to know how to stop or rather get rid of itchy feet since it is causing them a great measure of annoyance and irritation, they must first take into consideration the exact cause of itchy feet as different causes have been assigned different treatments.

For itchy feet caused by Athlete’s Foot, the treatment lies in washing the feet with an anti-bacterial soap.
In case of Tungiasis, the flea causing the itch may be removed physically or the application of anti-parasitic ointments may help. The disease called the Sweaty Sock Syndrome that causes itchy feet does not have a specific treatment as such but is usually dealt with the application of separate ointments for the day and the evening.
Cutaneous Larva Migrans can be treated by the application of anti-parasitic drugs like thiabendazole on the affected area. Use of such creams can prevent or cure fungal infection of the skin between the toes and eliminate the sensations of itching over time. Herbs like Tea tree oil, licorice, garlic and turmeric have natural antifungal properties and can reduce itchiness of feet due to various ailments. However, persistent cases of itchiness that fail to resolve with these measures should be reported immediately to doctors for quick diagnosis and effective cure. Itchy feet bath in water mixed with small amounts of rosemary essential oils or peppermint helps in healing itchy feet lesions or blisters. As an alternative, moisture absorbing substances such as cornstarch or talcum powder can be sprinkled to the feet and the toes before putting the feet into the shoe. The best treatment for any kind of infectious disease such as itchy feet basically lies in maintaining ones personal hygiene. For people with Type 1 Diabetes, blood glucose control is best achieved by matching rapid acting insulin dose directly to the amount of carbohydrate consumed; this method is called Carbohydrate Counting.
Find your individual “correction factor” – extra units of insulin to correct a high blood glucose level that is above your personal targets.
However, you will gradually become more familiar with the process and it will eventually become second nature. If you are using insulin pump therapy, you are probably already using the bolus calculators built into most pumps.
The randomized and non-randomized studies have shown the efficiency of Insulin Pump Therapy across all age groups. We are experts in advising people with multiple daily injection therapy (MDI) as well as those on insulin pump therapy (CSII). These insulins are from the 50’s, need to be taken 30mins before a meal (who knows how much they want to eat 30 minutes before eating?) and have a 4 hour duration. I signed on the dotted line of a consent form even though the list of potential and life-threatening complications was long.
Before leaving for home, my doctor, knowing I ran marathons, walked me across the hall one night to meet a triathlete who had been hospitalized after being diagnosed with type 1 diabetes that weekend.
Mostly triggered by a bacterial or fungal infection, it is also characterized by the inflammation of the feet and an urge to scratch and itch the feet constantly.
The most common reason behind itchy feet is the sweating of the feet and the moistening of the same due to wearing a shoe or socks for a prolonged period of time. The most significant causes for athlete’s foot are the wet and humid environment within which has to work. Vessel disorders lead to the formation of lesions which actually result from hindered and impaired flow of blood to the feet and toes.
Cutaneus Larva Migrans is a typical phenomenon of the tropical and subtropical regions and is also known by other names such as Ground Itch or Creeping Eruption. Such problems associated with the immune system are primarily responsible for dry and cracked itchy feet. Although the problem is quite common, it causes a great deal of discomfort as itchy feet is quite irritating.
It basically occurs during the trimester of pregnancy and causes great discomfort to the pregnant mother. On a severe note, this condition is also responsible for causing maternal or fetal hemorrhage, fetal distress, premature labor pain, still birth or even intrauterine death of the baby. Tingling, tremors, numbness and pins-and-needles can be other associated discomforting sensations. In diabetics, toenail fungus is also common and is identified by yellowing and thickening of nails with crumbly edges. It is not known why this occurs although it has been theorized that the possible accumulation of bile salts under the skin may result in itchiness on the palms of hands and the soles of feet.
Apart from itchiness without rash, it may also give rise to other problems like fatigue, fever, weight loss and swollen lymph nodes.
In this condition, there is an excess of bile acids in the liver which then flows into the bloodstream of sufferers.
Extremely tight footwear compresses the nerves in feet and other adjoining tissue, which can cause burning and itchy sensations in feet. In other words a proper diagnosis is essential for availing a proper treatment for itchy feet.
As a preventive measure, one should wear well fitted shoes so as to avoid any kind of friction of feet or toes.
It helps in killing the parasites and healing the skin lesions that was triggered by the excessive itching of the feet. Drying the feet with a hair dryer after taking a bath helps both in preventing as well as treating itchy feet. One can also opt for going for a pedicure treatment with a solution of the above mentioned items with a slight modification of substituting rosemary oils with lavender oils. Since it is a contagious disease, one should be careful as not to wear shoes that belong to others.
If you are on  MDI therapy there are now several blood glucose meters available with a built in mealtime (bolus) insulin calculator for calculating suggested insulin doses which means that it eliminates the need for you to make any mathematical calculations when estimating your mealtime insulin dose. However, to make most of the technology, you also need to know about carbohydrates, how to monitor your blood glucose regularly, how to re-address insulin to carb ratios and about correction factors, how to re-address the adequacy of your background basal rate and use correct strategies for high and low blood glucose. I am also going to ask educator to see if he can secure one because I want a back up one just in case. By transplanting islet cells into my liver it was hoped they would function like islet cells do in a person without diabetes, and I would be cured of the condition that had defined a great deal of my life for almost 30 years.
I would have to take immunosuppressant drugs, just like any other organ transplant recipient. I felt like a kid with a test tube and a Bunsen burner prepping for the science fair and needing to try the experiment one more time to make double sure it would work.

I didn’t sit with gallons of Ben & Jerry’s and sample myself into a gait-altering weight gain.
I shook his hand and, as a mere marathoner meeting a triathlete, joked, “I’m not worthy.” I then said how sorry I was he’d been diagnosed with diabetes. However, I did not feel like Robert DeNiro after he descends back into a catatonic state after having been awakened at the end of the movie Awakenings.
Itchy feet and hands are although quite a common condition that may happen to anyone and everyone, its persistency may be a reason of concern which may aggravate to cause a condition characterized by extremely itchy skin. However, the symptoms of itchy feet may be accompanied with the symptoms of other skin diseases such as ringworm or metabolic diseases such as Diabetes. The constant exposure of the feet to water leads to the occurrence of an infection triggered by Tinea pedis. These lesions are actually very itchy in nature and quite painful as well.  Palmoplantar Keratoderma is also a condition that is associated with dermatitis that causes the skin of the palms and the soles to thicken and cause different vagaries of skin disorders. It is signaled by the development of cracks that lead to dry, reddened or very cracked itchy feet. Itchy feet and hands during pregnancy are actually caused by the enlargement and the stretching of the uterus while pregnancy is in progression. This is a mild condition that normally does not harm women but may be a cause of concern if the itching remains unabated.
Such cases are truly critical in nature and need to be dealt in a very careful and trained manner. Itchiness without rash is a common symptom of this disorder, particularly in regions like the hands and the feet. Hot water removes all traces of oil that are naturally produced by the skin and leaves it in a dry state. Further, one should apply anti-fungal cream or powder available over the counter along with the prescribed ointment or pill on the affected area. On the other hand, dermatitis can best be dealt with cod compresses, topical steroids and hydrocortisone.
And Scabies can be treated with either a scabicide or a cream that prescribed by the podiatrist. In place of the vinegar, one may also use hydrogen peroxide which shall help restrict the occurrence of any kind of bacterial or fungal infection. Direct contact of any kind with mud and sand or with the socks and shoes of an infected person should be strictly avoided. For example, 1 unit of rapid acting insulin may be appropriate for every 10g of carbohydrate in a meal. Once you have worked out and programmed the information into the meter along with your insulin-to-carbohydrate ratio and correction factors, the rest is then calculated by the meter.
Using fasting tests help you learn about your individual background insulin requirements over 24-hour period and allow programming of your pump to your individual needs. I didn’t gorge at McDonald’s, or drink a pony keg of Pabst Blue Ribbon with no cares for testing my blood sugar, or for high sugars, or for having my blood sugar crash out into crippling hypoglycemia in the middle of the night.
I did not feel like the main character in Flowers for Algernon, who reverts to mental retardation after a period of high intelligence following an experimental treatment.
It is of several types such as irritant dermatitis and allergic dermatitis which is triggered by irritant or an allergic substance. Due to this hot itchy feet at night is not just the problem that one suffers from but one may also be perturbed by scabies in other parts of the body which is actually contagious in nature. Another cause for not only itchy feet and hands but the entire body may be the release of sex hormones or enzymes by the liver during pregnancy.
Extremely itchy feet may cause Cholestasis, a rare condition characterized by the accumulation of the bile salt in the body.
However, for acroangiodermatitis, the treatment depends on the effective correction of disorder that latently causes the same. For treating severe cases of itchy feet that turn calm nights into nightmares and is also a cause of social embarrassment, one must abide by the prescription and suggestion of a podiatrist.
This ratio is individualized from patient to patient, and it may even vary for the same patient at different times of the day.
It is also important to make full use of the extra features available on your pump, such as temporary basal rates and multi wave and square wave boluses. But, I thought, diabetes already offers massively increased risk of heart disease, with the additional bonus risks of blindness, amputation, kidney failure, and just about any other permutation of sickness that could be named. The disease may also spread if one shares contaminated shoes, or uses an unhygienic public toilet. The itching is so severe at times that it forces pregnant women to even scratch and itch the affected area to such an extent that it may bleed. As a matter of maintaining personal hygiene, one must wear cotton socks but must change socks regularly as it prevents one from suffering from sweaty itchy feet.
That was not only because I still tested my blood sugar several times a day, per the requirements of the study.
Patients will also have to take into account pre-meal blood glucose level and give a correction dose if blood glucose is above the target range.
The most discernable symptoms for athlete’s foot is the irritable itching of the skin belonging to the soles, upper parts or sides of the foot, or between toes and the occurrence of itchy feet blisters as well. The correction factor is again individualized to each patient and it may vary at different times of the day. It is also accompanied by the reddening of the area, soreness, dampness, development of cracks or the peeling off of the skin belonging to the same. And, most importantly, I continued monitoring my health constantly in my mind, noticing what was happening with my body, and adjusting as needed.
They allow, and sometimes cause things to happen to their bodies then make adjustments to counteract what is happening. They try to make things happen to their bodies, then listen to whether or not that thing is taking place, and finally make adjustments afterward if it’s not.

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