Diabetes insulin breakthrough,type 2 diabetes and weight loss zone,type 2 diabetes nutrition guide - Videos Download


About Speaking of DiabetesSpeaking of Diabetes is produced by Joslin Diabetes Center for people with diabetes and those who care for them.. Joslin Diabetes Center, a teaching and research affiliate of Harvard Medical School, is a one-of-a-kind institution on the front lines of the world epidemic of diabetes - leading the battle to conquer diabetes in all forms through cutting-edge research and innovative approaches to clinical care and education. This entry was posted in Diabetes Day2Day, Insulin and tagged exercise and insulin injections, injection sites, insulin injections. When it comes to injecting insulin, the stomach, the buttocks, the back of the arm and the thigh have something in common. If injected directly into muscle, aside from being painful, it will be absorbed much too rapidly.
Each of these approved areas absorbs insulin at a slightly different rate, and knowing this can help you make the best decision about where to inject depending on your blood glucose. For example if your blood glucose is low before a meal, you may want to inject into the buttock area because insulin is absorbed most slowly here.
Injecting insulin into the same site over and over again can lead to the fat below the skin becoming hard and lumpy. Inject at least 4 inches (or approximately one hand-width) above the knee and at least 4 inches down from the top of the leg. Inject into the fatty tissue in the back (not the side) of the arm between the shoulder and the elbow. To make sure that your insulin is absorbed consistently, it may be best to give all injections in one or two areas of the body and rotate where you inject the insulin within that site for a period of time. Hot temperatures tend to increase insulin absorption, while cold temperatures can decrease absorption. To the Point: Six Simple Tips to Overcome a Fear of NeedlesAsk Joslin: Lumps Near Injection SitesIs There A Better Way To Give an Insulin Injection?
Type 2 diabetes: What is it?Diabetes is a chronic condition that affects the body's ability to convert sugar into energy.
To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. We also offer free, instant access to over 1,500 related articles on your pet's health including preventive medicine, common and not so common diseases, and even informative case studies. The Centers for Disease Control and Prevention estimates that there will be nearly 140 million diabetics in this country within the next 40 years. The good news is that diabetes and pre-diabetes can be controlled and even reversed, preventing kidney failure, limb amputation, and blindness. The standard American diet tends to create insulin resistance, leaving higher levels of blood sugar to circulate in the system for longer and longer periods of time, wreaking havoc in the body and leading to organ damage. While a poor diet and lack of exercise are the chief causes of most US cases of diabetes, anything that interferes with the complex mechanisms that the body uses to regulate blood sugar may also contribute —including heavy metal or mercury toxicity, prescription drug interactions, mineral deficiency (especially magnesium and chromium), Candida overgrowth, and low stomach acid, all of which are common. A number of other factors may increase insulin resistance as well, including vitamin D deficiency, infections, celiac disease, gluten sensitivity, increased weight gain, stress, and puberty, as well as environmental contaminants like air pollutants, BPA, dioxin, PCBs, nitrates and nitrites, phthalates, and some pesticides. In other words, it can happen to any of us—even if we think we’re following a sterling diet. The main screening for diabetes is one’s fasting blood sugar levels, that is, glucose levels upon awakening, before breakfast. The problem is, as one’s blood sugar starts to go awry, after-meal blood sugars can swing into the diabetic range at the two-hour mark. A better test is a glucose tolerance test, where you are given a sugar drink and then have your glucose levels measured at one and two hours. A third, more extensive test is the hemoglobin A1c test, which measures blood glucose average levels over the previous three-month period. In a nutshell, the ADA’s standards, guidelines, and recommended diets are sure to turn a pre-diabetic into a full-blown diabetic, and a diabetic into one who is chronically ill with multiple complications. Even worse, most of the studies on diabetes and related complications are using ADA guidelines. Consumers are receiving false information in two critical ways: the unconscionable ADA misinformation, and conventional physicians telling them they are not diabetic and don’t need to worry, because their fasting glucose is “normal” based solely on fasting glucose tests—when in fact they may be in the beginning stages of diabetes and fully able to reverse it, which is the goal of truly preventive medicine. It is possible for many diabetics to keep their blood sugar levels close to a truly normal range with an integrative approach. Diabetes does not have to be a degenerative disease, but early diagnosis and a strong resolve to manage and even reverse the disease are required. So this week’s Action Alert is a personal request from ANH-USA executive director Gretchen DuBeau: Get to know how your body is processing the sugars and carbohydrates you consume! We are asking all of our to activists pitch in and get tested for your own health’s sake, then use your voices to get others to also take responsibility for their health and in so doing create an important change in the world. My daughters live in colorado and there is a doctor by the name of Brenna Hatami , she will work with women and thyroid and natural treatments..
Saw your post looking for a doctor in Colorado, and my nutrition office is near downtown Denver. I regularly use diet, herbs, supplements, yoga, and lifestyle modifications with my patients with great results.
I am concerned that you are claiming that these supplements and changes can reverse ALL diabetics when infact only type 2 has a chance of being reversed. As a Nurse Practitioner and Diabetes Specialist, I have been teaching my patients this for YEARS! This number using the current top ranges of 99 for glucose and 5 for insulin give you an upper limit of HOMAIR of 22.00!
Ken, a type II diaabetic since 2004 Life Extension Foundation was where I first learned of this back in May of 2004.
I suspect that a poison, capsaicin in chili pepper, is one of the causes of diabetes, especially in combination with a copper deficiency.
Last check I had I was at 70 and that was after having a light toast with jam on it an hour or two earlier. Hi Sue, if you click the link you will be taken to the article which further discusses the two drugs that cause diabetes in combination.
I had to fight to finally get Metformin, I consider it a life saver, but after years of fasting blood sugar levels of 105, 115, 119, my doctor said no, I didn’t meet the criteria for treatment, until it hit 125.
Another danger is taking antibiotics of the flouroquinolone class (for example, ciprofloxacin, levofloxacin, and avelox) because they cause dysglycemia and this is a class effect. Another danger is taking antibiotics of the flouroquinolone (FQ) class (for example, ciprofloxacin, levofloxacin, and avelox) because they cause dysglycemia and this is a class effect.
I grew up in a family where my father and mother were both big people, tall and fat, which was true of both sides of the family, good old midwestern stock. I believe that I was diagnosed more than a year too late as high sugar levels were mentioned to me in passing during annual medical checkups, but nothing more said. I have done just as you suggested and requested a blood glucose meter from my doctor which I have been using since 2008 to track my blood sugars-I noticed exactly what you said-though my A1c was in the normal range, my blood glucose would rise after a high carb meal to 180-200, which was scary. A healthy body will digest food and convert it into glucose, a chemical that fuels the cells of the body. The insulin may reach your blood stream before your digestive system has the time to release glucose from the food you eat.
In general, insulin is more quickly absorbed from the stomach followed by the arm, the thigh, and the buttocks. On the other hand, if you are hyperglycemic the stomach may be the best choice as it has the fastest absorption rate.
Aside from being unsightly, it can change the way your insulin is absorbed so you won’t easily know when the insulin will start working or peak. For example, inject your morning insulin in your stomach and your evening insulin in your thigh. It’s best not to inject in your arm or thigh if you have just exercised or plan to exercise (your arms would absorb insulin quickly if you were doing a set of bicep curls, for instance).
Be careful about injecting insulin after taking a hot shower, a bath or being out in the cold.
This allows sugar levels to build up in the blood, which can lead to heart disease, blindness and other serious complications. It is intended for general information purposes only and does not address individual circumstances. For more information about diabetes mellitus, see the fact sheets "Diabetes Mellitus - General Information", and "Diabetes Mellitus - Principles of Treatment". We encourage you to read any of these popular articles below or search our extensive pet health library. With over 600 hospitals and 1,800 fully qualified, dedicated and compassionate veterinarians, we strive to give your pet the very best in medical care. But the ADA—the supposed authority on diabetes—is providing seriously misguided information on how to manage and reverse the disease.
But the true number of diabetics will be much higher, because the conventional test for diabetes does not detect the disease until it’s in its advanced stages, and most doctors don’t perform more sensitive diagnostic tests necessary for early diagnosis. The risk of cardiovascular diseases could also be greatly reduced by better management of diabetes. Because so many of these causes can be “silent,” and because diabetes itself is generally “silent” until much damage has been done, everyone should be tested for diabetes. But because doctors typically only measure the fasting glucose, they don’t see this and miss the opportunity for early diagnosis and a higher likelihood of reversal. Or you can purchase an inexpensive glucose meter at the drugstore and check your own levels two hours after meals, especially meals high in sugars or carbohydrates.
This test is helpful for monitoring but is not the gold standard for diagnosis, because those with normal fasting blood sugar but raised after-meal blood sugars will fall through the cracks. According to the ADA, one should strive for tight control of diabetes—as defined by the ADA, that is, “getting as close to a normal (nondiabetic) blood glucose level as you safely can. They assume that an HA1c under 7.0 is “tightly controlled,” which dramatically skews any findings they might produce. If diabetes were identified in the early stages, most of the related complications and the enormous expense of managing the chronic nature of the disease would be substantially diminished. A Paleolithic diet is best, loaded with leafy greens and other low-starch veggies, high-quality fats, and clean sources of protein.
The FDA has launched a safety review of the diabetes drug Actos in light of new data suggesting that the drug may increase risk of bladder cancer. The ADA guidelines are a disincentive to doing so and give the green light to dangerously high glucose levels that result in huge and serious long-term health consequences. Have a “real” diabetes test—the oral glucose tolerance test (OGTT), which records your blood sugar levels at intervals after drinking a measured sugary liquid. We can reverse one of the most tragic (and most easily reversible) health conditions our country faces if we start now and spread the word!
I know 2 type 1 diabetics who through rigorous discipline in diet and exercise and supplementation, never took insulin and were healthier than non diabetics.
I have published this in the 2008 Medical Hypotheses 71 p 323-324, entitled “Does capsaicin in chili cause diabetes?”. For this article our staff did not research all possible drug combinations that might produce diabetes. Colin Campbell reports definitive tests where with the proper food most Type 2 diabetics tested were off their meds in 42 days, and Type 1 diabetics at half their meds. The ADA keeps Americans ignorant of the real knowledge of proper diet, nutrition-supplemets, herbs, all the hidden junk in food like HFCS, diet foods increase appiitite for sugar-like aspertame, and most of all keep them on drugs to support the pharmaceutical industry. I learned that exercise can bring that # down and started using exercise to help control my blood glucose -going on a raw food diet brought my sugars down too.
A wake up call for me as my mother has lost a good deal of her sight due to becoming diabetic and losing control. This variability is most prominent with NPH and regular insulin and not as much a factor with the rapid acting insulins. All materials contained on this site are protected by United States copyright law and may be used for personal, noncommercial use only.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. What is diabetes mellitus?-->-->Diabetes mellitus in dogs is caused by the failure of the pancreas to regulate blood sugar. Not good toward boarding, grooming, prescription and non-prescription medication, and retail items.


According to research done by Bill Faloon at the Life Extension Foundation, more than 75% of people over the age of 40 suffer some degree of pre-diabetes. Also, blood sugar levels after meals should never spike more than 35 or 40 points above one’s fasting level, and should return to near-fasting level within two hours of eating. Blood sugars can swing this way for years before the fasting levels rise to the diabetic range, and at that point, the person usually has some diabetes-related complications. Because their blood sugars fall back down to normal most of the time, the “average” can be normal even where one is in the early stages of diabetes.
Julian Whitaker, because the water-soluble antioxidants and other nutrients that protect against damage are lost in the excessive urination that accompanies diabetes, it’s no wonder so many people with diabetes end up developing kidney disease. And a combination of two common drugs—one an antidepressant, the other used to lower blood cholesterol—may put people at risk of developing diabetes. It would be dangerous for people with type 1 to think there is a cure and stop their insulin regime.
Insulin is not necessarily the answer; most on insulin get sicker and develop hear disease, blindness, and suffer amputations and kidney failure. When my patients take charge of their health by taking personal responsibility for their lifestyle decisions, most can REVERSE their Type 2 Diabetes within 90 days. No one I know who has had fasting glucose and HA1c has had a concurrently administered fasting insulin test! I have type 2 diabetes have had for 25 years and have experienced many low readings along with the symptoms that go along with low blood sugar. We cited the article about one known dangerous combination as an example of the importance of minimizing reliance on prescription drugs. There are acupuncture and acupressure points that anyone can learn, supplements like L-Carnosine that prevent advanced glycated end products.How many diabetics hear that intravenous vit-C and the herb dwarf elder can reverse endstage kidney failure. I have staved off diabetes and lowered my blood sugar #’s through using the meter to make myself aware and raw food and exercise. I am beginning to use the meter again, which is helping me see how I need to alter my food intake in order to control blood sugar highs. Insulin is needed in order for the body to have the energy it needs to grow and stay healthy. Diabetes UK estimates that over 600,000 people with type 2 diabetes don't know they have it. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. In the dog, diabetes mellitus is usually Insulin Dependent Diabetes Mellitus (also called Type 1 Diabetes). Most related organ damage such as retinopathy (damage to the retina that results in loss of vision), peripheral neuropathy (damage to nerves in the feet or hands), and kidney damage actually begins to occur when blood sugars exceed 140 for more than a couple hours per day.
Indian kino (Pterocarpus marsupium) gum resin is the only product ever found to regenerate beta cells that make insulin in the pancreas.
All vitamin, mineral, and amino acid levels should be checked, monitored, and kept in normal range with supplements if necessary. This finding is especially important because so little is known about how drugs interact with each other, and so many people are prescribed multiple drugs together. Alternatively, purchase a glucose meter and perform your own test two hours after a sugary or carb-heavy meal. Had the done so, they would have the two tools necessary to see if they are becoming insulin resistant. So it would be a good idea not to recommend chili in diets until such time as the matter is established on animal experiments, or to use capsaicin as a medicine. Many members of my family are also affliced with this illness and experience the same thing. By sedating people, these drugs slow the metabolism and this is connected with weight gain and diabetes. Reaserch has demonstrated reversal in 10 days for 100% of Type II, and 50% reversal of Type I.
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This type of diabetes usually results from destruction of most or all of the beta-cells that produce insulin in the pancreas. This is probably why the American Association of Clinical Endocrinologists recommends that people with diabetes keep their blood sugars below 140 as much as possible. Organizations like the American Dietetic Association and the American Society for Nutrition receive major funding from corporate food interests, including junk food companies. He particularly recommends supplementing with magnesium and chromium, and alpha lipoic acid and acetyl-L-carnitine for peripheral neuropathy.
Where possible, it’s always best to control diabetes without the use of prescription drugs.
Balancing and promoting the natural functions of the pancreas through supplementation is better than insulin alone and in many cases, will obviate the need for insulin and its very real side effects that may be worse than the disease itself.
Ofcourse there are supplements that increase insulin sensitivity, I am writing my second book and have over 90 pages of what diabetics can do – it is endless, it is a disease that does not need to exist. The causes of both types of diabetes are still unknown, however, type I is though to have genetic causes while type II is more strongly linked to lifestyle factors such as obesity, lack of exercise and poor diet. My parents and I all had to learn about nutrition to make sure that I was eating in a controlled and healthy way. Diabetes may not have symptomsIn most cases type 2 diabetes doesn't cause any symptoms, or the symptoms are mild, which is why many people have it for years without knowing it, and why it's important to get tested. As the name implies, dogs with this type of diabetes require insulin injections to stabilize blood sugar levels.
Other herbs or food ingredients known to be of value for managing diabetes include cinnamon, bitter melon and the fruit Garcinia cambogia to enhance insulin sensitivity.
Being of African American, Hispanic American, American Indian, Native Hawaiian or some Pacific Island descent also increases the risk for type II diabetes.
Warning sign: ThirstOne of the first symptoms of type 2 diabetes may be an increase in thirst. Like Gary Null says, you create an official organization that people go to for infomation and have them keep pumping out propaganda. Now that I have a better understanding of how to control my glucose levels and a better understanding of what is in the foods I eat, I don't have to keep written records, but I do keep mental track of what I'm eating. This is often accompanied by additional problems, including dry mouth, increased appetite, frequent urination – sometimes as often as every hour -- and unusual weight loss or gain. You could find out more about these drugs by going to www dot antipsychiatry dot org or www dot breggin dot com.
All the media goes to these organizations and that is what all everyone hears that listens to the mainstream media. This is expected to be 366 MILLION by 2030 - mainly due to a huge rise in the numbers in African and Asian countries.It is a very serious condition and is life-threatening. I try to stick to a routine so that I eat at the same times every day and maintain a balanced and consistent diet. Warning sign: Blurred visionAs blood sugar levels become more abnormal, additional symptoms may include headaches, blurred vision and fatigue. Dogs with diabetes mellitus require one or more daily insulin injections, and almost all require some sort of dietary change.
I do still keep written records of my glucose level, which I measure every day."I also make sure that I take regular exercise for around 20 minutes each day and take the medication suggested by my doctor. Warning sign: InfectionsIn most cases, type 2 diabetes is not discovered until it takes a noticeable toll on health.
Although the dog can go a day or so without insulin and not have a crisis, this should not be a regular occurrence; treatment should be looked upon as part of the dog's daily routine. Staying healthy and fit will reduce my risk of getting complications such as diabetic eye disease, kidney disease or damage to my cardio-vascular system."If you have already been diagnosed with diabetes, it is extremely important to maintain a healthy lifestyle which keeps your glucose levels as close to normal as possible. This means that you, as the dog's owner, must make both a financial commitment and a personal commitment to treat your dog. It's also important for you to know the risks associated with diabetes and the common complications that can arise from the disease.In this section, we will discuss how diabetes can affect the eyes and vision.
Diabetes can cause damage to blood vessels and nerve endings in the genitals, leading to a loss of feeling and making orgasm difficult.
If are out of town or go on vacation, your dog must receive proper treatment in your absence. Diabetes is a serious disease which, untreated, can result in permanent eye damage or even blindness.
Risk factors you can controlYour habits and lifestyle can affect your odds of developing type 2 diabetes.
Now that we have plenty to eat and don’t have to work as hard, and live longer also, type 2 is very apparent. Risk factors for womenHaving gestational diabetes when you're pregnant puts you seven times at greater risk of developing type 2 diabetes later on. The "immediate crisis" is only great if your dog is so sick that it has quit eating and drinking for several days.
The light from outside is projected onto the retina, much like light from a movie projector is projected onto a movie screen.
Having a history of polycystic ovary syndrome (PCOS) can also cause insulin resistance that can lead to diabetes. Dogs in this state, called diabetic ketoacidosis, may require a several days of intensive care. A healthy retina is essential for good vision.Attached to the retina are a number of blood vessels. Type 2 diabetes in childrenAlthough older people have a higher risk of getting type 2 diabetes, the condition is affecting more young people. Otherwise, the initial hospitalization may be only for a day or two while the dog's initial response to insulin injections is evaluated.
Diabetes UK says around 35,000 children and young people in the UK have diabetes, with around 700 of these having type 2 diabetes. In a person suffering from diabetic retinopathy, these blood vessels become damaged and swell. The leading risk factor for children is being overweight, often connected with an unhealthy diet and lack of physical activity. Some can become so damaged that they fail to perform their job as carriers of nutrients to the retina. Once children are overweight, their chances of developing type 2 diabetes more than doubles. In even more advanced stages of diabetic retinopathy, the body will produce more, alternative blood vessels on the surface of the retina to replace those which have been damaged. Your veterinarian will work with you to try to achieve consistent regulation, but some dogs are difficult to keep regulated.
These new blood vessels are weak, however, and can leak blood into the main cavity of the eye. Often a urine test is carried out first, and if it contains glucose, or a person is at risk of diabetes, one or more blood tests to check levels of glucose in the blood are performed. It is this leakage which causes vision loss and possibly even blindness.Don't wait for symptoms to appear! Your dog needs consistent administration of insulin, consistent feeding, and a stable, stress-free lifestyle.
Although it is not essential, your dog should live indoors to minimize uncontrollable variables that can disrupt regulation. For this reason, it is necessary to have a comprehensive eye exam at least once a year-- even people who manage their diabetes well have a high risk of developing diabetic eye disease. How does insulin work?In healthy people, after a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells use the hormone insulin, made in the pancreas, to help them process blood glucose into energy. However, this fear is unfounded, since the disposable injection needles are extremely sharp and cause minimal pain, the insulin does not sting or otherwise hurt on injection, and the injections are given under the skin in areas where it is impossible to damage internal structures. This widens the pupil (the dark part of the eye) so that the doctor can see more easily to the back of your eye where the retina is.Treatment for diabetic retinopathy is available.


People develop type 2 diabetes because the cells in the muscles, liver and fat cannot use insulin properly, called insulin resistance.
Once you are shown how to give them, you may be pleasantly surprised at how easy it is and how well your dog tolerates the injections.
Most commonly, a laser procedure can be used to prevent weak blood vessels from leaking blood into the eye.
Type 2 Diabetes: Metabolism mishapsIn type 2 diabetes, the cells cannot absorb glucose properly. How is insulin stored?Insulin is a hormone that will lose its effectiveness if exposed to direct sunlight or high temperatures. Blood that has leaked into the eye blocks light from clearly passing through the eye and onto the retina, causing blotchy vision and even blindness. If you've developed a condition called insulin resistance, the body makes insulin, but the muscle, liver and fat cells cannot use insulin, or do not respond to the insulin, properly. If you have any doubt about the storage of your pet's insulin, it is safer to replace it rather than risk using ineffective insulin. With long-standing, uncontrolled type 2 diabetes, the pancreas will reduce the amount of insulin it produces. Insulin is safe as long as it is used as directed, but it should be kept out of the reach of children. But I do have to go the eye doctor more frequently to make sure that my condition is not getting worse.""I think it is important for people with diabetes to realize the risks that this disease can have for all parts of the body. Managing diabetes: DietFortunately, people with type 2 diabetes can significantly reduce the risk of damage to their bodies, including damage to the heart, kidneys, eyes and feet.
Insulin comes in an airtight bottle that is labeled with the insulin type and the concentration. The eyes are especially important because problems can occur even before you feel any discomfort or changes in vision.
It is important to make sure you match the insulin concentration with the proper insulin needles. I encourage everyone with diabetes to get regular (yearly) eye exams and to eat right and follow their doctor's recommendations on how to manage their diabetes. People with type 2 diabetes should carefully monitor carbohydrate consumption, as well as total fat and protein intake and reduce calories. Insulin needles show their measurement in "units per ml", which must correspond to the concentration of the insulin you are using. Even in people without diabetes, but who might have a risk of becoming diabetic, maintaining a healthy diet without too much sugar or salt and plenty of vegetables and fruits as well as exercise can greatly reduce the risk of contracting diabetes."Quiz1. Managing diabetes: ExerciseModerate exercise, such as strength training or walking, improves the body's use of insulin and can lower blood sugar levels in people with type 2 diabetes.
Being active also helps reduce body fat, lower blood pressure and protect against heart disease.
Your veterinarian will instruct you on which type of insulin you are using and which type of syringe you should use.
Try to do at least 150 minutes of exercise a week, with some exercise on most days of the week.
How should I draw up the insulin?Before administering the insulin, you must mix the contents. It can also increase glucose levels in your blood as part of your "fight or flight" response.
The reason you do not shake insulin is to prevent foam formation, which will make accurate measuring difficult due to the tiny air bubbles. Instead of letting stress take its toll, try relaxation techniques such as deep breathing, meditation or just talking to a friend or relative. When you have finished mixing the insulin, turn the bottle upside down to see if any white powder adheres to the bottom of the bottle.
Managing diabetes: MedicationWhen people with type 2 diabetes are unable to control blood sugar sufficiently with diet and exercise, medication can help. There are many types of diabetes medicines available and they are often used in combination. Some work by stimulating the pancreas to make more insulin, while others improve the effectiveness of insulin, or reduce the liver's production of glucose, or block the digestion of starches.
Managing diabetes: InsulinMany people with type 2 diabetes eventually develop 'beta-cell failure'. This means the cells in the pancreas no longer produce insulin in response to high blood sugar levels.
In this case, insulin therapy – injections or an insulin pump – must become part of the daily routine. Whereas insulin pulls glucose into the cells, these medications cause the body to release insulin to control blood sugar levels.
Glucose testingTesting your blood glucose level will let you know how controlled your blood sugars are and if you need to take action to change your treatment plan. Either existing blood vessels swell and possibly leak fluid or new blood vessels grow on the surface of the retina.C.
How often and when you test will be based on how controlled your diabetes is, the type of therapy used to control your diabetes and whether you are experiencing symptoms of fluctuating sugars. Your diabetes team will suggest how often you should use a glucose meter to check your blood sugar. In order to ensure that you have the correct amount of insulin in the syringe, make sure that it starts at the "0" on the syringe barrel, and that the edge of the plunger nearest the needle is on the correct unit mark on the barrel. Common testing times are first thing in the morning, before and after meals and exercise and before bedtime.
Before injecting your dog with the insulin, check that there are no air bubbles in the syringe. Long-term damage: ArteriesOver time, untreated type 2 diabetes can damage many of the body's systems. People with diabetes are likely to develop plaque in their arteries, which reduces blood flow and increases the risk of clots. Then withdraw the needle from the insulin bottle and tap the side of the barrel of the syringe with your fingernail to make the air bubble rise to the tip of the syringe. People with diabetes are up to five times more likely to develop heart disease or have a stroke. When you have removed all of the air bubbles, double-check that you have the correct amount of insulin in the syringe. Long-term damage: KidneysThe longer you have untreated diabetes, the greater the risk of developing kidney disease or kidney failure. 2)  Have someone hold your dog while you pick up a fold of skin from somewhere along your dog's back in the "scruff" region of the neck with your free hand. Long-term damage: EyesHigh blood sugar can damage the tiny blood vessels that bring oxygen and nutrients to the retina, a critical part of the eye. This is known as diabetic retinopathy and it can cause progressive, irreversible vision loss. 3)  Quickly push the very sharp, very thin needle through your dog's skin at about a forty-five degree angle. People with diabetes are up to 20 times more likely to go blind than those without diabetes. However, take care to push the needle through only one layer of skin and not into your finger or through two layers of skin and out the other side. Although blindness can result from diabetic eye diseases, the following are all ways of reducing this risk except:Select an answerA. Long-Term Damage: Nerve PainOver time, uncontrolled diabetes and elevated blood sugars create a very real risk of nerve damage. The latter will result in injecting the insulin onto your dog's haircoat or onto the floor.
Symptoms can include tingling, numbness, pain and a pins and needles sensation -- often in the fingers, hands, toes or feet. 4)  To inject the insulin, place your thumb on the plunger and push it all the way into the syringe barrel. If you are unsure if you administered it correctly, or if you "missed," do not administer additional insulin. Simply resume your normal schedule and give the next insulin injection at the regular time. Immediately place the needle guard over the needle and place the used needle and syringe into a puncture-resistant container.
Preventing type 2 diabetesOne of the most astonishing things about type 2 diabetes is that such a life-altering condition is often preventable.
Be aware that some communities have strict rules about disposal of medical waste material so don't throw the needle and syringe into the garbage until you know if this is permissible.
It is usually preferable to take the used needles and syringes to your veterinary clinic or local pharmacy for disposal.
Should I sterilize the skin with alcohol before giving the injection?It is neither necessary nor desirable to swab the skin with alcohol to "sterilize" it. 2)  Due to the nature of the thick hair coat and the type of bacteria that live near the skin of dogs, brief swabbing with alcohol or any other antiseptic is not effective. 3)  Because a small amount of alcohol can be carried through the skin by the needle, it may actually carry bacteria with it into the skin. 4)  If you have accidentally injected the insulin onto the surface of the skin, you will not know it. If you do not use alcohol and the skin or hair is wet following an injection, the injection was not done properly. Although the above procedures may at first seem complicated and somewhat overwhelming, they will very quickly become second nature. Your dog will soon learn that once or twice each day it has to sit still for a few minutes.
In most cases, a reward of stroking results in a fully cooperative dog that eventually may not even need to be held. Although most dogs will require the same dose of insulin for long periods of time, it is possible for the dog's insulin requirements to suddenly change. However, the most common causes for change are a reduction in food intake and an increase in exercise or activity. The dog should eat before giving the insulin injection, because once the insulin is administered it can't be removed from the body. Always remember that it is better in the short term for the blood sugar to be too high than too low. This can occur because the insulin was not properly measured in the syringe or because two doses were given. You may forget that you gave it and repeat it, or two people in the family may each give a dose. The most likely time that a dog will become hypoglycemic is the time of peak insulin effect (5-8 hours after an insulin injection). If there is still no response, contact your veterinarian immediately for further instructions. If it occurs at night or on the weekend, call your veterinarian's emergency phone number for instructions.
SUMMARY OF INSTRUCTIONS FOR INSULIN TREATMENT OF YOUR DOG: Read and reread this material so that you understand the specifics of proper regulation and how to recognize and treat hypoglycemia. If glucose is not detected, measure the glucose two consecutive days every other week or as directed. If two injections are given each day, be sure the test is done before the evening injection.



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