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Once the insulin and the insulin receptors become dysfunctional other glands, organs and systems in the body must compensate. After the damage gets to a certain point, the body will show type 2 diabetes symptoms that you will notice.  The first of these is increased urination and increased thirst.
Good blood sugar control today will reduce the risk of damage to kidneys and other organs tomorrow.
Early detection of kidney damage is important, but there might not be noticeable symptoms in the early stages. Keeping blood sugar as close to normal as possible is the first step to preventing kidney disease. Educating individuals on best ways to avoid this and other diabetes complications is a goal of self-management courses. Whether you have already planned a summer vacation or still in the process, incorporate your pump or CGM needs into your travel plans instead of treating your needs as an afterthought or an overwhelming fear. You can obtain a Transportation Security Administration Card to print out and bring with you to notify TSA of your diabetes can be found online.
Always have Plan B in place in case something goes wrong with your current device, such as carrying syringes or pens to give injections and carrying extra supplies in case you run low. Be sure to carry some form of prescription or letter from your physician that treats you for your diabetes. Carry all of your medicines, such as insulin, and all related supplies in your carry-on baggage. If you wear an insulin pump or continuous glucose monitoring device, it is OK to continue to keep them on as you go through security at airports or terminals.
A printed checklist might help elevate stress and keep your plan in your hands, front and center. Learning how to handle life’s challenges like traveling and treatment plans is a covered topic in diabetes self-management courses.
Although the calendar says the influenza season should be over, cases of the flu are increasing into March 2016 instead of winding down to a close. A sick day plan should include these elements of good blood sugar control.  Monitoring, meals and medications are key while exercise or physical activity is usually halted during the illness.
The sick individual needs to follow a schedule for monitoring that gives the diabetes care team information to direct the modifications for the patient’s needs. Recording temperature, blood sugar, medication amount and time, fluid and food intake and the presence of ketones are highly important on sick days. A log to monitor the sickness over time, glucose meter, lancets, lancing device, test strips, control solution, and a bottle of Ketostix should be included in a sick day management tool kit.
The start of each year is a prime time to consider your life, health and ways to improve both. Timely – I will make an appointment with my care team every three months in 2016 to evaluate my A1C with hopes to start 2017 near 7.5. Other goals that will impact blood sugar control include getting regular and sufficient exercise, gaining or losing weight, following a diabetes nutrition plan, and being more compliant to medication schedules. The National Diabetes Education Program, a part of the National Institutes of Health (NIH), offers an online resource for making a plan for success. The CGM reads blood sugar levels every one to five minutes and shows whether a person’s blood sugar is rising or falling. The diabetes educators at Diabetes Management & Supplies can help take the guess-work out of your monitoring needs. Insulin pumps and Continuous Glucose Monitoring devices work best when insertion sites and parts and accessories are changed as recommended.
Insertion site management refers to choosing the best locations on your body to place insertion sets and sensors, but it also involves the frequency in which the site is changed and new supplies are put in place. John Wright, Diabetes Management & Supplies Director of Sales, wears an insulin pump and stresses that site management can affect the level of blood sugar control. Insulin pump wearers will experience poorer blood sugar control when a site has been used too long before rotation.
It is recommended that CGM sensors be changed every six to seven days, but infusion sets should be changed every two to three days. Insulin pump use will require supplies that include insertion sets, reservoirs, tubing, cartridge caps, batteries, dressings and adhesives. CGM devices will require supplies that include sensors, receivers, transmitters and batteries.
To ensure the best results, keep an eye on your supplies on hand and always place reorders enough in advance that you don’t run out of supplies or over use your insertion sites.
The holiday season may help bring attention to a rarely-discussed diabetes symptom: depression.
The American Diabetes Association explains that people with diabetes are at a greater risk to depression and the complications of poorly controlled blood sugars are very similar to the symptoms of depression. Spotting depression in yourself or someone you love is an important step to countering depressions effects. Change in sleep patterns: You have trouble falling asleep, you wake often during the night, or you want to sleep more than usual, including during the day.
Change in appetite: You eat more or less than you used to, resulting in a quick weight gain or weight loss.
This month (November) is Diabetes Awareness Month, a time set aside to education and inspire those living with a form of diabetes and those who can take steps to reduce their risk of the preventable conditions associated with diabetes.
Type 1 Diabetes accounts for only 5 – 10 percent of all cases, and used to be called juvenile diabetes.
Type 2 Diabetes is the most common form of diabetes, accounting for 90 – 95 percent of all cases. The causes of Type 2 Diabetes are not completely understood, but it almost always starts with insulin resistance. The causes of Gestational Diabetes have not been determined, but the many hormonal changes during pregnancy contribute to what is called insulin resistance – which is your body not using the insulin that your pancreas produces. For more on these forms of diabetes, visit the Diabetes Management & Supplies Learning Center. I have strong memories of hypoglycemia anxiety from my early days of living with Type 1 diabetes. I counsel people with Type 1 diabetes, and one of the most stressful parts of diabetes for many people is the experience of being hypoglycemic. Hypoglycemia anxiety can diminish their quality of life, and often results in an ongoing elevated blood glucose level that causes other health issues.
Anxiety becomes problematic when we overestimate the dangers that surround us, and underestimate our ability to cope.  We can reduce anxiety by developing a more realistic perception of the dangers we face, and of our ability to cope with them. I have had many patients describe feeling “low” when their blood glucose readings are actually in the normal range.  Many believe this is because they are on their way to a low and will just keep dropping.


For those with high levels of anxiety, it can be helpful to develop a hierarchy (list) of fears. The nursing student starts to look at factual evidence to challenge her belief she will go low and die. If you are struggling with anxiety, or someone you care about who has diabetes is struggling with anxiety, maybe you can try some of the techniques described here. If your hypoglycaemia anxiety is so high that these ideas seem out of reach for you, then please consider accessing professional support. Michelle Sorensen is a member of the Ontario College of Psychologists and has a private practice in Clinical Psychology in Ottawa. Having had T1D for 64 years and literally thousands of lows i was not anxious about having them. 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. An increased amount of abdominal fat has been linked to several health complications (diabetes, heart disease, and stroke). Each 2-inch increase in waist circumference was associated with a 17% increase in mortality in men and a 13% increase in women. The information provided within this site is strictly for the purposes of information only and is not a replacement or substitute for professional advice, doctors visit or treatment. There are many parts of the body that help to control and maintain proper blood glucose levels.
This activity gives you the opportunity to raise the public awareness about the importance of a healthy lifestyle in preventing diabetes. Having diabetes puts you at a greater risk for developing kidney disease also called diabetic nephropathy. It’s important to have regular urine tests to find kidney damage early because early kidney damage might be reversed. Control your blood pressure by checking it on a regular basis and following your doctor’s recommendations for acceptable levels. If you need help developing a strategy to avoid complications or face other challenges, Diabetes Management & Supplies can assist with diabetes self-management and education services.
There’s nothing new under the sun and you can also reap the benefits of those who have traveled the vacation path before you.
If you need help developing life and treatment strategies, Diabetes Management & Supplies can assist with diabetes self-management and education services.
Avoiding illness is a prime goal, but people living with diabetes should be aware of the special needs presented by sick days caused by the flu and other conditions. Meals and eating will play an important role as medication will need to be adjusted to match rising or falling blood sugar levels.
This log or report will give insight to the diabetes care team of current health status and allow them to help adjust medication or intake to prevent dehydration or ketoacidosis. Certain foods, testing equipment and testing supplies need to be handy before a sickness occurs.  The phone number of the doctor or diabetes care team should be readily available. The food pantry should contain: broth, both sugar-free and regular Jello, both diet and non-diet soft drinks, both sugar-free and regular popsicles, both thin and creamy soups, regular and sugar free pudding, yogurt, juice and milk.
Centers for Disease Control (CDC) reports that across the country, this flu season was significantly less severe than in the last few years, though number of cases have been increasing since early January.
Motivation and method are both key to setting new goals and ending your year with a sense of accomplishment.
SMART Goals provide a road map to success because those goals are Specific, Measurable, Attainable, Realistic and Timely.
Beyond those faceless figures, one should focus on goals that bolster your diabetes control.
Your diabetes care team should be consulted about ways to reduce your A1C and risk of complications. Lowering one’s blood sugar is a great goal, but drastic drops can increase changes of hyperglycemia. Diabetes Management & Supplies offers diabetes self-management and diabetes education services.
A CGM automatically takes several blood sugar readings throughout the day, sends alerts for extreme readings and feeds those levels to the insulin pump. Combining CGM with insulin pump therapy can provide a method to monitor and manage blood glucose levels. For more information on specific monitoring or insulin delivery needs, call our Education Department at 1-888-738-7929.
Resolving to make “a healthier you” in 2016 can start with a good understanding of your device and its disposal parts and ensuring you are always equipped with adequate supplies. Click HERE for our efficient reorder form or call 1-888-738-7929 to place an order by phone. Whether emphasized by SAD (Seasonal Affective Disorder) or just noticed in contrast to the festive season, depression may be one sign of diabetes or a flag that one’s diabetes is not in good control. Treat yourself to your favorite stuffing or homemade pie on these days.  Keep these treats to the holidays.
These foods fill you up, but will not affect your blood sugar. Chicken, turkey and cheese are often on party trays. Just a 15-minute walk before or after a holiday party can help to keep your blood sugar in control when you are celebrating. It is group of similar conditions that fall into the same category because the symptoms and effects on the body may be similar. Three-quarters of people who develop type 1 are under the age of 18, and most others are under 40 years old, but older adults develop it as well. Most experts believe it is an autoimmune disorder, which is a condition that occurs when the immune system mistakenly attacks and destroys healthy body tissue. In studies that followed relatives of people with Type 1 Diabetes, researchers found that relatives who later developed diabetes had certain auto-antibodies in their blood for years. It used to be called adult-onset diabetes, but, unfortunately, both children and adults develop this kind of diabetes. Gestational diabetes is still diabetes, which means your blood sugar levels are abnormally high. Patients in my practice with very high blood glucose levels have learned to look at the evidence and develop more balanced thoughts about the likelihood of a dangerous low. This allowed her to keep her BG levels in a normal range for longer periods of time, without giving in to the impulse to snack and boost them higher to get rid of the hypoglycemia anxiety she felt. This can be helpful when patients are becoming accustomed to a healthier range of blood glucose levels after having lived with higher readings due to the fear of hypoglycemia.
For example, take some deep breaths every time you sit down to eat a meal or to catch up on email.


I have met patients who have underlying worries about the long-term effects of their high blood sugar, but it just never seems like the right time to change their way of coping. Start with the most intense sources of anxiety at the top of the list and the least feared situations, events or people at the bottom.  Work your way up the list gradually, gathering evidence about your ability to confront yours fears until you are able to tackle the most intense ones on the list. Of course, all of these techniques need to be used in conjunction with support from family and health care professionals. It is a good idea to speak to your diabetes educator or endocrinologist for support and possibly referral information.
My simple advice would always be avoid panic, keep packets of sugar with you always, take medicine and meals regularly, regular exercise and visit a doc monthly or quarterly. I experienced this anxiety when first diagnosed (at 32 of T1D) partly because I had seen my mother (also T1D) have low blood sugars at a young age, when I didn’t really understand what was happening. I could have used that a few years ago ?? I really appreciate the frankness of the article, thank you! Now that i am older i get very anxious after them for an hour or so but understanding what is happening to your body helps. The provided content on this site should serve, at most, as a companion to a professional consult.
Your body begins to package the excess glucose as fat.  That is when you notice the belly fat! In type 1 diabetes, hyperglycemia starts in the first decades of life and is usually the only recognized cause of nephropathy. Finally, don’t use tobacco because it narrows your blood vessels including the already tiny ones working deep inside your kidneys. Transportation Security Administration (TSA) has a helpline number to assist patients with medical conditions who want to prepare for the screening process prior to flying. It will help to remove this bag from your luggage so that the TSA officials can clearly see what is inside. Please notify the TSA officials as you move through the checkpoints that you are wearing a pump or CGM. The purpose of a sick day management plan and more vigilant testing has to do with limiting hyperglycemia and dehydration. Medications are to be taken on the usual schedule or may be modified to meet the patient’s needs by the doctor or a member of the healthcare team. The most common types of diabetes in our presence society are Type 1 Diabetes, Type 2 Diabetes and Gestational Diabetes. With Type 1 Diabetes, an infection or some other trigger causes the body to destroy the cells in the pancreas that make insulin.
Such factors appear to be more common in whites, who have the highest rate of type 1 diabetes. That excess sugar crosses the placenta and can make your baby grow too large and lead to problems with your pregnancy and delivery. If they note that accurate carbohydrate counting and insulin dosing keeps them in safe range, coupled with testing BG regularly and carrying sources of sugar for lows, then they become more willing to gradually reduce their blood glucose levels.
You can use imagery to imagine feared events beforehand, and prepare yourself to confront them by using cognitive restructuring or relaxation methods. Unfortunately, I cannot tell her that I know for sure she is wrong.  But I can suggest we explore her underlying assumptions and figure out if this belief is very realistic. It is important to develop confidence in her ability to cope with hypoglycemia… yes, it is best to prevent lows when possible, but she can treat the lows quickly and recover from them. If you choose to see a psychologist or social worker, I recommend someone who practices CBT, which is an evidence-based clinical approach. That pervaded into my own experience and my coping mechanism in my school life was to keep my sugars a bit higher than they should have been. Enjoyed the article but T1D is different for each person, take the time to understand what is happening to your body, it do s help with anxiaty. The idea behind this is that weight above the waist adds additional and unnecessary stress, inflammation, and padding around your internal organs. European researchers followed about 360,000 participants for about 10 years in a large ongoing study called thee Prospective Investigation into Cancer and Nutrition (EPIC) health study.
This year, we hope to welcome even more participants, so bring your friends, family and colleagues along for an early morning run or walk through the French Quarter.
It is a progressive kidney disease caused by damage to the tiny blood vessels in the kidneys that are used to filter waste from the blood.
With type 2 diabetes, to the contrary, hyperglycemia starts near middle-age, usually when the kidneys have already suffered the long?term consequences of aging and of other recognized promoters of chronic renal injury such as arterial hypertension, obesity, high cholesterol, and smoking.
Also, in case your checked luggage is lost, you will still have your insulin and supplies with you in your carry-on bag. The goals are to prevent DKA in the Type 1, avoid dehydration of the Type 2 individual and avoid potential hospitalizations for either individual. Understanding what they have in common, how they differ and the associated risk factors is crucial to raising awareness and encouraging prevention, when possible.
This can be done in conversation with a therapist or by writing down negative thoughts and challenging the thoughts using thought records (see Mind over Mood by Christine Padesky and Dennis Greenberger for a patient’s guide to cognitive behavioral therapy). I work on gathering evidence to develop new, more balanced beliefs with patients who are overcome with anxiety about hypoglycemia. I have seen patients reduce their levels of anxiety and greatly improve their quality of life.  It is absolutely worth the effort. You should always consult your primary care physician prior to starting any new fitness, nutrition or weight loss regime. This is because the pancreas produces less and less insulin over time, so it must be injected to meet the body’s needs. I don’t care about using another test strip it if means my blood sugars are better controlled!
After researchers adjusted for overweight and obesity, measured by body mass index (BMI), waist circumference and waist-to-hip measurements, the found both independently associated with an increased risk for early death. This study was able to conclude that even those individuals, even with a normal BMI, that had excess stomach fat had about double the risk of dying prematurely as people with the least amount of belly fat. This death risk increased with waist circumference, whether the participants were overweight or not.



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