Is your Diabetic Heart Killing you softly?Get to know about Diabetes Heart Failure link to more severe complications. Self monitoring of blood glucose (SMBG) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good SMBG record is maintained by the patient. Normally we check fasting and 2 hr post prandial blood sugar levels in lab for routine follow up.
In practice I have seen several patients who had fasting and post prandial blood glucose lab tests in normal range but HbA1c levels below 7 is not achieved because they might have high blood sugars in other post meals which has got unnoticed. To achieve best blood glycemic control it is important to control blood sugar levels within normal limits during entire day and not just fasting or post breakfast levels. In the above image of SMBG chart I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
This seven point SMBG charting approximately covers entire day glucose fluctuations to some extent (ofcourse  not as accurate as CGMS). I have also mentioned a comment column in the above SMBG chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if Hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mentioned that. You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control. Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and SMBG charting of glucometer readings helps a lot to patient. If you find that some of the post meal or pre meal readings are high or low, please consult your diabetologist with SMBG chart to adjust your medication or insulin dosage.
13 natural and easy ways to lower your blood sugar, Being diagnosed with type ii diabetes can be a bummer, and it can be a struggle to keep blood sugars under control. Exercises to lower your blood sugar and control diabetes, Control your diabetes and blood sugar with these simple and fun moves. Diabetic diet : facts about what, how much, and when to eat, *diabetes diet facts by john p.
Seeing as today is World Diabetes Day, I thought this would be the perfect time to share my latest adjustment to our diabetes care and organization.
I previously posted a series of printables that I still use some of but have recently decided to simplify how my son and our family log is blood readings and insulin doses, medications and any notes or important information. A great tip for anyone monitoring their child's blood levels is use a colour code to see patterns in blood sugar levels.
On another note, when we were at our last clinic visit I mentioned that our insulin pens felt like they were breaking.
Polycystic Ovary Syndrome (PCOS) is the endocrine disorder in women which is commonly characterized by chronic ovulation dysfunction and hyperandrogenism. The clinical studies explain that this case is related with insulin resistance in women with PCOS.
The ovaries can not release a healthy egg because of the excess of insulin that was produced by pancreas (hyperinsulinemia). According the link between PCOS and insulin resistance, to manage and reverse PCOS, the effort to restore body’s health from insulin resistance is the right way. There is a research that has found the system that is designed to help manage your health condition from PCOS by reversing insulin resistance.
The final destination of a journey is not, after all, the last item on the agenda, but rather some understanding, however simple or provisional, of what one has seen. Summer’s rich bounty of fresh fruits and vegetables together with its heat, humidity and more leisurely pace invite us each year to lighten up and adopt healthier habits.
Dietary changes give the body a chance for “housekeeping.” Cleansing foods allow the system to expel toxins and set healing in motion.
Far Eastern philosophy suggests that true healing requires reaction: Reactions signal the body’s attempts to discharge toxins, both physical and emotional, that stand in the way of healing. AlcoholTension, inability to relax2 to 5 days or more depending on level prior consumption.
DairyMucus discharge through the skin, sinuses, mucous membranes, lungs, sex organsStarting up to 3 months after the food is stopped, for a year or two. Possible discharges include boils, pimples, rashes, body odors, nasal and vaginal discharges, coating on the tongue. For chronic conditions, symptoms may appear in reverse order: Known as “retracing,” someone who in early childhood contracted chicken pox and later bronchitis may experience a period of coughing associated with bronchitis, and later a skin rash resembling chicken pox. If the summer season inspires you to make positive changes in your life, have patience, knowing that healing may bring a few ups and downs on the way to establishing a firmer foundation for better health. In these modern times, with the plethora of blood-sugar-related diseases, we need tools like GI and GL to help us understand ways to control blood sugar.
The self-testing, graphic approach to food testing developed in the balance of the newsletter is a less scientific but a more dynamic way to explore postprandial (post-meal) blood glucose levels (BGLs).
GI measures the blood glucose impact of foods eaten in isolation, yet we rarely consume foods this way.
GI readings vary with the individual—blood sugar and insulin reactions are more extreme for diabetics, for example (See Charts 2A and 2B).
GIs are calculated in the science lab as the day’s first meal after a 12-hour fast and using a fixed serving that includes 50 grams of carbohydrate.  Most of our daily calories, however, are consumed in combination and throughout the day, when our blood sugar is affected by other foods that we have eaten earlier, as well as by our level of activity. Of the following numbered charts, the first three are based upon scientific research journal articles (Charts 1, 2A, 2B), while the last four (Charts 3-6) are constructed from my own self-testing of foods4 using a simple blood glucose monitor.
Chart 1:  Blood Sugar Curves of White Bread Compared to Bread with Added Fiber, Sourdough, and Vinegar. Chart 3:  Instant Oatmeal, Whole Oats (Soaked and Not Soaked), and Whole Oats Combined with a Protein and Fat. To fully appreciate the impact of two back-to-back carbohydrate breakfasts please notice that the scale used for Chart 6 is twice that of Charts 3-5. Resetting the Table–to Control Blood Sugar (For a discussion of other strategies, see April 2011). Ramekins filled with condiments like nuts and seeds (GI=0).  Nuts and seeds provide healthy fats, fiber, vitamins, minerals, and antioxidants, while they slow digestion and curb blood sugar. Sourdough bread or whole-grain bread with whole kernels; butter from grass-fed cows and organic nut and seed butters such as tahini and pumpkin seed butter. A pitcher of water and glasses for all—sometimes we mistake hunger for what is in fact thirst.  You might flavor the water with a little lemon juice or other flavoring. Because 12-hour fasting, pre-meal blood sugar reading can vary, all data points at time zero prior to the first morning meal were indexed to zero in order to illustrate the change from a neutral starting point. I use the label “traditional” carbohydrates, just as we call unrefined fats, “traditional” fats. As a sequel to my April and May 2011 newsletters on blood sugar and metabolic stress, this a short June piece on the liver. A well-functioning liver is vital to good health because of the many important functions it performs in the body.


Over the past weeks in researching blood sugar and reading the lead article in the Spring 2011 Weston A.
Our modern diet that relies upon refined carbohydrates and refined vegetable oils—so often consumed in convenience foods—takes a heavy toll on the liver. Current research suggests that fatty liver disease is not just a disease troubling alcoholics. Refined carbohydrates such as sugar and high fructose corn syrup (HFCS), especially when consumed as soft drinks. Simple accumulation of fat within the liver generally proceeds without producing any overt symptoms, but it is not necessarily harmless.
The totality of the evidence suggests that the initial accumulation of fat in the liver is triggered by nutritional imbalance…fatty liver seems to occur as a result of too much energy flowing through the liver without sufficient nutrients to process it. The key culprits, then, are nutrient-poor refined foods, choline deficiency and polyunsaturated oils. The key to keep in mind when the goal is to cut out sugar (and calories), limit red meats, which set up cravings for sugar.
Counter-intuitive perhaps, but this is why “junk-food” vegetarians (who rely upon a diet of sugar and refined carbohydrates) often crave sugar.
The vital force energy of whole foods satisfies and the creative process of preparation provides its own form of gratification. Baking at high heat is a natural way to convert the carbohydrate energy of vegetables and grains into delectable sweet treats. Have plenty of sweet substitutes like roasted parsnips, sweet potatoes, winter squashes, dried fruits, and perhaps some bananas, dates, and figs on hand.
Raw carrots help raise blood sugar effectively but less dramatically than sugar, and for a longer time interval.
The best natural sweeteners, with the greatest nutritive value and lowest sugar content (compared to sugar’s 99%), are amasake (40%), brown rice and barley malt (50%), and maple syrup and molasses (both at 65%). Refining strips 99% of sugar’s Magnesium, 98% of its Zinc, and 93% of its Chromium and Manganese, 88% of Cobalt, and 83% of its Copper (Elson Haas). This article aims to outline specific strategies to address pain, inflammation, and chronic disease.  But the greater question remains: why is inflammation so pervasive today? A second idea to remember is that we need both stable saturated fats like butter and coconut oil for the structural integrity of cell walls, as well as omega-3s and omega-6 fats for the flexibility of cell membranes.  Unsaturated omega-3 and omega-6 fats are needed for cells to carry out highly sophisticated neurological and electrical communication functions. Realistically, to eliminate inflammatory foods means that we need to know where our food comes from.  This is the very best way to eliminate pro-inflammatory vegetable oils and trans fats that are hidden in prepared foods—as well as inflammatory refined sugars and white flour products. If inflammation helped our forebears to survive in a hostile world, why is it now seen as such a health threat?  The answer again comes from the science lab.  Research tells us that our modern diet and inactive lifestyle are the two factors most to blame for silent inflammation and chronic disease.
The shift that has happened in just a few decades away from grass-fed animal products and other foods with healthy omega-3 fats toward processed foods rich in inflammatory omega-6 refined vegetable oils:  Today, we consume 25 times more pro-inflammatory refined liquid vegetable oils than a century ago, but only a third as much stable, nutrient-dense butter.
The transition over the same period away from whole grains and other antioxidant-rich whole foods toward sugars and refined flour products that provide calories but are stripped of vital nutrients.  It is really the simple matter of refined products…oils, sugars, and grains…both “crowding out” the traditional whole foods that we are genetically programmed to eat, as well as the massive quantities of fractured products in the modern diet that overwhelm the modest levels of good nutrition that we still take in.
Alba, What would be the glucose reaction if I eat 2 scrambled eggs with 2 slices of salt-cured bacon and one slice of wholegrain toast? To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in entire day. There is bright chance of sugar excursions in the other post meal readings which gets unnoticed. Now he relies on blood tests and insulin injections at least 4 times a day just to stay alive.We are raising money to help fund Diabetes Research so one day there might be a cure. This system improve the ability of your body to allow glucose get into cells, reducing the whole insulin content that be a primary factor causes to insulin resistance. In summer, we naturally rotate away from heavy anabolic “build-up” foods such as animal proteins and fats to more catabolic, cleansing fruits and vegetables. But, healing often brings reactions, so when we launch into a healthier dietary or lifestyle program, we need to expect reactions and read them as positive signs of healing.
Giving up sugar, coffee, alcohol, dairy, meats or fats each has a set of associated reactions, outlined below.
Toxic experiences and traumas, perhaps dating to early childhood, also come with their own unique set of physical and emotional reactions; these are signs of a more prolonged and complex healing process. Reactions feel similar to the original disease or emotional trauma but usually appear in a diminished form. Pain may occur in the internal organs, particularly the liver, under the right side of the rib cage. First outlined by Constantine Hering (1800-1880) and known as Hering’s Law of Cure, such symptoms are used to this day in the field of homeopathy.
Medications that affect the liver or kidneys can appear as redness or rashes on the legs or ankles. The second factor—the postwar shift from traditional to refined carbohydrates—is largely due to the growing role of the commercial food industry and processed, convenience foods.  Convenience foods must have a long shelf-life, so food companies rely upon refined flours and oils, which do not go rancid.
Visual pictures of postprandial blood sugar behavior, while less scientific than GI measurements, are nevertheless powerful learning tools, providing a real flavor for how our body reacts when we eat different kinds of foods. This chart illustrates the second meal effect– that what we eat at one meal affects postprandial blood sugar behavior at the next.
What we do to our children when we give them a sugary cereal or a Pop-tart for breakfast extends beyond this first meal to affect their blood sugar, hunger, concentration, and desire to overeat throughout the rest of the day.
One of the best herbs and spices to moderate blood sugar.  It can be sprinkled on hot cereals and desserts such as puddings, custards, and stewed fruits. Among its jobs, the liver helps to regulate blood sugar and the burning of fat; and, it processes and helps the body discard many toxins—drugs, pesticides, food additives and chemicals, environmental toxins, caffeine, alcohol, and toxic metals. Refined carbohydrates and omega-6 vegetable oils such as corn, soy, and canola provide concentrated, inflammatory, empty calories but without the fiber (to slow and assist digestion) and essential neutralizing phytonutrient cofactors to allow the liver to do its job well.
Nonalcoholic fatty liver disease affects more than 70 million Americans and is fostered by the modern American diet. These high-glycemic carbohydrates tax the liver because of the speed with which the liver is forced to deal with the rapid-metabolizing calories and because they lack the nutritional co-factors required by the liver for their processing. Choline, found in egg yolks, liver, and organ meats, is necessary for the proper transport of fats from the liver. The disease begins with the accumulation of fat within the cells of the liver, but can progress to inflammation, the development of scar tissue, and in some cases death from liver failure or cancer.
The liver regulates blood glucose and blood cholesterol levels, plays a critical role in burning fat for fuel, helps eliminate excess nitrogen, contributes to the metabolism of endocrine hormones, stores vitamin A, protects against infections, and detoxifies drugs and environmental toxins. Indeed, fatty liver disease increases the risk of cardiovascular disease three-fold in men, fourteen-fold in women, and seven- to ten-fold in type one diabetics.
Similar studies have shown that 45 percent of type-one diabetics and 70-85 percent of type-two diabetics have fatty liver. The accumulation of delicate fats, especially polyunsaturated fatty acids (PUFAs) [like corn, soy, safflower, and canola oils]increases the vulnerability of the liver to oxidative and inflammatory insults in the form of infections, toxins, or poor metabolism.
What they all have in common is that they are ancestral diets, rich in nutrient-dense foods that we are well-adapted to…The emergence of fatty liver as a silent epidemic in the modern era is a call to nourish our livers with age-old traditional wisdom as we pursue the vibrant health of our ancestors.


Do we give sufficient thought to how convenience foods combine with drugs and medications compound, creating an ever greater toxic load for the liver? Try to read labels and think of the factors in your present lifestyle that might be placing an unnecessary load on your liver. Besides lack of sleep, stress and emotional upheaval are also big factors that can send us to the cookie jar. Without eating animal protein to counterbalance and buffer this expansive energy, they set in motion a blood sugar roller-coaster of “sugar-insulin-sugar,” along with insatiable cravings for more and more sugar-charged treats.
Roasting root vegetables caramelizes their natural sweet starches into sugars, concentrating and intensifying their natural sweetness.
Try radishes (at the end of the meal), lemon juice and water, or spices like cinnamon to satisfy the sweet tooth. Rice syrup and barley malt are less disruptive to the mineral balance of the body, along with maple syrup which is indigenous to the Northeast. This condition can reduce insulin sensitivity of cells to absorb glucose in blood and store it as glycogen in tissues. The insulin enhances the Luteinizing Hormone (LH) to stimulate androgen hormone then increase the exchange of androgen to estrogen that may disbalance between the hormones. Healing reactions present an opportunity to go back through everything not previously resolved in life.
If the reaction is an emotional discharge of anger, the feeling may remind a person of anger earlier in life, even though the present anger may be “caused” by different circumstances. Thus, it is the liver that bears the brunt of many of our modern dietary and lifestyle habits.
The speed with which empty calories are consumed—particularly from the sugar and high fructose corn syrup (HFCS) in soft drinks—exerts an enormously heavy burden on the liver. As in the case of refined carbohydrates, processing strips refined oils of their natural protective antioxidants.
Fatty liver is thus a dangerous silent epidemic, and… it is likely caused by the overabundance of calorie-rich, nutrient-poor refined foods and the banishment of traditional sources of choline like liver and egg yolks from the modern American menu. Moreover, even in the absence of diabetes and obesity, those with the lowest insulin sensitivity have the highest accumulation of liver fat. In the second, inflammation, the proliferation of fibrous connective tissue (fibrosis), and eventually the formation of scar tissue (cirrhosis) ensue. These insults launch the progression from the first stage of simple fat accumulation to the second stage of inflammation. Other strategies to support the liver include consuming fresh, organic (to avoid pesticides) fruits and vegetables and organic animal proteins rich in choline, while avoiding sugar, HFCS, refined vegetable oils and other refined, processed foods.
Layer upon layer, toxins that burden the liver are everywhere—from synthetic prescription drugs, over-to-counter medications such as Tylenol and Nyquil, caffeine, alcohol, food additives and food colorings, pesticides in foods, and chemicals in cleaning agents. If you do not eat them already, try some cleansing bitter greens and think of shopping for fresh, organic food at a local farmers’ market.
When we eat meat, which is concentrated protein and fat, we crave concentrated carbohydrates like sugar. Because carbohydrate and protein metabolism are inter-related, when we eat a lot of sugar and other concentrated sweets, our body needs to be anchored by additional concentrated animal protein and fats in order to stabilize blood sugar. Ironically, “like” craves “like:” Contractive foods (chips) do send us for expansive opposites (a Coke), but this safeguard relationship does not hold so well for expansive foods. Carbohydrate digestion begins in the mouth and the true essence of whole foods is tapped only when we sit down long enough to chew well and enjoy our food. Foods all have an associated temperature, so you can choose warming sweet potatoes, oats, or the heat of lamb in the cold winter months; or cooling melon and pears, salad greens, tempeh, and barley in the hot summer months. Through the magic of heat and stable saturated fats, we can alter a pungent onion into sweet velvety smoothness. In these spaces we put his blood reading from his metre and then what insulin dose he gets. They come is cool colours now and the delivery of insulin, although it takes a little getting used to, is a lot smoother. It also can increase the blood sugar level which can lead to obesity or weight gain, the key factor for creating PCOS. This is why diabetes and obesity often go hand-in-hand (90% of diabetics are either overweight or obese). David Ludwig regarding high-glycemic foods and overeating, cited in the Recommended Reading section at the conclusion of this newsletter. Meanwhile, summer provides antidotes to detoxify and de-stress the liver with its vast array of rainbow-colored fresh, nutrient-dense vegetables and fruits. It is the calorie load, the speed, and the lack of nutritional cofactors needed by the liver to effectively process toxins that underlie the current epidemic of fatty liver disease. So, too, will eating hearty meals early in the day, with a light supper consumed at least several hours before bedtime time. Have you ever noticed how much better you feel when you pair a glass of wine (an expansive sugar) with adequate protein and fats to avoid a hangover? Whole plant foods such as grains, beans, and vegetables become sweeter the longer they are chewed, so chewing well can go a long way toward satisfying cravings for sweets.
They are wonderful experiments, but we owe ourselves to take note as if on a real adventure, and make sure we pay attention afterward to how we feel.
If you use Humapens instead of syringes for insulin and you haven't replaced them in a few years ask your diabetes team about these!
Besides it, the increasing of insulin level in blood stream which is resulted by insulin resistance can also leads PCOS. It is these nutrient-laden whole foods that provide the liver with the tools—vitamins, minerals, and micronutrients—needed to convert toxins for their safe elimination from the body. We started doing this about four years ago as he was part of a study at Sick Kids and it was not only required but turned out to be good practice. Because summer also brings a more leisurely pace of living, there is perhaps no better time to alter dietary and lifestyle habits for a healthier liver.
The rich minerals in meat help the body metabolize these concentrated calories so it does not have to tap into its mineral stores stockpiled in tissues, bones, and teeth.
Unlike alcohol, our body does not react to sugar with the same hangover warning, but the imbalance is there nonetheless, through a surge in insulin, along with dehydration, depletion,1 and cravings. Late-night eating prevents the liver from doing its job efficiently and well (see November 2010 newsletter, The Body Clock).



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