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Grace Aldrovandi, Jane Lindsey, Denise Jacobson, Barbara Heckman, Amanda Zadzilka, Elizabeth Sheeran, Jack Moye, Peggy Borum, William A. Both total fat and limb fat are significantly lower in both HIV+ groups compared to HIV-negatives. The triglycerides were significantly higher in the No PI & the PI groups compared to HIV-negatives but were double in the PI group compared to the HIV-negatives (134 vs 67). There were few glucose abnormalities in fasting glucose or 2-hour fasting levels in HIV positives suggesting those elevated insulin levels were helping to keep glucose under control. 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.


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. 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? Although the current CD4 counts were similar (640 in No PI group, 668 in PI group, and current RNAs are similar), nadir CD4 was lower in PI group (290 vs 387), the peak RNA was higher in PI group (156,000 vs 34,972), and more CDC stages B and C in PI group. The difference between HIV-positives and negatives in total fat was 2 to 2.5 kgs and this was more or less evenly distributed between trunk and limb fat.
Total chol, LDL, and non-HDL were all significantly higher in the PI group compared to the HIV-negatives but not in the No PI group compared to the HIV-negatives. Fasting glucose was similar across the 3 groups although it was significantly lower among the PI group compared to HIV-negatives. 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. There is a trend for longer ART use in PI group: average lifetime exposure is 10 yrs in PI group and 9 in No PI group. But for the PI group trunk fat was not significantly different than the HIV-negatives and this was notable because the PI group had a lower overall BMI than the HIV-negatives. HDL was significantly lower in the PI group but not in the No PI group, compared to HIV-negatives.
For total chol, LDL, and non-HDL cholesterols kids on PIs had 20-30% of values that were elevated.


Fasting insulin was significantly higher (about 40% higher) in the both HIV groups compared to the HIV-negative group. The kids were studied between Jan 2004 and Aug 2005 to put the ART use in historical perspective. Of note, for lean body mass neither HIV+ group was significantly different from the HIV-negatives suggesting difference in weight and BMI between the HIV positives and negatives was due to differences in fat in the HIV-positives. The p-values were based on unadjusted analyses but they also did the analyses with adjustments and p-values with asterisks remained significant after adjustment for Tanner, race CDC stage. 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. By design they had equal representation across three groups of Tanner strata (Tanner 1, Tanner 2-3, Tanner 4-5).
There were no significant differences in 120 minute glucose and insulin testing results between HIV negatives and positives. 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!
Again p-values here were calculated unadjusted but after adjustment for Tanner, race and CDC stage the differences between HIV negatives and positives regarding insulin were no longer significant suggesting other factors are playing major role in elevated insulin values. 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. EFV was more widely used in No PI group (35% vs 10%) and 55% in the No Pi group were on other ART.



Regulation of blood sugar insulin and diabetes mellitus
Glucose test during early pregnancy
Hypoglycemia symptoms urine output


Comments

  1. 25.10.2015 at 21:39:40


    Out in bed, probably unconscious sugar content.

    Author: SEBINE_ANGEL
  2. 25.10.2015 at 20:51:31


    Glucose tolerance is often called pre-diabetes not uncommon for.

    Author: Gunesli_Kayfush
  3. 25.10.2015 at 23:20:15


    Can be used in foods and diabetes is carbohydrate intake that isn't when you stop taking the medicine.

    Author: ANAR_666
  4. 25.10.2015 at 23:31:47


    Blood sugar going down or anything else finger firmly on the Activation complications.

    Author: Ramil_Seferov