I have been eating different and excising for weeks now and I stopped taking Januvia and went back on the Metformin. Thursday night I had eaten dinner (a small steak, corn on the cob, a slice of garlic bread, and a side Caesar salad…and a little while later I had a Skinny Cow chocolate bar).
Difference was that I was pretty late eating because I went to the WW meeting and was pretty much starving. I was also afraid that here I am on the eff-ing toilet doing what I was doing and I was going to pass out and then the paramedics would need to not only come into my filthy house, but they would find me on the floor of the bathroom in such a state that omg, I can’t even imagine it.
And we realized that my husband needs to learn how to test my sugar, in case of another emergency. At this point, I felt better, so I finished up what I was doing and went to the living room to wait for the paramedics. I didn’t take a ride in the ambulance, but did this open my eyes and scared the crap out of me!! I also got some glucose tablets to keep in my purse and at home, I got some hard candy for both also, and I got some diabetic friendly bars to keep in my purse. I am feeling 100% better now, and seriously have had an eye opener on how scary Diabetes can be. Being diabetic can be a tough thing to do and once you hear those dreaded words telling you that you are diabetic, it seems as if your world starts crashing down.
Most of us these days seem to eat way too many carbohydrates which can add on those extra pounds and cause us many more medical problems versus the standard and traditional just not eating well. Carbohydrates are hard to breakdown which adds to those extra pounds and makes it harder for us to lose in the long run. With less insulin or sugar added to your diet you can rest assured knowing that your body will start eating or breaking down the sugars or fats that your body already has stored, meaning that your fats that you eat will be metabolized instead of stored which causes those extra unwanted pounds. You should not only focus on what the number of a low blood sugar level is but instead try to maintain a healthy blood sugar average within the ranges mentioned above. Only your doctor will be able to give specific advice regarding diet, exercise and medication.
A person who knows the low blood sugar number will notice when his or her blood sugar level dips too low. However, there is also the danger of a person not feeling any of the above mentioned symptoms before more serious symptoms set in. What causes low blood sugar is a question that is becoming more and more important to an ever growing number of people as the incidence of diabetes and other endocrine dysfunctions continues to rise even as other types of diseases seem to be on a bit of a downswing.
Diabetes is what causes low blood sugar most often, and can be any one of several metabolic diseases that affect the way the body metabolizes glucose, this means that for many people staying above the low blood sugar range can be a real concern. Low blood sugar hits many each and every year and more and more people are being diagnosed with diabetes and low blood sugar because we aren’t taking care of ourselves. Low carb diets for diabetes is really a major part in being able to properly maintain and safely manage a healthy blood glucose level. A low carb diet for diabetes is key and a very essential part to being able to safely manage and maintain your diabetes. When it comes to going on vacations or holidays it can often times seem overwhelming and confusing especially if you are trying to take care of meal planning for diabetics. I know for me personally I have several diabetics in my family such as my grandmother and it often times can get discouraging trying to make sure we have meals that we all can enjoy but that won’t affect her sugar.
When it comes to meal planning for diabetics or her in general I will make my meals ahead of time and not add any sugar to my baked beans, green beans or any other dish until I pull her a few spoonfuls out into a separate container so that she has her own without sugar.
Meal planning for diabetics can be tricky around the holidays because there is so many different, yummy, sugary foods and deserts to eat and fix so I try to buy sugar substitutes such as Splenda or Sweet in Low and use instead of regular sugar because diabetics are allowed to use sugar substitutes. Meal planning for diabetics can be rather challenging but by knowing what you can and can’t do is a great start to being able to plan accordingly so that the diabetic doesn’t feel left out and neither does anyone else.
A low sodium diabetic diet is a great way to be able to remain healthy, lose weight and maintain your diabetes all at the same time. Low sodium diabetic diet doesn’t mean that you have to cut out all of your sodium at once, you can either gradually taper off of it and reduce it down a little at a time or you can eat foods with sodium in moderation. Low sodium diabetic diets don’t just pertain to the diabetic that you know or love but anyone can go on the low sodium diabetic diet and not only help maintain their diabetes if they are a diabetic but also manage their diet and health as well. Although it is not yet classified as an essential nutrient, Vanadium is a very important potential medicinal agent mainly because it appears to mimic the actions of insulin because of its unique ability to normalize blood glucose levels. Research shows that vanadium improves the body’s metabolism of glucose (also known as blood sugar). Compounds of vanadium have several insulin-like effects which include the ability to significantly improve insulin resistance and homeostasis in patients with diabetes mellitus. The compounds found in vanadium have the ability to stimulate the uptake of glucose, lipid and glycogen synthesis in adipose, hepatic and muscle tissues and the activities of gluconeogenic enzymes (glucose-6-phosphate and phosphoenol gluconeogenesis) in the kidney and liver.
Vanadium activates various vital elements in the insulin signal transduction path-way in order to mediate metabolic actions of insulin in the body. Peroxovanadium and organic compounds have an acute glucose-lowering effect a few minutes or hours after their administration. Vanadium evokes an increase in the transportation of glucose which is psychologically relevant.
In addition to the stimulation of uptake and utilization of glucose, vanadium also decreases the production of hepatic glucose which in turn improves glucose homeostasis.
Clinical studies in human subjects have documented significant improvement in insulin sensitivity and glycaemic control. On the other hand, vanadium exists in various forms, including vanadate, vanadium oxide, vanadium pentoxide, and vandyl sulfate which are commonly found in various nutritional supplements. Due to the interactions with medications and the potential side effects of vanadium, dietary supplements should be taken under the supervision of a knowledgeable and reliable medical practitioner. People with anemia, an infection, high cholesterol, or health problems that cause low white blood cell count should not take vanadium without consulting a doctor first. People who are being treated with medication such as antiplatelets (blood thinners) or anticoagulants should not take vanadium without consulting a health care provider.
It is evident that the relationship between vanadium and diabetes is possibly promising and tenuous all at the same time. Therefore, there is need for new therapeautic approaches that can treat diabetes effectively and more efficiently.
This article covers the basics of a diabetes pump therapy right up to the advanced details.
People are attracted to insulin pump therapy for many reasons – some may be misconceptions.
You might first ask yourself, “How do I think this therapy can help me?”, then review the links above and see if it can or cannot help. Continuous insulin infusion provides more ways to prevent high and low blood sugars than do injections. Diabetic pumps can accommodate erratic and flexible lifestyles better than multiple daily injections.
This page reviews the two ways that insulin pumps can connect to the body as well as lists the pump manufacturers for each.
The types of insulin pumps that are the most common are those that require tubing (infusion sets).
Most tethered pumps offer some form of remote access to basic programming; for example, a remote control, handheld module or a paired specialty glucose meter may be able to send wireless signals to prompt the pump to deliver a bolus.
Medtronic or Minimed: makers of the Paradigm models including the Veo and various older models (502-522). An implantable pump is surgically implanted beneath the skin and the insulin is delivered into the peritoneal area (the space between the abdominal muscles and the organs).
A closed loop insulin pump is the ultimate beta cell replacement that research aspires to creating. Beta cell transplants (also known as the Edmonton Protocol) implant human beta cells, not machinery. Talk with your doctor, diabetes educator and health insurance company before choosing amongst these types of insulin pumps.
Flexible lifestyle: Sleep in, miss meals, avoid low if the basal insulin is properly set is one of the most appealing advantages. Less risk of hypoglycemia or severe hypo:Primarily because of the two reasons directly above. Less erratic glucose levels, better control: One of the most identified advantages is that people usually get better blood sugar control on insulin pumps.
Memory advantages: In case you ever forget if you gave your insulin for the meal or not, most pumps have a memory to scroll back through to view previous boluses. No multiple daily injections: You only need to insert a needle every 2-3 days when you put in a new infusion set. No more math:One of the advantages of insulin pumps is that most come with built in calculators and wizards.
Remaining insulin on board: Have you ever nibbled and gave insulin repeatedly over an evening?
Continuous blood glucose monitoring: This is one of the advantages that is not present on all insulin pumps. Advantages in timezones with traveling:Adjusting for time-zones when traveling on a pump is easy.
Improved quality of life: Many on insulin pumps would say that pumping has helped normalize their lives and improved the quality of their lives. Cost: Not everyone can afford this therapy, especially if their health insurance does not cover it. Frequent glucose testing: Most pumpers test a minimum of 4 times a day and often 8 times a day or more. Ketone testing: I typically see people on injections ignoring ketone testing when their blood glucose levels are high.
Carb counting still done: Most people on pumps will benefit from keeping and indeed intensifying their carb counting.
Bolus with all carb eaten: Some people on injections who eat but don’t need to give a dose of rapid insulin for a meal or snack because of excess NPH have a hard time remembering to bolus each time they eat carb food on a pump. Infusion site problems: Infusion sites should be rotated every 2-3 days and sooner if irritation occurs. Carrying backup supplies: A battery, an infusion set, a few syringes and a small pen vial of insulin should be carried for backup in case the pump batteries go, the pump malfunctions or more commonly, the infusion set rips out or the insulin runs out. Frequent refilling if type 2 diabetes: Many people with type 2 diabetes are insulin resistant and require large doses of insulin. Problem-solving: Successful and safe pumpers are good at problem solving both technical and medical problems with their diabetes. Time demands: Many people do not improve their diabetes control to the extent they could because they don’t take the time to properly set their basal rates (meaning missing meals and resetting rates until blood sugar stays stable). The curious and the ignorant: If you have the insulin pump showing, or pull it out to use it or check it or tuck in your tubing, you just might end up with someone asking, “What’s that?” They might go on even further after they learn you have diabetes and say something like, “Should you be eating that?” These may or may not be an issue for you, depending on your mood and how you like to handle these people. Ripped out sets: Although advantages of insulin pumps include not having to inject a needle so often, sometimes infusion sets need replacing sooner than you anticipate.
It’s important to find the reasons for hypoglycemia to try to prevent future episodes. A low glycemic index meal; the carb gets in much later than the insulin (pumpers can ask their MDs about trying dual wave or combination boluses for these meals.
Adrenal insufficiency: uncommon disorder more likely seen in type 1 than type 2, in which body makes too little of the hormone cortisol.
Stacking food boluses with a slightly less than perfect insulin-to-carb ratio (if you suddenly eat a much larger amount of carb then any tiny error is multiplied out).
Although extremely unlikely, the pump could mis-deliver in the case of a cracked case exposed to water. Typical early warning symptoms of hypoglycemia include shaking or trembling, sweating, sudden hunger, palpitations, anxiety while slightly later symptoms might include difficulty concentrating, weakness or tiredness, vision changes, dizziness, or headaches.
It is the low blood sugar levels themselves which can be dangerous, with or without symptoms.
If you do have hypoglycemia unawareness and are on insulin, there are processes that can help to retrain the body to sense low blood sugars sooner.
Review all the reasons for diabetes-specific causes for high blood sugar if you haven’t already.
Cannula left in too long: This is by far the most common insulin-pump-related cause for hyperglycemia.
Large total daily doses of insulin: If you give bigger boluses or more insulin overall, like at Christmas due to the sweets etc, then your site may not last as long as it usually does for the same reasons listed in the point above.
Site irritation:This could be as simple as inflammation from your waistband on pants or as bad as a site infection. Large air bubbles in the tubing or reservoir: Air into fat tissue is not a big issue for safety but can be for high blood sugars.
Ineffective connection of tubing to the hub or connector on the skin: No matter the infusion set, always gently tug the set when attached to the skin to be sure it is in.
Previous decreased temporary basal or disconnect:Sometimes pumpers temporarily stop their basal, disconnect for a sport or use a temporary decreased basal. Accidental change or zeroing of basal rate:Sometimes people accidentally program their basal rate downwards when meaning to do a temporary basal.
Do not hesitate to seek urgent medical care if you are on an insulin pump and experience high blood sugars with ketones that you cannot manage or reduce yourself. Not enough meal insulin or meal medication: Again, some of these reasons may relate to number one above. Not giving a correction dose or enough of a correction dose:If your blood sugars are high before the meal and you give insulin just to cover the food, then chances are you will be high again later. Tip: Use all-natural antacids like baking soda (sodium bicarbonate) or potassium bicarbonate.
Tip: Most of the same foods that are high in antioxidants also contain the vitamins and minerals needed to make sure your body has everything it needs to detox alcohol. That’s why we created a cheat sheet for you called the 7 SIMPLE STEPS TO AVOID A HANGOVER. In less than 5 minutes, you can have a blueprint for avoiding hangovers through diet, lifestyle and, yes, supplements like Intox-Detox. This is developed over time usually, and is often from eating too much sugar based foods and damaging the body’s ability to handle sugar. Wait – did we just say avoid sugar and fats for someone with low blood sugar in the first place? Yes, the body is sick of taking too much sugar (sugar in this case means carbohydrates, fats and natural or unnatural sugar) – and the only way to effectively and fully recover from it, even at an older age, is to go on a pure protein diet.
Many western doctors say to eat sugar many times a day, but this is a grave mistake, and will not resolve and cure the problem – this is commonly thought as a fix, but it is a very primitive way of dealing with a problem.
Postural hypotension is considered to be a failure of a person's cardiovascular system or nervous system to react appropriately to sudden changes.
Chart showing potential causes of low blood pressureThe risk of low and high blood pressure commonly increases as a person ages due in part to changes during the aging process.


Chart showing causes of sudden drops in blood pressurePostural hypotension, or low blood pressure when a person stands up quickly, may happen to anyone for a number of reasons such as lack of food, dehydration, or simply being overly fatigued. For example, dehydration and electrolyte loss might result from vomiting, diarrhea, excessive blood loss during menstruation, or other conditions.
My A1-C was ridiculous at like 15 or so and the dr said that my sugar was in the 500’s.
Seriously, it was worse than when I had a panic attack and thought I was having a heart attack. In other terms, the carbohydrates that you eat will either be peed away, breathed away or as we like to call it, melt away! If this happens, then eating a candy, drinking fruit juice or taking a glucose tablet will immediately resolve the problem. When a person’s blood sugar dips lower than it should, this is known as hypoglycemia. It is often brought on if either glucose or insulin is released into the bloodstream too quickly. These tests can be found in many doctor offices, but there are also home kits that can be used by a diabetic without professional medical help. However, this goal may not be realistic for everyone, which is why consulting a doctor and using a Hemoglobin A1C home test kit is important. While diabetes isn’t the only culprit, it is usually to blame whenever a person suffers a bout of low blood sugar, and low blood sugar can lead to feeling weak, the inability to think clearly, and even coma and death. Taking care of ourselves with proper nutrition, diet and exercise is key and essential to living a long and healthy lifestyle! The main reason that a low carb diet for diabetes works is because if you have lots of carbohydrates in your diet then your body can’t breakdown the carbohydrates or sugars.
Low carbs is a very key and essential thing to being a diabetic because without closely monitoring your carbohydrate intake you will end up being overweight, having high blood glucose readings and other medical problems to go along with it. For diabetics it can get tricky but the key part is not to let it get to you and impact how you feel about the situation. After, I remove her some food without the sugar then I can add any type of seasoning that I would like to the rest of the food. A low sodium diabetic diet is typically taken on upon when a diabetic has had a lot of problems with edema or swelling.
Low sodium doesn’t have to mean, awful tasting, there are still plenty of ways to accent and spice up your food so that it tastes good all at the same time as you losing weight and watching your diabetes.
For many people they are under the assumption that you need to eat dreadful, tasteless food in order to eat low sodium foods but that isn’t always the case.
Animal studies and a few human studies have proven that vanadium lowers blood sugar level and improves sensitivity to insulin. Moreover, it promotes the glucose of blood sugar into the cells where it is normally broken down and used to produce energy. Moreover, the lipolysis in cells contributes to the anti-diabetic mechanisms and insulin-like effects of vanadium.
Vanadium enhances insulin action and signaling because it increases the tyrosine phosphorylation of various substrate protein sand also inhibits the activity of PTPases (protein tyrosine phosphatases) which are negative regulators of the insulin signaling pathway. Moreover, vanadium compounds have proven to be quite effective in modifying lipid and glucose metabolism in cultured cell lines, adipose tissue, muscle and the liver. It also restores the cell surface translocation and expression of insulin sensitive protein in the skeletal muscle and heart. Although we don’t know the exact amount of vanadium needed by the human body, the average diet normally provides 6 to 18 mcg of vanadium. Since vanadium may lower the blood sugar level, diabetics who are taking medication to control their blood sugar (drugs for diabetes) might be at risk of low blood sugar and hypoglycemia if they take vanadium. The risk of bleeding might increase when vanadium is taken with colopidogrel (plavix), warfarin (Coumadin), aspirin and heparin. However, diabetes mellitus is still a major health problem for humans despite the availability of various oral glycaemic drugs and insulin. So pull up a chair and learn how this diabetes device can be liberating and alas, can be much work. Some people refuse pump therapy because they don’t fully understand its benefits over multiple daily injections. Of course, you might find new reasons for wanting to try pump therapy after reading them too. Implantable and closed-loop insulin pumps are briefly discussed, but not routinely available for purchase.
The expensive part of a patch pump is typically the handheld module (which can be left safely on the sidelines) whereas the attached pods are usually, as in the case of the Omnipod, disposable.
The reservoir of concentrated insulin is therefore also kept beneath the skin, but can be re-filled from the outside of the body using a large syringe.
Each pump has all the same basic features, although may perform them differently, but also has some unique features that make it stand out from the others.
Below you’ll find a list of both insulin pump advantages and disadvantages from the viewpoint of myself as an educator and pumper, and from other pumpers’ points of views. As an educator, this is one of the most underused but beneficial advantages of insulin pump therapy that I see. It’s reassuring for people with diabetes to know that they can turn their background insulin off for a short period of time if they’re worried about a low or over gave insulin at meal. Your insulin is always with you, there in your pocket or bra or wherever you wear your insulin pump. This means after telling it the number of grams carb you’re going to eat, the pump uses your insulin-to-carb formula to determine how many units are needed. Then gone to bed with a great blood sugar reading but wondered how much insulin you injected over the night and how much of that insulin was still on board working? Some pumps work together with continuous blood glucose monitors to show your blood sugar reading on the pump and to have the pump alarm if your blood sugars go too low or too high (you set the limits). When on injections, people often need to meet with their educator to discuss how to adjust their long acting basal insulins to avoid overlap or gaps. Both the pump, it’s monthly supplies and especially continuous glucose sensor monitors if you want to use them, are all costly items.Pumps in 2009 are about $7300-7800 Canadian or US, with monthly supplies about $300 not including test strips. It’s worn 24 hrs a day unless temporarily removed for showers, swimming, heavy contact sports and intimate moments. It occurs when there is not enough insulin to sufficiently use the glucose in the body and the fat stores are burned instead.
Many need to carb count to a pickier level since they don’t have excess insulin floating around from intermediate or long-acting basals.
Because of this, the pump may have to be refilled every 1-2 days – both an inconvenience and an expense for some. Some people find the technical parts and problem-solving boluses, insulin on board etc too difficult or too onerous.
However, it needs to be stated that sometimes the occasional low blood sugar seems to defy logic and explanation, no matter how hard you, the endocrinologist or diabetes educator seek a solution. Review your basal rates periodically and have them written on calendar or somewhere in case the pump settings are lost due to malfunction, battery out too long etc. 0300 hr), pump alarms to remind you to test 2 hr after any bolus, insulin-on-board (or bolus-on-board or active insulin) and continuous blood glucose monitoring (although often gives delayed readings viewing the trend can often let you know if you are dropping quickly and at risk for a low, depending on your current glucose reading. Sometimes, a mild low once a twice a week that is easily recognized, has an understandable (and hopefully preventable) cause and is quickly self-treated is not viewed as a concern. Understanding the reasons can reduce the frustration and help prevent future episodes. Everyone with diabetes could benefit from reading this list of causes for high blood sugar. Although not pump specific, they are often the primary reason for sudden hyperglycemia in the pump clients I see. Many people exceed the recommended 2-3 day wear for cannulas (the part of the infusion set that is under your skin). If changing the set more often due to eating more carbs during Christmas, Halloween or holidays is a concern due to cost, talk with your health care provider about giving bigger boluses by syringe or insulin pen and using the pump just for basal insulin during those periods in your life.
Site irritation, lumps or infections all negatively affect insulin absorption and can cause high blood sugar. An air bubble of about an inch in length inside tubing is usually equal to about a unit of insulin for many of the infusion sets (be sure to check with the company). However, even though there is insulin in the tubing, still go through the entire normal set-up as if the tubing were new. This is often done to reduce the risk of hypoglycemia but is sometimes one of the causes of high blood sugar later on.
And yes, low glycemic index foods have been shown to lower blood sugar in both type 1 and type 2 diabetes. This means part of the insulin has denatured from either heat or extreme cold and should not be used.
Although, this is more likely to cause a low early on followed by a high 12-16 hours later if too much fast insulin and not enough of the slowing suspension is given. Even many medical professionals don’t completely understand the true causes of hangovers. Coconut water is great because it naturally contains antioxidants and electrolytes to hydrate faster.
Brightly colored foods like carrots, squash, berries, cherries and pomegranates are loaded with antioxidants.
Include a multivitamin supplement with a meal prior to drinking alcohol to cover all your bases. This does not always mean sugar as in chocolate or white sugar – it can even be fruits, rice and carbohydrates of all kinds including bread.
What this does is allow the body to recover from too much sugar intake, and rebuild itself. Hypotension is generally considered systolic blood pressure less than 90 millimeters of mercury (mm Hg) or diastolic less than 60 mm Hg.
Health issues may happen; however, when a person's blood pressure suddenly drops and their brain is deprived of an adequate blood supply. The flow of blood to a person's heart muscle and brain declines as a person ages, many times as a result of plaque buildup in their blood vessels. It might also be influenced by a person's genetic make-up, medication, aging, psychological factors, dietary ones, or acute triggers such as allergy or infection. Medical science believes it is caused by blood pooling into a person's vessels in their stomach and intestines.
A person's age associated decline in blood pressure regulation is another example and is something that might worsen due to certain health conditions or medications.
This was after I had already eaten a bit of candy so I don’t know how low my sugar actually was. I also bought a cheap meter at CVS and will leave that one at work once I get my new meter from the supply company.
The main reason that a low carbohydrate diet for diabetes works is because if you have lots of carbohydrates in your diet then your body can’t breakdown the carbohydrates or sugars.
Those who are prone to low blood sugar should keep the above mentioned around the house, in the car and at the office in case blood sugar levels suddenly drop. The hemoglobin A1C home test should be used before mealtimes, after mealtimes and before going to bed. Knowing about blood sugar ranges, especially the low range will help keep you in good health. Most of us these days seem to eat way too many carbs which can add on those extra pounds and cause us many more medical problems versus the standard and traditional just not eating well. Hypoglycemia is where the pancreas for unknown reasons produces to much of the chemical called insulin. This will prevent her from having too much sugar but also allow her to eat what the rest of us is eating without feeling left out. Many times by eliminating or cutting back on the sodium or salt intake it can prevent you from having large amounts of edema which can cause serious side effects such as pain, unable to walk or use your limbs and extremities as well as run the risk for serious infections. Low sodium diabetic diets still allow you to eat foods that are not only yummy, but also very tasteful but just have sodium in moderation so that you can maintain your diabetes and health all at the same time. How new insulin pump features mean new freedoms, if combined with the information to understand and use them safely.
It’s true that very few people give up pumping after having started, however, MANY do not realize the commitment required to gain the full benefits of this therapy. Each pump is about the size of a pager and is worn on the outside of the body, for example in a pocket (or yes, in a bra!). However, a quick review of this article from the Netherlands shows that this country has had more experience with this modality of treatment in select individuals (about 57 over an 11 year period, still a small number compared to traditional insulin pump therapy). For more information on how implantable insulin pumps work, consider reviewing the journal paper by Haveman JW, Logtenberg SJ, Kleefstra N, Groenier KH, Bilo HJ, Blomme AM. This procedure is mentioned here because many people who ask about insulin pumps also ask about beta cell transplants. Many people giving injections using NPH or Lantus or Levemir will have too much or too little background insulin on board at varying times of the day. Although it might not be enough, it is still something they could not do when on injections. However, most people who start on insulin pump therapy experiences less dramatic swings in blood sugars and certainly less dramatic and less frequent hypoglycemia.
It’s easy to nibble and give boluses as you go instead of having to get up and find your purse or insulin pen etc. One of the advantages of most pumps is that they’ll tell you the amount of active insulin still on board (Bolus on board, active insulin on board). There are limitations with these systems however for some people or some circumstances, they can be very useful for helping to spot trends and to avoid overnight lows. However on a pump people usually leave everything as is until they wake after their first night there – then change the pump time to local time.
Unfortunately, all of the sites that are currently used for normal needle injections are not always comfortable for putting in an infusion set. For some people, carrying the back-up kit is an annoyance and a pain however, it can pay off in preventing DKA. Also, basal rates should be checked again after about a year or anytime repeated unexpected highs or lows are showing a pattern. This could happen when whizzing past a kitchen cabinet and getting hooked on a knob, or whipping down your pants only to realize you had placed the set in your leg today. Severe hypoglycemia, or even mild but chronic episodes of unexplained low blood sugar levels require in-depth investigation as another medical disorder may be involved. It’s important when on diabetes medication, especially insulin, to check blood sugar with any of these symptoms to verify if having a low blood sugar. However, this decision and any relating to your safety must be made between you and your physician.
It doesn’t always pose a problem, however the more insulin you take the more of a problem it is likely to cause.


And of course, infections require medical attention with antibiotics as the site gets extremely swollen and tender as it progresses. This emphasizes the importance of testing glucose readings first thing in the morning to reduce the risk of DKA.
This works well for some people on pumps eating high fat meals like pizza and Chinese food. Remember, rapid insulin works in 15 minutes for some but has a duration of up to 4 hours in many people (although the later part of the action time is not strong). If you’re on an insulin pump, also read the extra 15 ways insulin pumps can cause hyperglycemia. Again, everyone is different, so here is where the value of self glucose testing and record keeping comes into play. Usually, educators instruct clients to give these doses as 25 units given twice in two separated areas to allow for better absorption. Still, by the end of the vial, there may be too much concentrated slowing suspension resulting in erratic blood sugar levels. Follow with a more substantial meal or snack, containing healthy fats, lean proteins and low-glycemic carbohydrates. This is where Intox-Detox shines, containing 2 ingredients clinically proven to help detox this nasty chemical.
The first and higher of the two numbers is a measure of "systolic" pressure or the pressure in the person's arteries when their heart beats and fills them with blood. If this remains uncorrected, it would cause the person's blood pressure to fall or decrease. Postural hypotension happens most often in people who are taking medications to control high blood pressure or, 'hypertension.' It may also be related to strong emotions, pregnancy, diabetes, or hardening of a person's arteries. Those who have diabetes should be sure to eat enough at mealtimes and for snack, especially if insulin has just been taken. While many diabetics have a higher range that what has been mentioned here, it is not impossible for a person with diabetes type 2 to attain to this healthy blood sugar level. It will help one get a good idea of what his or her average blood sugar level is at various times of the day. Carbohydrates are hard to breakdown which adds to those extra pounds and make it harder for us to lose in the long run. But there is another form of this condition, a backwards version and it is called hypoglycemia. This insulin takes the sugar in the blood and transforms it into fuel that the cells can use. Even as a pumper myself, I originally refused the therapy years ago until a 12 year old convinced me to learn more. Flexible, yet strong tubing (infusion set) connects the pump containing the insulin to the person.
The reservoir of insulin and the motor to move the insulin are included in the insulin pump that adheres to the skin. Surgical aspects and complications of continuous intraperitoneal insulin infusion with an implantable pump.
Such a system would have all the technology and hormones necessary to allow for real time measuring of blood glucose and real time response to those readings via delivery of hormones to prevent both hyperglycemia and hypoglycemia.
Sometimes the statement is true by trying to use the feature on the pump is not so easy or so “usable” for some folks. Can you order supplies from your country and will there be border issues if you can’t? There’s more to read than most websites as I’ve included real-life scenarios so you can better appreciate some of the points. For example, some people on injections find that if supper is late, their blood sugars start rising.
Almost everyone on injections has at some time given their normal morning basal insulin, let’s say NPH, then started the day and realized “Wow! Pumpers can also reduce lows and their fear of lows by using the insulin-on-board feature, square or extended boluses (see below under variable blousing) and temporary reduced basal rates. Do you have OK glucose readings 2 hr after pizza but then have glucose readings that rise, and rise and rise afterwards?? It will use your formula you’ve previously inputted to determine how much insulin you need to fix that high. If too many units are remaining, possible options to prevent a low could be to eat more carb or program a decreased temporary basal.
Medtronic’s next generation pump will supposedly offer the option of having the pump temporarily shut off if it senses blood sugars dropping too quickly (this is 2009).
Some people never accept the feel of having a device always on them, whereas others quickly loose sense of wearing it after a week.
Each clinic has their own guidelines for how much extra insulin to give if ketones are present in a pumper, but the bottom line is, most people require extra insulin above and beyond their normal correction dose to fix a high reading if ketones are present.
For example, most people find infusion sets to be uncomfortable if placed at the pant’s waistline rubbing against the pants, or down the midline, or a few inches below the underwire bra where it rubs when women bend or sit. Although the expected advantages of insulin pumps is to have better blood sugar control, without the time and effort put in by the user, this just may not happen.
One for general causes of hypoglyemia in diabetes, the other for insulin pump related causes. However, talk with your doctor or educator to see if this needs to be individualized for you. Unfortunately, not treating lows can make it more likely to develop hypoglycemia unawareness – meaning not being able to sense the lows. You should meet with your doctor as soon as possible if you have a low blood sugar that required the help of someone else to treat.
For insulin pumpers, what follows are unique reasons for sudden hyperglycemia (high readings) when on an insulin pump. For those whose sets don’t adhere well, a clear soft protective covering like Tegaderm can be placed over the infusion sites. To prevent or treat high blood sugar, be sure to have an emergency kit at home that has a prescription for your dose of backup basal insulin (eg. With natural approaches to addressing these root causes of hangover symptoms, we can alleviate some of the suffering and help protect our bodies in the process. A sudden drop in blood pressure usually happens in a person who has risen from a prone or sitting position to a standing one. A person's body usually compensates by sending messages to their heart to beat faster and to their blood vessels to constrict, offsetting the drop in blood pressure. Seniors are affected by postural hypotension in particular, especially seniors who experience high blood pressure or autonomic nervous system dysfunction. Diseases such as Shy-Drager syndrome or, 'multiple system atrophy,' nerve issues such as peripheral neuropathy or autonomic neuropathy, cardiovascular disorders, nutritional diseases, or alcoholism may cause postural hypotension. I blog about my animals, my journey to a healthier me, motivational things, and just life in general.
The American Diabetes Association notes that a person with type 2 diabetes simply needs to maintain a healthy diet and eat plenty of fruits, vegetables and whole grain foods. However, those who have diabetes will want to consult a doctor, as one’s ideal blood sugar level range does vary from person to person. Once a person has learned what causes low blood sugar for them the key to overall health is keeping that blood sugar as normal as possible. The insulin travels from a reservoir in the pump (180-300 units storage), down the tube and into a small amount of tubing under the skin called a cannula. A hand-held device (usually with built in glucose meter) is used to wirelessly program in boluses and basal rates allowing for remote accessibility. A closed loop delivery system of insulin and glucogon is not currently available for marketing. This means there is not enough basal insulin to work with the sugar the liver is making at that time of the day. I’m busier than I thought I’d be,” and subsequently either experienced low blood sugar or had to eat and eat to prevent a low.
The ability to reduce lows and their severity are significant and life changing advantages for some people. Be aware that most pump companies offer your money back up to 90 days after purchasing if you find this a disadvantage.
It is easier for people on pumps to overuse a site and have it get lumpy and ineffective at absorbing insulin. It’s true that juice can also increase blood sugars, however because it is fructose based it is often about half the speed in fixing the low blood level than pure glucose tablets. This is much like me saying that my car’s fuel gauge is sitting on the red empty side and the fuel warning light is on but hey, the car has no symptoms. Sometimes the site looks pink, puffy and sometimes it looks fine, but will not absorb well.
If you have an unexplained high, check back in your bolus history to see if the bolus was actually delivered. Small champagne bubbles in the reservoir are usually not an issue and do not typically result in high blood sugar. Or, put a different way, how much one unit of fast insulin will drop your high blood sugar level. In people who are considered to be healthy, low blood pressure without experiencing any symptoms is commonly not a concern and does not need to be treated. If this does not happen, or does not happen quickly enough, postural hypotension is the result. I keep it as real as possible and am working on the slight edge.To read more about me click here!
A blood glucose meter is a small handheld unit that is used to measure the glucose in the blood With this machine you can get a accurate blood measurement and know if you must eat or what must be done. The intention of these pages is to provide information to help you make an informed decision about this therapy, together with your health care providers. The infusion set (tubing) is usually hidden under clothing; however in active individuals the tubing can sometimes be caught causing the cannula to rip out if not carefully managed. Or, they find that if they miss a meal they have hypoglycemia, meaning they have too much basal insulin on board. Of course, if you could reach in and pull out some of that NPH you gave in the morning, that low sugar could be prevented. But many people greatly benefit from being able to fine-tune their meal and basal doses to this extent because…sometimes one unit is just too much!
On a pump, you can program some of your meal insulin to be given now, and some to be given over a period of hours. There are various pump accessories available through the pump companies and other independent sites to help people incorporate the pump into formal wear, pajamas etc. Since there is no intermediate or long-acting insulin used in pump therapy, a problem with insulin absorption into the site or insulin infusion if the pump malfunctions or battery runs out could lead to high glucose levels and ketones quickly and possibly to DKA in as little as 5-6 hours in some people. It saves time to check up front for ketones if you suspect a site absorption issue and give the extra insulin recommended by your doctor or eductor rather than correct a high with usual dose, correct again, correct again….
Some people are more likely to overlook a site problem if using a 90 degree (straight in) cannula as the infusion site can’t be seen as well as it can be with a 30 degree infusion set.
For those of you not yet on a pump, you might be surprised (and relieved) to learn that there are various confirmatory steps in place to prevent accident delivery of insulin. Be sure to have guidelines from your educator on how to manage high blood sugars and prevent DKA (diabetic ketoacidosis) if your pump fails. Low blood pressure may be a sign of an underlying issue, particularly in seniors, where it might cause inadequate blood floor to their heart, vital organs, and brain. Common causes of low blood sugar include the following: overmedication with insulin or antidiabetic pills (for example, sulfonylurea drugs) use of medications such as. One of the advantages of insulin pump therapy is that the basal insulin is programmed to meet the individual’s needs so big excesses, or deficits in basal insulin, are eliminated.
You decide how much is given now, how much over a period of time and how long that period of time is. Be sure to ask your educator or physician how much extra insulin to take if you have ketones. Since most pumps come with tubing, this may mean creative camouflage of tubing if you were to place the set on the arm and experimenting with different infusion sets for different parts of the body perhaps. Or so my guests have learned as they’ve experienced my creative swearing while I’m whipping around the kitchen trying to be an iron chef while suddenly yanked back by my pump’s umbilical cord. This doesn’t mean you need to switch sets, only that you need to remember to change them rather than rely on looking at them to see how they are doing. Where the tubing is attached to your skin, loop the tubing and place a strip of soft tape over the loop attaching it to your skin. This allows people to miss meals, sleep in late etc without experiencing high or low blood sugar levels in most cases. Alarms will not always sound on the pump – for example – if an infusion site has been left in too long or is inflamed and is not absorbing the insulin because the site is inflamed the pump has no way of knowing this, as insulin is being delivered as usual. Otherwise, you might put yourself at risk for high blood sugars, sore lumps or potential DKA.
Then if the tubing yanks, the tape and the loop are the first things to take the force and come undone but the canula is still in the skin. So…if these past two weeks my blood sugars have been rising between 2 pm and 5 pm even if I don’t eat, I’ll program my pump to give me slightly more basal insulin for those hours only, every day. One of the advantages of insulin pumps is that background basal insulin is given as tiny doses of rapid insulin every 3 minutes or so. Advantages of precise dosing are especially important in children or adults with small total daily doses of insulin. Dual wave boluses are also useful advantages for people who are fearful of giving all their meal insulin and correction at one time because “It just looks like too much insulin.” Their fear can be lessened if they give part of the insulin now and part over a time period. Then they can check their sugars hourly and stop the extended part of the bolus if they feel they don’t need it.
It takes me an hour to drink mine but I can’t give all my insulin when I start or I’ll be low. If your activity suddenly stops, or it doesn’t happen as you planned, you can return your basal insulin to normal with a few pushes of a button. Imagine how difficult it would be to try to meet their basal insulin needs with NPH, Lantus or Levemir.
Basal insulin can also be programmed as increases too if it’s a lazy day or a sick day or a day you run high because of your menstrual cycle or even part of the day. Clearly this is an advantage of insulin pumps that multiple daily injections would have a difficult time copying.



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