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The major advantage of carb counting is that it gives flexibility to eat a meal or snack when ever you wish and gives a freedom to choose any food you like. The carbohydrate content of a meal is quantitatively a determining factor of the mealtime insulin doses.
Initially carbohydrate counting and insulin dose calculation may sound like a difficult task.
The good news is that the technology for the management of type 1 diabetes is moving fast and is making living with type 1 diabetes a lot easier. At ACE diets we can help you to learn the differences between carbohydrate counting and general diabetes control. An as-yet-undefined immunologic insult occurs in an individual with genetic predisposition and initiates a chronic low-grade immunologic process (priming). Both type 1 and type 2 diabetes are related to problems with insulin, which is a hormone that processes blood sugar. Right now, all Will can do to stay healthy with his diabetes is control his blood sugar as there is no cure for this disease. The “hygiene hypothesis” and the increase in being overweight and obesity (“accelerator hypothesis”), seem to be the getting the most attention now.
Research is surging to find the cause(s) of type 1 diabetes, but what relief is there for those like my friend Will? Sue Leferson, RN, MSBA, COHC, a nursing program faculty member, demonstrates pumps for her students and wears one herself. I really enjoyed your article–it is so true that type 2 DM gets much more attention than type 1 diabetes. If this type of blog is designed for regular readers, I am wondering if they would understand why scientist have 2 hypotheses (and now that we are at it, what’s a hypothesis?) about the explosive growth of diabetes 1.
Great job giving a concise explanation of the disease, why we should be concerned, and what some of the responses are — and putting a personal face on the disease!
I thought this article was very enlightening as I too was aware of only the surge in Type II diabetes. One explanation for the increase in so many inherited disease is that our treatments have been able to keep people alive and able to live close to normal lives including having children who carry the same genes. I am concerned about the use of apparently copyrighted images in this post without full attribution or links to the original source. The opening of the post has rather a bit much in the way of jargon that might present a barrier to low literacy or general public readers.
About Mind The Science GapMind The Science Gap was a Science Communication Training blog that ran between 2012 - 2013.
Each semester, ten Master of Public Health students from the University of Michigan participated in a course on Communicating Science through Social Media. In the case of Type 1 diabetes, the body does not produce any insulin, thereby leaving the body unable to break down and use or store glucose properly. Wave is published six times a year by the Winnipeg Health Region in cooperation with the Winnipeg Free Press. View the Winnipeg Health Region's current approximate Emergency Department and Urgent Care wait times. The Winnipeg Health Region has a variety of career opportunities to suit your unique goals and needs. For people with Type 1 Diabetes, blood glucose control is best achieved by matching rapid acting insulin dose directly to the amount of carbohydrate consumed; this method is called Carbohydrate Counting. Find your individual “correction factor” – extra units of insulin to correct a high blood glucose level that is above your personal targets. However, you will gradually become more familiar with the process and it will eventually become second nature. If you are using insulin pump therapy, you are probably already using the bolus calculators built into most pumps. The randomized and non-randomized studies have shown the efficiency of Insulin Pump Therapy across all age groups.
We are experts in advising people with multiple daily injection therapy (MDI) as well as those on insulin pump therapy (CSII).
The initiating events involve infiltration of innate immune cells (such as monocytes and natural killer cells with autoreactive B cells) (orange ovals) into the pancreatic islets.
Unfortunately, our remedies have been slow to counteract the increase in this disease, mostly because it is a disease that develops from years of unhealthy behaviors, behaviors that are difficult to change.


In people with type 1 diabetes, their immune systems attack and destroy their insulin-producing beta cells in the pancreas. There are a variety of hypotheses that are thought to be the cause of this form of diabetes, but a cure is not on the near horizon. The “hygiene hypothesis” holds that reduced or no exposure to once-prevalent pathogens results in autoimmune hypersensitivity, leading to destruction of the body’s insulin-producing beta cells by rogue white blood cells. New medical devices to help ensure proper blood sugar levels are available, including insulin pumps that are surgically implanted and automatically deliver the proper amount of insulin to keep healthy blood sugar levels.
If this is for everyone, I’m not sure that a non-scientist will understand what an insulin- producing beta cell is. Perhaps, if you were doing this over, you might want to structure the post a little differently? My little cousin has type 1 diabetes and I believe it is very important for people to see and understand the difference of type 1 and type 2. Each student on the course was required to post weekly articles here as they learned how to translate complex science into something a broad audience can understand and appreciate. As the illustrations below show, a person without diabetes is able to use insulin to break down glucose which is then used or stored by organs in the body. In Type 2 diabetes, the body does not produce enough insulin or respond effectively to the insulin it does produce. It is available at newsstands, hospitals and clinics throughout Winnipeg, as well as McNally Robinson Books. If you are on  MDI therapy there are now several blood glucose meters available with a built in mealtime (bolus) insulin calculator for calculating suggested insulin doses which means that it eliminates the need for you to make any mathematical calculations when estimating your mealtime insulin dose.
However, to make most of the technology, you also need to know about carbohydrates, how to monitor your blood glucose regularly, how to re-address insulin to carb ratios and about correction factors, how to re-address the adequacy of your background basal rate and use correct strategies for high and low blood glucose.
The principal site of antigen presentation is thought to be the pancreatic lymph node where islet antigens are presented by antigen-presenting cells (white ovals) to T cells (brown dots). Most recently, Paula Deen has announced that she was diagnosed with type 2 diabetes and has started a new conversation about this disease. Thus people with type 1 diabetes must take insulin and keep careful track of their blood sugar levels in order to stay healthy.
In a recent article by Maryn McKenna in Scientific American, she discusses the surge in type 1 diabetes and discusses some of the hypotheses behind the major research into type 1 diabetes. The idea behind extra weight causing type 1 diabetes is that it stresses the body by making it produce extra insulin, effectively burning out the insulin-producing beta cells of the pancreas.
This new research into controlling type 1 diabetes is huge for improving the quality of life for people living with this disease. My guesstimate is that it would probably be about 2%-3% so this growth doesn’t seem to absurd…or did I miss something completely? So the increase in Type 1 diabetes is a true increase in type 1 diabetes per thousand people. So many people think that, even long-term diabetics who are interested in more insulin options. The surge of Type I appears somewhat of a mystery while the surge of Type II is as easy to spot as a Paula Dean cheesecake—-we’re too fat!!! Many persons believe that talking about science implies no feelings, but you just blended them in an excellent way.
I’m assuming that the image of Will was your own, but it is still nice to provide attribution. Perhaps, start the post with the story about Will, and then provide the science background with definitions and explanations, and then get into the issues and questions.
And in doing so they were evaluated in the most brutal way possible - by the audience they were writing for!
As a result, glucose levels in the blood can increase unchecked, causing permanent changes in the structure and function of the body's organs. For example, 1 unit of rapid acting insulin may be appropriate for every 10g of carbohydrate in a meal.
Once you have worked out and programmed the information into the meter along with your insulin-to-carbohydrate ratio and correction factors, the rest is then calculated by the meter. Using fasting tests help you learn about your individual background insulin requirements over 24-hour period and allow programming of your pump to your individual needs. According to McKenna (who reviewed a variety of peer-reviewed research articles), the hypotheses need to fit with lifestyle trends all over the world, because type 1 diabetes is increasing all over the world.


This can then push a child whose beta cells are already under attack into developing type 1 diabetes. While research on type 1 diabetes continues, these new medical devices are helping people live with type 1 diabetes.
You might want to try looking for images in the Wikimedia Commons directories for the topics. This ratio is individualized from patient to patient, and it may even vary for the same patient at different times of the day. It is also important to make full use of the extra features available on your pump, such as temporary basal rates and multi wave and square wave boluses. In his mid-twenties, and a former wide receiver for Tufts University, Will’s vision began to cloud and he was losing energy. Researchers are baffled by the worldwide increase in type 1 diabetes, the less common form of the disease.” Scientific American. They are inserted with a small device, and there is just a tiny catheter that sits under the skin, delivering insulin.
We should remember as we sit and look at our well fared table, what’s on the table today will be in the chair tomorrow. In the current atmosphere, type 1 diabetes is often misunderstood and confused with type 2 diabetes. He had cloudy vision because his sugar was extremely high and formed crystals on his lenses. Patients will also have to take into account pre-meal blood glucose level and give a correction dose if blood glucose is above the target range. It is equally, if not more, disturbing than the rise of type 2 diabetes, because the causes are relatively unknown.
There is even some technology now called Continuous Glucose Sensoring, that can be worn with a pump and can actually predict what will happen with the blood sugar so the patient has a chance to correct it or eat a snack! The correction factor is again individualized to each patient and it may vary at different times of the day. The process specifically targets insulin-producing β-cells (light blue circles), while other endocrine cells (red circles) within the islet are spared. And it has the potential for morbidity and mortality much earlier in the lives of those diagnosed with type 1 diabetes than those with type 2 diabetes. Just wanted to mention that, as so many diabetics get very concerned and worried about the idea of insulin pumps and surgery, but it is such a great option for some people, negating the need to carry vials and syringes, or even insulin pens, with them at all times. In the lymph nodes, the cycle of antigen presentation, activation of adaptive immune cells, licensing of effector T cells and epitope spreading continues with the loss of β-cells over time. According to the CDC, more than 13,000 young people are diagnosed with type 1 diabetes every year. There is evidence for a regenerative attempt of β-cells in the midst of the islet inflammation (dark blue circles). My sister rushed him to the hospital where he was found to have extremely high blood sugar. Tertiary lymphoid organs are thought to develop within the islets, which may lead to amplification of the adaptive immune response. He has since recovered and is trying to live as normal a life he can with a type 1 diabetes diagnosis. Regulatory T cells (yellow dots) may arrest this process in its early and late stages but are not able to contain the amplified process in the late stages despite an increase in their numbers. Overall, about 1 million people in the US have type 1 diabetes; the incidence of type 1 diabetes has doubled in 20 years and is currently rising at 3% per year. Needless to say, he has had to drastically change his diet and must now carry around a blood sugar tester and insulin wherever he goes. The loss of metabolic function at presentation may be both functional and anatomic, because immune therapies can restore cells that have lost the capacity to produce insulin but have not been destroyed.



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